Autonomic dysfunction in cirrhosis and portal hypertension

Christine Winkler Dümcke, Søren Møller

    24 Citations (Scopus)

    Abstract

    Liver cirrhosis and portal hypertension are frequently associated with signs of circulatory dysfunction and peripheral polyneuropathy, which includes defects of the autonomic nervous system. Autonomic dysfunction, which is seen in both alcoholic and non-alcoholic liver cirrhosis and increases with severity and duration of the liver disease, is associated with a significant increase in mortality. The lack of total resolution after liver transplantation indicates that the autonomic neuropathy is not exclusively functional. This article highlights some aspects of the autonomic dysfunction in chronic liver disease. A description is given of its aetiology and the typical circulatory dysfunction with characteristic hyperdynamic and hyporeactive circulation and heart failure, and the most important tests of the autonomic nervous system.
    Original languageEnglish
    JournalScandinavian Journal of Clinical & Laboratory Investigation
    Volume68
    Issue number6
    Pages (from-to)437-47
    Number of pages10
    ISSN0036-5513
    DOIs
    Publication statusPublished - 2008

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