ISSN: 1859 - 2872
Studying relationship between left ventricular function and severity score of cirrhosis using speckle tracking echocardiography in cirrhotic patients undergoing liver transplant
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Abstract
Objective: To determine the relationship between cirrhosis severity scores and left ventricular function using speckle tracking echocardiography in cirrhotic patients undergoing liver transplant. Subject and method: This was prospective, observational study on 54 cirrhosis patients undergoing liver transplant at 108 Military Central Hospital between February 2022 and August 2023. Result: The MELD, Child-Pugh, and MELD-Na scores have predictive value for left ventricular systolic dysfunction with MELD score (OR 1.12; CI95%(1.05-1.21); p<0.01), Child-Pugh (OR 1.35; CI95%(1.02-1.77); p<0.05), and MELD-Na (OR 1.10; CI95%(1,03-1.19); p<0,01), respectively. Child-Pugh and MELD-Na scores had a weak, statistically significant negative correlation with global longitudinal strain (GLS), with correlation coefficients of 0.24 and 0.29, respectively, p<0.05. MELD score had a moderate, statistically significant negative correlation with GLS, with a correlation coefficient of 0.34, p<0.05. Conclusion: The MELD, Child-Pugh, and MELD-Na scores have predictive value for left ventricular systolic dysfunction in cirrhotic patients.
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References
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