FREQUENCY OF AUTONOMIC CARDIOVASCULAR DYSFUNCTION IN PATIENTS WITH DECOMPENSATED CHRONIC LIVER DISEASE
DOI:
https://doi.org/10.47144/phj.v53i3.1954Abstract
Objective: To determine the frequency of autonomic cardiovascular dysfunction in patents with decompensated cirrhosis.
Methodology: This cross-sectional study was conducted from august 2018 to January 2019 at department of medicine, Abbassi Shaheed hospital. A total of 187 diagnosed patients of decompensated chronic liver disease were consecutively included. Lying and standing BP were taken for orthostatic hypotension while 1 minute ECG was recorded for decrease in HRV during breathing.
Results: Out of 187, 72.7% had autonomic cardiovascular dysfunction.
Conclusion: Almost two thirds of cirrhotic were found to have hemodynamic alterations. Treatment is largely supportive and empiric. Further studies are needed to recognize the burden of autonomic dysfunction.
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