Cirrhotic cardiomyopathy: a pathophysiological review of circulatory dysfunction in liver disease

Søren Møller, Jens Henrik Sahl Henriksen

    255 Citations (Scopus)

    Abstract

    The systemic circulation in patients with cirrhosis is hyperdynamic with an increased cardiac output and heart rate and a reduced systemic vascular resistance as the most pronounced alterations. The concomitant cardiac dysfunction has recently been termed "cirrhotic cardiomyopathy", which is an entity different from that seen in alcoholic heart muscle disease. Clinically, these patients present with sodium fluid retention and strain often unmasks the presence of latent heart failure. No specific treatment can yet be recommended but caution should be used with respect to procedures that may stress the heart such as shunt implantation and liver transplantation.
    Original languageEnglish
    JournalHeart
    Volume87
    Issue number1
    Pages (from-to)9-15
    Number of pages6
    ISSN1355-6037
    Publication statusPublished - 2002

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