FREQUENCY OF AUTONOMIC CARDIOVASCULAR DYSFUNCTION IN PATIENTS WITH DECOMPENSATED CHRONIC LIVER DISEASE
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Published:2020-11-07
Issue:3
Volume:53
Page:
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ISSN:2227-9199
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Container-title:Pakistan Heart Journal
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language:
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Short-container-title:Pak Heart J
Author:
Siddiqui Afshan,Ahmed Aisha,Iqbal Sadia,Waqar Firasat,Salman Salma,Raza Baquar
Abstract
Objective: To determine the frequency of autonomic cardiovascular dysfunction in patents with decompensated cirrhosis. Methodology: This cross-sectional study was conducted from august 2018 to January 2019 at department of medicine, Abbassi Shaheed hospital. A total of 187 diagnosed patients of decompensated chronic liver disease were consecutively included. Lying and standing BP were taken for orthostatic hypotension while 1 minute ECG was recorded for decrease in HRV during breathing. Results: Out of 187, 72.7% had autonomic cardiovascular dysfunction. Conclusion: Almost two thirds of cirrhotic were found to have hemodynamic alterations. Treatment is largely supportive and empiric. Further studies are needed to recognize the burden of autonomic dysfunction.
Publisher
Pakistan Cardiac Society
Subject
Cardiology and Cardiovascular Medicine