A study on Cardiac Dysfunction using Echocardiography in Cirrhotic patients of Jharkhand

Rohit Keshav; Jeewan Kumar Mitra; Manmeet Topno; Abhishek Bhardwaj

Volume : IX, Issue : IV, April - 2019

A study on Cardiac Dysfunction using Echocardiography in Cirrhotic patients of Jharkhand

Rohit Keshav, Jeewan Kumar Mitra, Manmeet Topno, Abhishek Bhardwaj

Abstract :

Cirrhosis is defined anatomically as a diffuse process with fiosis and nodule formation and represents a terminal stage of a number of chronic liver diseases. Cirrhotic patients demonstrated both structural and functional cardiac abnormalities, resulting in both systolic and diastolic dysfunction, which appeared to correlate with the severity of the liver disease. In this study we plan to evaluate the clinical aspects of cirrhosis and its effect on cardiac structure and function as assessed by means of an echocardiogram. This hospital based observational study was carried on 150 cirrhotic patients admitted in Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. The mean age of the study group was 42.30±8.42 SD with 127 (85%) males and 23 (15%) females. Maximum number of patients were alcoholic (44.66%) and Hepatitis B positive (34.66%) followed by unknown etiology/others (11.33%). Maximum number of patients 73(48.66%) in the study group belonged to child B as graded by Child Pugh Score followed by Child Pugh C (28%). When Echocardiographic variables were assessed in patients of cirrhosis of liver with different classes of cirrhosis, there was statistically significant difference in both systolic and diastolic variables as degree of liver dysfunction worsens. There was no significant correlation seen in various echocardiographic parameters in patients of cirrhosis of liver of different etiologies. Therefore, it is recommended that physicians should be aware for the possibility of myocardial diastolic dysfunction in patients with chronic liver disease patients.