Muhammad Usman Ahmad, Nabia Khalid, Saman Khan, Umair Asghar.
Risk of Structural Heart Diseases in Non-Alcoholic Fatty Liver Disease.
Pak J Med Health Sci Jan ;12(1):187-9.

Aim: To observe cardiovascular, arrhythmic and cardiac issues in non- alcoholic fatty liver diseases patients. Methods: A total 945 hospital admitted patients were previously diagnosed as non-alcoholic fatty liver diseases patients. Patients with viral hepatitis, drug induced liver diseases, cirrhosis of different etiology or many other comorbid conditions were included. Patients were mark as hypertensive , which have blood pressure > 142/94 mmHg. Detailed history of comorbid conditions and use of medications was obtained. Results: All patients already diagnose as non-alcoholic fatty liver diseases patients. Mean age was 57 years and duration of diseases is almost 8 years. There are almost 367 patients with persistent heart block verified on standard ECGs. More securely 134 patients had a first degree AV block. This leads towards the amendment of many physiological processes, such as disruption in glucose balance, changes in fatty acids and lipoproteins, endothelial dysfunction and slowly progression towards atherosclerosis. Conclusion: Non Alcoholic Fatty Liver Disease patients have high incidence of structural heart diseases and one of the leading cause of morbidity and mortality with adverse hepatic patient results. Quick attention should be paid towards this high cardiovascular risk.

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