Original Research Article
Year: 2020 | Month: October | Volume: 7 | Issue: 10 | Pages: 247-252
Prevalence of Cirrhotic Cardiomyopathy and Correlation with Child-Pugh Score
Uthaya Sankar M.K1, Sibi Chakravarthy.C2, Louis Ferdin Zeno.J3, Thirumal.P4
1Professor, 2,3Post graduate resident,3Assistant Professor
Department of General Medicine,Sri Manakula Vinayagar Medical College and Hospital, Puducherry-605107, India
Corresponding Author: Sibi Chakravarthy.C
ABSTRACT
Background: The deterioration of cardiac function in patients with liver cirrhosis has been a great debate for past two decades. A newer entity called “Cirrhotic Cardiomyopathy” has been described which includes a variety of features like QT prolongation, systolic and diastolic dysfunction. This is of extreme importance since cardiac function plays a major role in mortality and morbidity of the patient.
Aim: To assess the prevalence of cirrhotic cardiomyopathy and to assess its correlation with Child Pugh score.
Methodology: A hospital based cross sectional study was conducted in department of general medicine and department of gastroenterology. The study period was one and a half years after obtaining approval from the ethical committee. The study population was 93 and the patients admitted in general medicine and gastroenterology were enrolled for the study.
Results: 44.4% patients were in age group 31-45, 69% had abdominal distension as chief complaint, 77.4% patients were alcoholics, 61.3% of patients had features of liver cell failure and 54.8% were in hepatic encephalopathy. 45.2% patients were under Child B and 45.2% under Child C. 77% of patients had features of cirrhotic cardiomyopathy of which 49.9% were child C. 56% patients had diastolic dysfunction. Systolic dysfunction was found in 30.1% patient which had a statistical significance of 0.02. While comparing with Child Pugh score diastolic dysfunction was significant with a p value of 0.035 considering the variables taken in the study Albumin and INR values were statistically significant with a p value of 0.038 and 0.043 respectively.
Conclusion: Our study showed a staggering rise in the presence of cirrhotic cardiomyopathy in patients with end stage liver disease when compared to previous studies. Presence of systolic dysfunction was statistically significant, whereas on correlating with Child Pugh score only diastolic dysfunction was significant.
Keywords: cirrhotic cardiomyopathy, liver cirrhosis, Child Pugh score.
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