Cirrhotic cardiomyopathy: a systematic review and meta-analysis of prevalence across various diagnostic approaches
Mohammed Ewid1,2, Suliman Alsagaby3, Abdulsalam Al-Ruqi1
1From the Department of Clinical Sciences, Sulaiman Al Rajhi University College of Medicine, Al Bukaryiah, Saudi Arabia.
Insights
Cirrhotic cardiomyopathy (CCM) prevalence varies significantly based on the diagnostic criteria used. The Montreal 2005 guideline showed higher sensitivity in advanced cirrhosis, while CCC 2019 was better for early stages.
Area of Science:
- Cardiology
- Hepatology
- Medical Diagnostics
Background:
- Cirrhotic cardiomyopathy (CCM) is a cardiac dysfunction linked to liver cirrhosis.
- Standardized diagnostic criteria for CCM are lacking, leading to variability in prevalence assessment.
Purpose of the Study:
- To evaluate the prevalence of cirrhotic cardiomyopathy (CCM) in patients with liver cirrhosis.
- To compare CCM prevalence across different diagnostic guidelines: Montreal 2005, ASE 2009, and CCC 2019.
Main Methods:
- Systematic literature search across four databases (PubMed, Embase, Google Scholar, EBSCO).
- Inclusion of 76 observational studies comprising 7445 patients.
- Random-effects meta-analysis and subgroup analyses to determine pooled CCM prevalence.
Main Results:
- Overall pooled CCM prevalence was 48% (95% CI: 44-52%).
- Prevalence varied by guideline: Montreal 2005 (51%), ASE 2009 (45%), and CCC 2019 (45%).
- The CCC 2019 criteria were more effective for early-stage cirrhosis (Child-Pugh A), while Montreal 2005 was more sensitive for advanced stages (Child-Pugh C).
Conclusions:
- CCM prevalence is influenced by the diagnostic criteria and the severity of liver cirrhosis.
- Further research is required to establish the clinical significance and prognostic implications of each diagnostic criterion for CCM.
Background:
Cirrhotic cardiomyopathy (CCM) is a cardiac dysfunction associated with liver cirrhosis, yet no consensus exists on standardized diagnostic criteria. We aimed to assess CCM prevalence using several guidelines.
Methods:
A systematic search of four databases (PubMed, Embase, Google Scholar, and EBSCO) identified observational studies reporting CCM prevalence in cirrhotic patients based on the three criteria: the World Congress of Gastroenterology (Montreal 2005), the American Society of Echocardiography (ASE 2009), and the Cirrhotic Cardiomyopathy Consortium (CCC 2019). A random-effects meta-analysis and subgroup analyses were performed using R Studio.
Results:
Seventy-six studies including 7445 patients were analyzed. Overall pooled CCM prevalence was 48% (95% CI: 44-52%, I2=97%). Prevalence was highest using Montreal 2005 (51%), followed by ASE 2009 (45%) and CCC 2019 (45%). CCC 2019 better identified CCM in early-stage cirrhosis (Child-Pugh A), whereas Montreal 2005 was more sensitive in advanced stages (Child-Pugh C).
Conclusion:
CCM prevalence varies by diagnostic criteria and cirrhosis severity. Further studies are needed to determine the clinical relevance and prognostic value of each criterion.
Prospero Registration Number:
CRD42024511527.
More Related Videos
12:24A Three-Dimensional Spheroid Model to Investigate the Tumor-Stromal Interaction in Hepatocellular Carcinoma
Published on: September 30, 2021
03:45Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Related Concept Videos
Cardiomyopathy IV: Restrictive Cardiomyopathy
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy V: Interprofessional Care
Cardiomyopathy II: Dilated Cardiomyopathy
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
