ĐẶC ĐIỂM HÌNH THÁI, CHỨC NĂNG THẤT TRÁI TRÊN SIÊU ÂM TIM Ở BỆNH NHÂN XƠ GAN TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To describe clinical, subclinical, morphological and function of left ventricular characteristics by echocardiography in patients with cirrhosis due to viral hepatitis. Subjects and Methods: Cross-sectional descriptive study was carried out on 37 patients with cirrhosis due to viral hepatitis at the Infectious Disease Clinic and the Department of Gastroenterology, Thai Nguyen Central Hospital, from August 2023 to August 2024. Results: Common clinical symptoms: Jaundice, skin darkening (56.8%), right upper quadrant pain (56.8%), decreased blood albumin (54.1%), decreased Prothrombin ≤ 70% (40.5%), collateral circulation and portal vein dilation (59.5%), decreased platelets (56.8%). LA increased, Dd increased, Ds increased according to the degree of cirrhosis, p<0.05. 51.4% of patients with cirrhosis due to viral hepatitis had left ventricular diastolic dysfunction (LVD). The E-wave velocity increased, the A-wave velocity increased, the E/e' ratio increased, the TRV increased, the E/A ratio decreased, the lat e' decreased according to the degree of cirrhosis, p<0.05. The rate of left ventricle diastolic dysfunction increased according to the degree of cirrhosis, p<0.05. Conclusion: There is a correlation between left ventricular morphology and diastolic function according to the degree of cirrhosis