Diastolic dysfunction diagnosed by tissue Doppler imaging in cirrhotic patients: Prevalence and its possible relationship with clinical outcome

Falletta, Calogero; Filì, Daniela; Nugara, Cinzia; Gesaro, Gabriele Di; Minà, Chiara; Baravoglia, Cesar Mario Hernandez; Romano, Giuseppe; Scardulla, Cesare; Tuzzolino, Fabio; Vizzini, Giovanni; Clemenza, Francesco

doi:10.1016/j.ejim.2015.10.009

Cited by 20 publications

(22 citation statements)

References 27 publications

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“…In the literature, there are studies showing that varying degrees of diastolic dysfunction is present in all patients with liver disease. 18,19 It has been shown that E/A, mitral E-wave deceleration time (EDT), is volumetric contraction time (ICT) and left atria diameter to deteriorate in patients with liver cirrhosis. 20 In our study, significant LVDD was found in compensated cirrhosis group.…”

Section: Discussionmentioning

confidence: 99%

Association of Cirrhosis and Cardiomyopathy

Sezgin

Cindoğlu

Uyanıkoğlu

et al. 2019

Euroasian Journal of Hepato-Gastroenterology

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Introduction:We investigated association of pro-BNP, troponin-I, electrocardiography (ECG) and echocardiography (ECHO) during diagnosis and identification of cirrhotic cardiomyopathy in cirrhotic patients. Materials and methods: Patients were divided into three groups as; compensated cirrhotic patients (group 1, n= 30), decompensated cirrhotic (group 2, n = 30) and control group (group 3, n = 30). ECHO, and ECG were performed, and troponin-I and levels of pro-BNP were analyzed. Results: Average age of group 1 was 46.36 ± 16 years (range 19-86), 60% were female; group 2 was 57.03 ± 13.54 years (range 22-89), 56% female; and group 3 was 49.13 ± 0.95 years (range 18-80), 56% female. A significant increase in QTc was detected in compensated cirrhotic patients compared to the control group (p <0.05). Pro-BNP levels were significantly higher (p <0.05) in the compensated cirrhotic group compared to the control group. The levels of pro-BNP were also significantly higher in the decompensated cirrhotic group compared compensated cirrhosis group and control group (p <0.001). Conclusion:The increase of pro-BNP levels with severity of the disease in cirrhotic patients and the prolongation of QTc interval supports an association between these factors with cardiomyopathy.

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Section: Discussionmentioning

confidence: 99%

Association of Cirrhosis and Cardiomyopathy

Sezgin

Cindoğlu

Uyanıkoğlu

et al. 2019

Euroasian Journal of Hepato-Gastroenterology

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“…The E/e′ ratio in normal individuals is <8, and an E/e′ ratio >15 is highly suggestive of elevated filling pressures. However, further studies are needed to clarify the role of DD in the context of liver transplantation …”

Section: Tee Exam Following Anesthesia Inductionmentioning

confidence: 99%

“…However, its prevalence was found to be <30% in the new recommendations from the European Association of Cardiovascular Imaging on the introduction of tissue Doppler image (TDI). 41,42 In practice, TDI is easily obtained via a mild esophageal four-chambers view where the motion of mitral annulus can be recorded by placing the sample volume approximately 1 cm from the insertion of the mitral valve leaflets. Two waves appear after TDI activation: the first of these is termed e′ (e prime), and the second a′ (a prime) ( Figure 9B).…”

Section: Diastolic Dysfunctionmentioning

confidence: 99%

“…However, further studies are needed to clarify the role of DD in the context of liver transplantation. 41…”

Section: Diastolic Dysfunctionmentioning

confidence: 99%

“…A significant statistical correlation was found between DD and mortality after transplantation. However, its prevalence was found to be <30% in the new recommendations from the European Association of Cardiovascular Imaging on the introduction of tissue Doppler image (TDI) . In practice, TDI is easily obtained via a mild esophageal four‐chambers view where the motion of mitral annulus can be recorded by placing the sample volume approximately 1 cm from the insertion of the mitral valve leaflets.…”

Section: Tee Exam Following Anesthesia Inductionmentioning

confidence: 99%

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Transesophageal ultrasonography during orthotopic liver transplantation: Show me more

et al. 2018

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The first perioperative transesophageal echocardiography (TEE) guidelines published 21 years ago were mainly addressed to cardiac anesthesiologists. TEE has since expanded its role outside this setting and currently represents an invaluable tool to assess chamber sizes, ventricular hypertrophy, and systolic, diastolic, and valvular function in patients undergoing orthotopic liver transplantation (OLT). Right-sided microemboli, right ventricular dysfunction, and patent foramen ovale (PFO) are the most common intra-operative findings described during OLT. However, left ventricular outflow tract obstruction and left ventricular ballooning syndrome are more difficult to recognize and less frequent. Transesophageal ultrasonography (TEU) during OLT is also underused. Its applications are as follows: (1) assistance in the difficult placement of pulmonary arterial catheters; (2) help with catheterization of great vessels for external veno-venous bypass placement; (3) intra-operative evaluation of surgical liver anastomosis patency, if feasible, through the liver window; and (4) intra-operative investigation of "acute hypoxemia" due to pulmonary and cardiac issues using trans-esophageal lung ultrasound (TELU). The aims of this review are as follows: (1) to summarize the uses of TEE and TEU throughout all phases of OLT, and (2) to describe other new feasible applications.

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Haemodynamic Monitoring During Liver Transplant Surgery

Blasi

Biancofiore

2020

Anesthesia for Hepatico-Pancreatic-Biliary Surgery and Transplantation

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Diastolic dysfunction diagnosed by tissue Doppler imaging in cirrhotic patients: Prevalence and its possible relationship with clinical outcome

Cited by 20 publications

References 27 publications

Association of Cirrhosis and Cardiomyopathy

Association of Cirrhosis and Cardiomyopathy

Transesophageal ultrasonography during orthotopic liver transplantation: Show me more

Haemodynamic Monitoring During Liver Transplant Surgery

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