Abstract

CASTELLANOS FERNANDEZ, Marlen Ivón et al. Cardiac dysfunction in liver cirrhosis. Rev cubana med [online]. 2014, vol.53, n.2, pp. 189-200. ISSN 0034-7523.

Objective: to determine abnormalities of cardiac function in subjects with liver cirrhosis. Methods: a descriptive cross-sectional study was conducted at the Institute of Gastroenterology from 2011 to 2012, in 33 cirrhotic patients due to alcoholic and viral causes, 57.6 % male, with an average age of 50 years, most (84,8 %) had compensated disease. Results: diastolic dysfunction was the most common cardiac disorders (39.3 %) followed by QT prolongation (12.1 %), systolic dysfunction (6.1 %) and cirrhotic (3 %) cardiomyopathy interval. No distinctive epidemiological and/or clinical studies were identified to characterize these patients. The hyperdynamic circulation was more evident in those presenting diastolic dysfunction and alcohol-related cirrhosis. Cardiac dimensions were normal in all cases. Conclusions: people with cirrhosis are susceptible to alterations in cardiac function, even from the compensated stage of the disease, which should be considered by the therapeutic implications of this type of patient demand.

Keywords : liver cirrhosis; diastolic dysfunction; cirrhotic cardiomyopathy; hyperdynamic circulation.

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