Abstract:
Background:Nonselective β-blockers (NSBB) have been associated with increased incidence of paracentesis-induced circulatory dysfunction (PICD) and reduced survival in patients with cirrhosis and refractory ascites. Aim:To prospectively evaluate a hemodynamic response to NSBB in cirrhotics listed for liver transplantation with refractory ascites undergoing large volume paracentesis (LVP). Methods:Patients with cirrhosis and refractory ascites, with an indication to start NSBB in primary prophylaxis for variceal bleeding, were enrolled. During two consecutive LVP, while being, respectively, off and on NSBB, cardiac output (CO), systemic vascular resistances (SVR), peripheral vascular resistances (PVR), and plasma renin activity (PRA) were noninvasively assessed. Results:Seventeen patients were enrolled, and 10 completed the study. Before NSBB introduction, SVR (1896 to 1348 dyn·s·cm-5; p = 0.028) and PVR (47 to 30 mmHg·min·dl·ml-1; p = 0.04) significantly decreased after LVP, while CO showed an increasing trend (3.9 to 4.5 l/m; p = 0.06). After NSBB introduction, LVP was not associated with a significant increase in CO (3.4 to 3.8 l/m; p = 0.13) nor with a significant decrease in SVR (2002 versus 1798 dyn·s·cm-5; p = 0.1). Incidence of PICD was not increased after NSBB introduction. Conclusion:The negative inotropic effect of NSBB was counterbalanced by a smaller decrease of vascular resistances after LVP, probably due to splanchnic β2-blockade. This pilot study showed that NSBB introduction may be void of detrimental hemodynamic effects after LVP in cirrhotics with refractory ascites.
journal_name
Gastroenterol Res Practjournal_title
Gastroenterology research and practiceauthors
Ferrarese A,Tikhonoff V,Casiglia E,Angeli P,Fasolato S,Faggian D,Zanetto A,Germani G,Russo FP,Burra P,Senzolo Mdoi
10.1155/2018/4098210subject
Has Abstractpub_date
2018-05-09 00:00:00pages
4098210eissn
1687-6121issn
1687-630Xjournal_volume
2018pub_type
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