Evidence map›Paper›PMID 34584619›Full record

ArticleHeart views : the official journal of the Gulf Heart Association

Morphological Cardiac Alterations in Liver Cirrhosis: An Autopsy Study.

Banushree Chandrasekhar Srinivasamurthy, Sanjay P Saravanan, Fremingston K Marak, Prakash Manivel, Ramachandra V Bhat, Dharanya Mathiyazhagan

Open access · diamondAbstract read
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Article in Heart views : the official journal of the Gulf Heart Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 46% of its field
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Banushree Chandrasekhar SrinivasamurthyDepartment of Pathology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Sanjay P SaravananDepartment of Pathology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Fremingston K MarakForensic Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Prakash ManivelCommunity Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Ramachandra V BhatDepartment of Pathology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Dharanya MathiyazhaganDepartment of Pathology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Indira Gandhi Medical College and Research Institute · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCirrhosis can cause various cardiac complications and severely affect the prognosis of the patient suffering from cirrhosis. Anatomical, morphological variations in the heart of patients with liver cirrhosis in the absence of known cardiac disease has not been well described. There is a paucity of studies in the literature on cardiac alterations in cirrhosis. Early detection of known cardiac alterations can further help in improving the quality of life. MATERIALS AND

methodsA cross-sectional descriptive study was conducted in the departments of pathology and forensic medicine of our institution. An autopsy-based prospective study of forty consecutive patients with final diagnosis of liver cirrhosis were included. Patients with a known history of cardiac disease/anomaly were excluded from the study. Macroscopic and microscopic changes in the heart and coronaries were noted and statistically analyzed.

resultsAnalysis of the hearts on gross examination showed cardiomegaly in 31 patients (77.5%). All cases had left ventricular hypertrophy. Endocardial thickening was seen in 22 patients (55%). Calcified mitral valve was seen in 9 patients (22.5%).On microscopy, apart from hypertrophy, the pathological changes like interstitial oedema (47.5%), fibrosis (45%), cardiac muscle disarray (87.5%), fatty infiltrate (10%), pericarditis (5%), and severe coronary artery atherosclerosis (17.5%) were seen in the patients.

conclusionKnowledge about the involvement of the heart in liver cirrhosis is essential for both the physician and the surgeons to prevent adverse outcomes during liver transplantation and can further help in improving the quality of life of the patient.

Indexed as

Cardiomyopathycirrhosisfibrosisventricular hypertrophy

Identifiers

PMID34584619
PMCPMC8445142
OpenAlexW3196475201

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.