Left Atrial Function by Speckle Tracking in Liver Cirrhosis. A Cross-sectional Study

Zuilma Vasquez-Ortiz, Verónica Rendon-Bravo, Pablo Reyes-Hernández, Jorge Osequera-Moguel


Background: Cirrhotic cardiomyopathy is the systolic and/or diastolic dysfunction of the left ventricle at rest or stress, in theabsence of other cardiovascular conditions, and worsens the prognosis after transplant or other liver surgical procedures.Objective: The aim of the study was to characterize left atrial function with speckle tracking in cirrhotic patients.Methods: Ninety-nine consecutive patients with liver cirrhosis of different etiology were included in the study. All patientsunderwent rest echocardiographic evaluation with measurement of left ventricular and atrial function using traditionaltechniques, three-dimensional measurements and speckle tracking.Results: Median age was 50.9 years and 40% were men. No alterations of left ventricular systolic function were observed.Twenty-seven percent of patients had diastolic dysfunction and dilatation of the left atrium, the latter with a significantincrease according to the Child stage and left atrial pump function was altered in 29% of cases.Conclusion: Cirrhotic patients present left ventricular diastolic dysfunction and alterations of left atrial systolic functionmeasured by speckle tracking.


Kim MY, Baik SK, Won CS, Park HJ, Jeon HK, Hong HI, et al.

Dobutamine stress echocardiography for evaluating cirrhotic cardiomyopathyin liver cirrhosis. Korean J Hepatol 2010;16:376-82.http://doi.org/dhbx7s

Merli M, Calicchia A, Ruffa A, Pellicori P, Riggio O, Giusto M, et al. Cardiac dysfunction in cirrhosis is not associated with the severity of liver disease. Eur J Intern Med 2013;24:172-6. http://doi.org/f2xxc2

Wiese S, Hove JD, Muller S. Cardiac imaging in patients with

chronic liver disease. Clin Physiol Funct Imaging 2015:1-10. http://doi.org/f78dkh

Licata A, Novo G, Colomba D, Tuttolomondo A, Galia M, Camma’C. Cardiac involvement in patients with cirrhosis: a focus on clinicalfeatures and diagnosis. J Cardiovasc Med (Hagerstown) 2016;17:26-36. http://doi.org/f78dkh

Fede G, Privitera G, Tomaselli T, Spadaro L, Purrello F. Cardiovascular dysfunction in patients with liver cirrhosis. Ann Gastroenterol 2015;28:31-40.

Milani A, Zaccaria R, Bombardieri G, Gasbarrini A, Pola P. Cirrhotic cardiomyopathy. Dig Liver Dis 2007;39:507-15. http://doi.org/dhpn35

Ruiz-Del-Arbol L, Serradilla R. Cirrhotic cardiomyopathy. World J

Gastroenterol. 2015;21:11502-21. http://doi.org/f792gz

Zardi EM, Zardi DM, Chin D, Sonnino C, Dobrina A, Abbate A. Cirrhotic cardiomyopathy in the pre and post-liver transplantation phase. J Cardiol 2016;67:125-30. http://doi.org/f7874v

Gassanov N, Caglayan E, Semmo N, Massenkeil G, Er F. Cirrhotic cardiomyopathy: A cardiologist’s perspective. World J Gastroenterol 2014;20:15492-8. http://doi.org/dfgw

Rahman S, Mallett S V, Mallett RS. Cirrhotic cardiomyopathy:Implications for the perioperative management of liver transplant patients. World J Hepatol 2015;7:507-20. http://doi.org/dfgx

Chayanupatkul M, Liangpunsakul S. http://doi.org/dfgx. Hepatol Int 2014;8:308-15.

Licata A, Mazzola A, Ingrassia D, Calvaruso V, Cammà C, Craxì A. Clinical implications of the hyperdynamic syndrome in cirrhosis.Eur J Intern Med 2014;25:795-802. http://doi.org/f2ww63

Pudil R, Pelouch R, Praus R. Heart failure in patients with livercirrhosis. Cor Vasa 2013;55:391-6.

Kazankov K, Holland-Fischer P, Andersen NH, Torp P, Sloth

E, Aagaard NK, et al. Resting myocardial dysfunction in cirrhosis

quantified by tissue Doppler imaging. Liver Int 2011;31:534-40.


Ripoll C, Yotti R, Bermejo J, Bañares R. The heart in liver transplantation.J Hepatol 2011;54:810-22. http://doi.org/d9gpwg

Sampaio F, Pimenta J, Bettencourt N, Fontes-Carvalho R, Silva AP, Valente J, et al. Left atrial function is impaired in cirrhosis: A speckle tracking echocardiographic study. Hepatol Int 2014;8:146-53. http://doi.org/dfgz

Pathan F, D’Elia N, Nolan MT, Marwick TH, Negishi K, et al.

Normal Ranges of Left Atrial Strain by Speckle-Tracking Echocardiography: A Systematic Review and Meta-Analysis. J Am Soc Echocardiogr 2017;30:59-70. http://doi.org/f9vnrn

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