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Abstract
patients with chronic liver disease of various origin , by two dimensional trans thoracic
Echo assessment
Patients and Methods:
This study is a cross sectional study conducted in AL-Hussain medical city in patients
attending the gastrointestinal and hepatological center and patients admitted to medical
ward in AL-ZAHRRA center of internal medicine from September 2019 , to February
2020 on sample of 34 chronic liver disease patients .The diagnosis was based on history ,
clinical examination ,biochemical investigations , abdominal ultrasound,
Oesophagogastrodudenoscopy and in some patient histopathological findings ,those
patients sent to transthoracic echocardiography study.
Conclusions:
There is significant correlation between chronic liver disease and echocardiographic
changes and the most common finding is diastolic dysfunction
Keywords
Article Details
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References
- kasper,fauci,hauster,longo,jameson, loscalzo . Harrisons principles of internal medicine
- th edition, pg no-2567.
- Nobili V, Carter-Kent C, Feldstein AE. The role of lifestyle changes in the management of
- chronic liver disease. BMC Med England. 2011;9:70.
- Stuart H.Ralston,Ian D.penman,Mark W.J.Strachan,Richard P.Hobson Davidsons
- principles and practice of medicine,23ed edition , page 866.
- Wiese S, Hove JD, Bendtsen F, Moller S. Cirrhotic cardiomyopathy: Pathogenesis and
- clinical relevance. Nat Rev Gastroenterol Hepatol 2014; 11(3): 177−86.
- Moller S, Henriksen HJ. Cirrhotic Cardiomyopathy. J Hepatol. 2010;53:179-90.
- Henriksen JH, Scand MS. Cardiac and Systemic hemodynamic complications of liver
- cirrhosis. Cardiovascular J 2009;5:12-20.
- Barst RJ, et al. Diagnosis and differential assessment of pulmonary arterial hypertension,
- Am. J. cardiology. 2004; 43, 405-475.
- Stephem chapman/grace robinson /john stradling /sophie west /john wrightson, Oxford
- handbook of Of respiratory medicine, third edition page 250.
- Møller S, Hove JD, Dixen U, Bendtsen F. New insights into cirrhotic cardiomyopathy. Int J
- Cardiol 2013; 167(4): 1101−8..
- Gaskari SA, Honar H, Lee SS. Therapy insight: cirrhotic cardiomyopathy. Nat Clin Pract
- Gastroenterol Hepatol 2006; 3(6): 329−37.
- Møller S, Henriksen JH. Cardiovascular complications of cirrhosis. Gut 2008; 57(2):
- −783.
- Zardi EM, Abbate A, Zardi DM, Dobrina A, Margiotta D, Van Tassell BW, et al.
- Cirrhotic cardiomyopathy. J Am Coll Cardiol. 2010;56(7):539-49.
- .Blendis L, Wong F. Is there a cirrhotic cardiomyopathy? Am J Gastroenterol.
- ;96:2503-5.
- Torregrosa, Mireia, et al. "Cardiac alterations in cirrhosis: reversibility after liver
- transplantation." Journal of hepatology 42.1 (2005): 68-74.
- -dos Santos Ferreira, Rita de Cassia, et al. "Hepatopulmonary syndrome in patients with
- Schistosoma mansoni periportal fibrosis." Acta tropica 111.2 (2009): 119-124
- Kazankov, Konstantin, et al. "Resting myocardial dysfunction in cirrhosis quantified by
- tissue Doppler imaging." Liver International 31.4 (2011): 534-540
- Almohana, Sadiq. "Prevalence of clinically significant Hepatopulmonary Syndrome
- among Patients with Chronic Liver Disease and Portal Hypertension." Al-Kindy College
- Medical Journal 7.1 (2011): 61-
- Saeed, Basil N., et al. "The value of using echocardiography in patients of advanced liver
- disease with cardio pulmonary complications." Iraqi Academic Scientific Journal 8.4 (2009):
- -32666
- P. Punekar, Dinesh Kumar Thakur. Echocardiographic changes in chronic liver disease.
- International Journal of Contemporary Medical Research 2018;5(3):C1-C4..
- Mota, Vitor Gomes, and Markman Filho, Brivaldo. Echocardiography in chronic liver
- disease: systematic review. Arquivos Brasileiros de Cardiologia 2013;100:376-785.d,
- Karasu Z, Mindikoglu L, Van Thiel DH, et al. Cardiovascular problem in cirrhotic patient.
