Echocardiography in chronic liver disease: systematic review.

Abstract:

BACKGROUND:Doppler echocardiography (Echo) is a non-invasive method of excellent accuracy to screen portopulmonary hypertension (PPH) and to assess intrapulmonary shunts (IPS) in chronic liver disease (CLD). In the past decade, Echo proved to play a fundamental role in the diagnosis of cirrhotic cardiomyopathy (CCM). OBJECTIVE:To perform a systematic review of relevant articles on the subject 'Echo in CLD'. METHODS:In November 2011, a systematic review was performed in the PubMed, LILACS and SciELO databases, and the characteristics of the studies selected were reported. RESULTS:The search based on descriptors and free terms obtained 204 articles (179 in Pubmed, 21 in LILACS, and 1 in SciELO). Of those 204 articles, 22 were selected for systematic review. A meta-analysis could not be performed because of the heterogeneity of the articles. CONCLUSIONS:Echo should be part of CLD stratification for screening PPH, IPS and CCM, because, most of the time, such complications are diagnosed only when patients are already waiting for a liver transplant.

journal_name

Arq Bras Cardiol

authors

Mota VG,Markman Filho B

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

376-385

issue

4

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2013005000006

journal_volume

100

pub_type

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