To assess the frequency of cirrhotic ardiomyopathy among patients with cirrhosis of liver

Aim: to assess the frequency of cirrhotic cardiomyopathy among patients with cirrhosis of liver. study design: cross sectional survey (descriptive). setting: the study was done in the medical unit iv services hospital,lahore. duration of study: study was carried out over a period of six months from 18-05-2012 to 17-11-2012. methods: a total of 300 patients were included in this study. presence of diastolic dysfunction (i.e increased e/a ratio or prolonged deceleration time as per operational definition) on echocardiography done by a consultant cardiologist confirmed diagnosis of cirrhotic cardiomyopathy in patients of liver cirrhosis. results: majority of the patients i.e. 148 (49.4%) were between 41-50 years of age while only patients 37 (12.3%) were between 20-30. mean age was 46.7±8.9 years. regarding sex distribution,173 patients (57.7%) were male while 127 patients (42.3%) were female. child-pugh classification as follows: 38 patients (12.7%) belonged to child-pugh a,118 patients (39.3%) belonged child-pugh b and 144 patients (48.0%) belonged to child-pugh c. cirrhotic cardiomyopathy was found to be 147 (49.0%). stratification was done for stage of disease by child pugh class. conclusion: this study demonstrates that cirrhotic cardiomyopathy is a common occurrence. there is a direct relationship of cirrhotic cardiomyopathy with the severity of liver disease whereas electrophysiological,echocardiographic and biochemical changes provide base for the condition.