Features of tissue doppler ultrasonography in patients with viral liver cirrhosis
- Authors: Chistyakova MV1, Govorin AV1, Radaeva EV1
-
Affiliations:
- Chita State Medical Academy, Chita, Russia
- Issue: Vol 95, No 2 (2014)
- Pages: 208-211
- Section: Theoretical and clinical medicine
- URL: https://journals.rcsi.science/kazanmedj/article/view/2065
- DOI: https://doi.org/10.17816/KMJ2065
- ID: 2065
Cite item
Full Text
Abstract
Aim. To study the influence of pulmonary hypertension, viral load, and presence of ascites on indicators of longitudinal global and segmental systolic and diastolic ventricular functions in patients with liver cirrhosis as an outcome of viral hepatitides. Methods. The study included 75 patients with liver cirrhosis class A, В, C by Child-Pugh as an outcome of viral hepatitides who were distributed into 3 groups depending on the presence of pulmonary hypertension, ascites, and of viral load. All patients underwent Doppler echocardiography and tissue Doppler echocardiography. Results. Decreased global longitudinal systolic and diastolic function of the left and right ventricles was revealed in patients with virus-related liver cirrhosis, which decreased in the presence of pulmonary hypertension, moderate viral load and ascites. While studying an association between the structural and functional heart indices and hepatic and portal blood flow, it was found that average mitral and tricuspid valve peak systolic velocity was associated with left ventricle ejection fraction (r=0.71, p <0.05), liver veins diameter and blood flow speed parameters (r=0.32-0.81, p <0.05), pulmonary artery pressure (r=0.37-0.84, p <0.05), and viral load (r=0.92, p <0.05). Conclusion. Patients with virus-related liver cirrhosis have decreased global longitudinal systolic and diastolic function of the left and right ventricles, deteriorated by pulmonary hypertension, ascites, and moderate viral load.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
M V Chistyakova
Chita State Medical Academy, Chita, Russia
Email: m.44444@yandex.ru
A V Govorin
Chita State Medical Academy, Chita, Russia
E V Radaeva
Chita State Medical Academy, Chita, Russia
References
- Берестень Н.Ф., Нельга О.Н. Состояние артериального кровообращения печени при сердечной недостаточности и портальной гипертензии // Sonoace international. - 2001. - №8. - С. 38-43.
- Денисов А.А. Оценка функции левого и правого желудочков с позиций структурно-функциональных изменений миокарда у больных хроническими гепатитами и циррозом печени в процессе лечения // Вестн. новых мед. технол. - 2007. - № 2. - С. 38-45.
- Морозова Е.И. Кардиогемодинамические нарушения у больных с поствирусным циррозом печени // Дальневосточн. мед. ж. - 2012. - №2. - С. 27-30.
- Осипенко М.Ф. Цирротическая кардиомиопатия // Клин. мед. - 2007. - №9. - С. 80-83.
- Прибылов С.А. Дисфункция миокарда у больных с циррозом печени // Сердце. - Т. 5, №6. - С. 305-307.
- Щекотова А.П., Туев А.В., Щекотов В.В. и др. Взаимосвязь показателей эндотелиальной дисфункции и синдромов, возникающих при хронических диффузных заболеваниях печени // Казан. мед. ж. - 2010. - Т. 91, №2. - С. 143-148.
- Lindqvist P., Waldenstrom A., Wikstrom G., Kazzam E. The use of isovolumic contraction velocity to determine right ventricular state of contractility and filling pressures. A pulsed Doppler tissue imaging study // Eur. J. Echocardiogr. - 2005. - Vol. 6, N 4. - Р. 264-270.
- Ratti L., Redaelli E., Guidi C. et al. Diastolic dysfunction in liver cirrhosis // Gastroenterol. Hepatol. - 2005. - Vol. 28, N 10. - Р. 649-655.