Assessment of Left Ventricular Diastolic Dysfunction in Cases with Liver Cirrhosis
Mohammed El-Refaey El-Mashad
Cardiovascular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Magdy Mohamed El-Masry
Cardiovascular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Suzan Bayoumy Al-Hefnawy
Cardiovascular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Ayman Ahmed Elsheikh
Cardiovascular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Cirrhosis is a long-term inflammatory process of hepatic tissue condition that mainly affects people aged 50 to 60. This study aims to assess Left ventricular diastolic dysfunction (LVDD) in cases with cirrhotic liver by conventional, tissue Doppler and two-dimensional speckle tracking echocardiography to clarify the correlation between the severity of cirrhotic liver and LVDD.
Methods: A prospective case-control research involved 100 adult cases with confirmed HCV and HBV. Cases were divided into 4 equal group: Group A: Child A cases, group B: Child B cases, group C: Child C cases and group D (Controls): healthy non-hepatic subjects of the same age and sex who have normal blood pressure, nonsmoking participants with no further concomitant problems.
Results: Number of cases with LVDD had a statistical noticeable increase in Child A, B, and C (p =0.004, <0.001, and <0.001 respectively. LAVi had a statistical noticeable increase in Child C / B (p =0.013 and p =0.014).
Conclusion: Left atrial volume index (LAVi) had a statistical noticeable increase in Child C / B in comparison to the controls but E m, E l were statistical noticeable lower in Child C / B. /E had a statistical noticeable increase in Child C group, LVSRe had a statistical noticeable decrease in Child C group but it was insignificantly different across Child A / B/ C and controls and across Child B / C and controls.
Keywords: Left ventricular diastolic dysfunction, liver, cirrhosis, tissue doppler, 2D speckle tracking echocardiography