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Investigaciones Medicoquirúrgicas

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2018, Number 2

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Invest Medicoquir 2018; 10 (2)

Cardiovascular manifestations of liver cirrhosis according to MELD severity classification

Hernández AE, Pérez BA, González PT, Samada SM, Hernández PJC, Ravelo LK, Puig FMJ, Alfonso MOA
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Language: Spanish
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Key words:

cirrhotic cardiomyopathy, liver cirrhosis.

ABSTRACT

Introduction. Cirrhotic cardiomyopathy is a cardiac dysfunction, recently recognized as a clinical entity, present in patients with liver cirrhosis, in the absence of another heart disease. Methods. An observational, descriptive, cross-sectional study was carried out with the aim of describing the electrocardiographic, echocardiographic findings and the state of arterial oxygenation in patients with liver cirrhosis taking into account the classification of Model for End Stage Liver Disease severity in patients in liver transplantation protocol in the Medical Surgical Research Center in the period of one year. 95 cases were investigated, 53 (55.7%) women, who underwent an electrocardiogram, echocardiogram, determination of arterial oxygen pressure and oxygen saturation by oximetry. The SPSS (20) was used, with summary measures for qualitative variables (ratios and percentages) and quantitative variables (mean and standard deviation). Results. The results show greater echocardiographic, electrocardiographic and arterial oxygenation compromise to greater severity of hepatic cirrhosis, being significant in corrected QT (p = 0.01), PSTAP (p = 0.03) and oximetry (p = 0.006). for Model for End Stage Liver Disease. Conclusions. Taking into account this classification, a progressive approach to abnormal values of the echocardiographic variables was observed for the analysis of pulmonary pressures, the state of arterial oxygenation expressed by pulse oximetry and electrocardiography through long QT in the more advanced stages of the liver cirrhosis.





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C?MO CITAR (Vancouver)

Invest Medicoquir. 2018;10