- The Turkish Journal of Gastroenterology 2004;15:126-132
- Alves-Silva, Luiz Sérgio, E. J. Câmara, and C. A. de Souza. "Frequency of left
- ventricular diastolic dysfunction by mitral doppler in healthy elderly individuals." Arquivos
- brasileiros de cardiologia 93.4 (2009): 328-33...
- Kuznetsova, Tatiana, et al. "Prevalence of left ventricular diastolic dysfunction in a
- general population." Circulation: Heart Failure 2.2 (2009): 105-112
References
kasper,fauci,hauster,longo,jameson, loscalzo . Harrisons principles of internal medicine
th edition, pg no-2567.
Nobili V, Carter-Kent C, Feldstein AE. The role of lifestyle changes in the management of
chronic liver disease. BMC Med England. 2011;9:70.
Stuart H.Ralston,Ian D.penman,Mark W.J.Strachan,Richard P.Hobson Davidsons
principles and practice of medicine,23ed edition , page 866.
Wiese S, Hove JD, Bendtsen F, Moller S. Cirrhotic cardiomyopathy: Pathogenesis and
clinical relevance. Nat Rev Gastroenterol Hepatol 2014; 11(3): 177−86.
Moller S, Henriksen HJ. Cirrhotic Cardiomyopathy. J Hepatol. 2010;53:179-90.
Henriksen JH, Scand MS. Cardiac and Systemic hemodynamic complications of liver
cirrhosis. Cardiovascular J 2009;5:12-20.
Barst RJ, et al. Diagnosis and differential assessment of pulmonary arterial hypertension,
Am. J. cardiology. 2004; 43, 405-475.
Stephem chapman/grace robinson /john stradling /sophie west /john wrightson, Oxford
handbook of Of respiratory medicine, third edition page 250.
Møller S, Hove JD, Dixen U, Bendtsen F. New insights into cirrhotic cardiomyopathy. Int J
Cardiol 2013; 167(4): 1101−8..
Gaskari SA, Honar H, Lee SS. Therapy insight: cirrhotic cardiomyopathy. Nat Clin Pract
Gastroenterol Hepatol 2006; 3(6): 329−37.
Møller S, Henriksen JH. Cardiovascular complications of cirrhosis. Gut 2008; 57(2):
−783.
Zardi EM, Abbate A, Zardi DM, Dobrina A, Margiotta D, Van Tassell BW, et al.
Cirrhotic cardiomyopathy. J Am Coll Cardiol. 2010;56(7):539-49.
.Blendis L, Wong F. Is there a cirrhotic cardiomyopathy? Am J Gastroenterol.
;96:2503-5.
Torregrosa, Mireia, et al. "Cardiac alterations in cirrhosis: reversibility after liver
transplantation." Journal of hepatology 42.1 (2005): 68-74.
-dos Santos Ferreira, Rita de Cassia, et al. "Hepatopulmonary syndrome in patients with
Schistosoma mansoni periportal fibrosis." Acta tropica 111.2 (2009): 119-124
Kazankov, Konstantin, et al. "Resting myocardial dysfunction in cirrhosis quantified by
tissue Doppler imaging." Liver International 31.4 (2011): 534-540
Almohana, Sadiq. "Prevalence of clinically significant Hepatopulmonary Syndrome
among Patients with Chronic Liver Disease and Portal Hypertension." Al-Kindy College
Medical Journal 7.1 (2011): 61-
Saeed, Basil N., et al. "The value of using echocardiography in patients of advanced liver
disease with cardio pulmonary complications." Iraqi Academic Scientific Journal 8.4 (2009):
-32666
P. Punekar, Dinesh Kumar Thakur. Echocardiographic changes in chronic liver disease.
International Journal of Contemporary Medical Research 2018;5(3):C1-C4..
Mota, Vitor Gomes, and Markman Filho, Brivaldo. Echocardiography in chronic liver
disease: systematic review. Arquivos Brasileiros de Cardiologia 2013;100:376-785.d,
Karasu Z, Mindikoglu L, Van Thiel DH, et al. Cardiovascular problem in cirrhotic patient.
The Turkish Journal of Gastroenterology 2004;15:126-132
Alves-Silva, Luiz Sérgio, E. J. Câmara, and C. A. de Souza. "Frequency of left
ventricular diastolic dysfunction by mitral doppler in healthy elderly individuals." Arquivos
brasileiros de cardiologia 93.4 (2009): 328-33...
Kuznetsova, Tatiana, et al. "Prevalence of left ventricular diastolic dysfunction in a
general population." Circulation: Heart Failure 2.2 (2009): 105-112