Frequency of Cardiomyopathy in patients with Liver Cirrhosis and its Correlation with Severity of Cirrhosis
Najeeb Ullah, Salman Javed, Mahmood Ahmad, Wajeeha Imran Andrabi
Background: Cirrhotic cardiomyopathy is a complication of cirrhosis characterized by gradual deterioration in cardiac function and it has a positive correlation with severity of cirrhosis.
Aim: To determine the prevalence of cardiomyopathy in cirrhotic patients and its correlation with different grades of cirrhosis.
Methods: It was a cross sectional study conducted at the department of Medical Unit III. Sir Ganga Ram Hospital, Lahore. 170 patients with liver cirrhosis were enrolled in the study and their E/A ratio was calculated using echocardiography. The patients having E /A ratio > 1 were labeled as having cirrhotic cardiomyopathy. The data was stratified for grades of cirrhosis and Chi-square test was used with P-value ≤ 0.05 taken as significant.
Results: Out of the total 170 patients, 79(46.5%) were male and 91(53.5%) were female and cirrhotic cardiomyopathy was found in 7 (44.8%) patients.
Conclusion: Cirrhotic cardiomyopathy is a significant complication of cirrhosis and correlate well with degree of fibrosis.
Key words: Liver Cirrhosis, Cardiomyopathy, Child-Pugh score, Echocardiography.