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.
Abstract

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