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.

PubMed

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.
Abstract

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