Evaluation of Cirrhotic Cardiomyopathy related Parameters in Child’s C Patients With and without Adrenal Insufficiency

Gad, Amal Abdelhamid; Attia, Fawzy; Kamal, Hanan; Salam, Naglaa; Hawass, Nashaat

doi:10.21608/aeji.2019.15947.1033

Evaluation of Cirrhotic Cardiomyopathy related Parameters in Child’s C Patients With and without Adrenal Insufficiency

Document Type : Original Article

Authors

¹ Internal Medicine Department,Faculty of Medicine ,Suez Canal University ,Egypt.

² Cardiology Department,Faculty of Medicine ,Suez Canal University ,Egypt.

³ Clinical Pathology Department,Faculty of Medicine ,Suez Canal University ,Egypt.

⁴ Endemic and Infectious Diseases Department ,Faculty of Medicine ,Suez Canal University ,Egypt.

10.21608/aeji.2019.15947.1033

Abstract

Background and Aim: The association between cirrhotic cardiomyopathy (CCM) and adrenal insufficiency (AI) is still not well declared. We aimed to study the association between CCM related echocardiographic (ECHO) parameters and AI in patients with advanced liver cirrhosis.
Patients and Methods: A cross sectional study was carried out on 60 adult patients with advanced liver cirrhosis (Child’s C) who showed a low ejection fraction (EF) of Results: The mean age was 63.83±7.64 with male sex predominance (87.4%). Their mean EF was 39.17±7.34, while 88.4% of them had a high LVEDD with a mean of 62.31±10.21 mm. The mean morning fasting free serum cortisol level was 7.95±5.23 mcg/dl with 48.4% of them having AI. Comparison of those with and without AI showed that the former group had a higher LAD (43.26±10.04 vs 42.76±7.64), LVESD (50.83±10.66 vs. 48.08±8 .17) and LVEDD (64.83±9.95vs. 59.94±9.97)) respectively. However, the difference was not statistically significant (P>0.05). There was no significant correlation between any of the CCM parameters or those of hepatic decompensation and the fasting serum cortisol level among the studied group (P>0.05).
Conclusion: There was no significant correlation between AI and any of the selected parameters related to CCM.

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