Sajid Nisar, Sobia Qazi, Yasir Ashraf.
To Assess the Frequency of Cirrhotic Ardiomyopathy among patients with Cirrhosis of Liver.
Pak J Med Health Sci Jan ;7(3):851-4.

Aim: To assess the frequency of cirrhotic cardiomyopathy among patients with cirrhosis of liver. Study design: Cross sectional survey (descriptive). Setting: The study was done in the medical Unit IV Services Hospital, Lahore. Duration of study: Study was carried out over a period of six months from 18-05-2012 to 17-11-2012. Methods: A total of 300 patients were included in this study. Presence of diastolic dysfunction (i.e increased E/A ratio or prolonged deceleration time as per operational definition) on echocardiography done by a consultant cardiologist confirmed diagnosis of cirrhotic cardiomyopathy in patients of liver cirrhosis. Results: Majority of the patients i.e. 148 (49.4%) were between 41-50 years of age while only patients 37 (12.3%) were between 20-30. Mean age was 46.7±8.9 years. Regarding sex distribution, 173 patients (57.7%) were male while 127 patients (42.3%) were female. Child-Pugh classification as follows: 38 patients (12.7%) belonged to Child-Pugh A, 118 patients (39.3%) belonged Child-Pugh B and 144 patients (48.0%) belonged to Child-Pugh C. Cirrhotic cardiomyopathy was found to be 147 (49.0%). Stratification was done for stage of disease by Child Pugh Class. Conclusion: This study demonstrates that cirrhotic cardiomyopathy is a common occurrence. There is a direct relationship of cirrhotic cardiomyopathy with the severity of liver disease whereas electrophysiological, echocardiographic and biochemical changes provide base for the condition.

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