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Updated: Jun 23, 2026

Invasive Hemodynamic Characterization of the Portal-hypertensive Syndrome in Cirrhotic Rats
Published on: August 1, 2018
Review article: comprehensive analysis of cirrhotic cardiomyopathy
Daljeet Chahal1, Hongqun Liu2, Chris Shamatutu3
1Division of Gastroenterology, University of British Columbia, Vancouver, BC, Canada.
Insights
Cirrhotic cardiomyopathy, a heart condition in cirrhosis patients, presents unique challenges. This review covers its definition, causes, diagnosis, and impact on liver transplantation, highlighting its clinical relevance.
Area of Science:
- Cardiology
- Hepatology
- Internal Medicine
Background:
- Cirrhosis patients face risks of developing cirrhotic cardiomyopathy.
- This syndrome involves subnormal cardiac function without prior heart disease.
- No comprehensive review of cirrhotic cardiomyopathy currently exists.
Purpose of the Study:
- To conduct a comprehensive literature review on cirrhotic cardiomyopathy.
- To cover its definition, pathogenesis, diagnostic criteria, prevalence, management, and impact on liver transplantation.
- To investigate the reversibility of cirrhotic cardiomyopathy post-transplantation.
Main Methods:
- Searched EMBASE, MEDLINE, Cochrane Library, and Google Scholar databases.
- Utilized MeSH terms related to cirrhosis, cardiomyopathy, medications, and epidemiology.
- Reviewed literature published up to August 2020.
Main Results:
- New diagnostic criteria for cirrhotic cardiomyopathy include echocardiographic systolic and diastolic dysfunction.
- Pathogenesis is linked to the inflammatory phenotype of cirrhosis; prevalence ranges from 26-81%.
- Medical therapies lack clear efficacy; the condition increases post-transplant cardiovascular event risk, with controversial reversibility.
Conclusions:
- Cirrhotic cardiomyopathy significantly impacts patient morbidity and mortality.
- It is a clinically relevant condition requiring further research and management strategies.
- Understanding and managing cirrhotic cardiomyopathy is crucial for improving outcomes in cirrhosis patients.
Background:
Patients with cirrhosis are at risk of developing cirrhotic cardiomyopathy. This syndrome is unique to cirrhosis and is generally defined as subnormal cardiac function in the absence of prior heart disease. There is no systematic or comprehensive review of cirrhotic cardiomyopathy to date.
Aims:
To comprehensively review the literature on the definition, pathogenic mechanisms, diagnostic criteria, prevalence, management and influence on liver transplantation including reversibility of cirrhotic cardiomyopathy.
Methods:
Electronic searches of the EMBASE, MEDLINE, EBM Reviews-Cochrane Central Register of Controlled Trials, EBM Reviews-Cochrane Database of Systematic Reviews and Google Scholar databases were conducted. MeSH terms focused on cirrhosis, cardiomyopathy, medication classes and epidemiology. Literature up to August 2020 was reviewed.
Results:
New diagnostic criteria for the definition of cirrhotic cardiomyopathy have recently been published, consisting of systolic and diastolic dysfunction parameters as assessed by echocardiographic methods. The roles of electrocardiographic disturbances and biomarkers in the definition criteria remain unclear. Pathogenic mechanisms underlying cirrhotic cardiomyopathy are likely related to the inflammatory phenotype of cirrhosis. Prevalence rates of 26%-81% in cirrhotic patients are reported. Several medical therapies have been proposed, but none with clear evidence of efficacy. The presence of cirrhotic cardiomyopathy complicates the liver transplantation process with a higher risk of adverse cardiovascular events post-transplant. Complete reversibility of the syndrome after transplantation remains controversial but most studies suggest that it does not occur at least within the first post-operative year.
Conclusions:
Cirrhotic cardiomyopathy is a clinically relevant syndrome that affects morbidity and mortality in patients with cirrhosis.
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