ISSN: 1859 - 2872
Evaluation of left ventricular diastolic function using conventional and speckle tracking echocardiography in cirrhosis patients before and after liver transplantation
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Abstract
Objective: To evaluate left ventricular diastolic function in cirrhotic patients before and after liver transplant. Subject and method: This was prospective, observational study on 51 cirrhosis patients undergoing liver transplant at 108 Military Central Hospital between February 2022 and September 2023. Result: Left ventricular diastolic function in cirrhotic patients significantly improved after liver transplantation. The proportion of patients with left ventricular diastolic dysfunction decreased from 25.5% to 13.7% (p<0.05). The left atrial volume index (LAVI) after transplantation was significantly lower than before transplantation (30ml/m² vs. 28ml/m², p<0.05). LAVI and left ventricular mass index (LVMI) were identified as independent predictors of mortality, with LAVI (OR = 1.127; CI 95%: 1.043-1.217, p<0.05) and LVMI (OR = 1.010; CI 95%: 1.001-1.022, p<0.05). Conclusion: The left ventricular diastolic function of patients with cirrhosis improved after liver transplantation. LAVI and LVMI were independent predictors of mortality in patients with cirrhosis undergoing liver transplantation.
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References
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