ĐÁNH GIÁ HÌNH THÁI VÀ CHỨC NĂNG TÂM THU THẤT TRÁI TRÊN SIÊU ÂM TIM Ở BỆNH NHÂN XƠ GAN DO VIRUS VIÊM GAN B

Abstract

Objjectives: To evaluate the changes of morphology and left ventricular systolic function by echocardiography in patients with hepatitis B virus-related cirrhosis. Patients and methods: Cross-sectional descriptive study was carried out on 68 HBV related cirrhotic patients and 30 matched subjects without a previous history of cardiac in Bach Mai Hospital from July 2020 to August 2021. All study participants underwent cardiac assessment with echocardiography, the parameters assessed included cardiac dimensions and left ventricular function, cardiac output, Tei index of  left ventricular. Results: Left atrial diameter, left ventricular diameters, and  left ventricular mass  were  significantly  higher  in  the HBV related cirrhotic group (p<0.05). Left atrial diameter, left ventricular end - systolic diameter were also higher in Chil - Pugh grade C group (p<0.05). Left  ventricular  ejection  fraction was lower, left ventricular ejection time was shorter and Tei  index  of  left ventricular was higher in the HBV related cirrhotic group (p<0.05), as well as Tei  index  of  left ventricular was higher in Child – Pugh grade C group versus Child – Pugh B group (p<0.05).