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Copyright ©The Author(s) 2015.
World J Hepatol. Mar 27, 2015; 7(3): 507-520
Published online Mar 27, 2015. doi: 10.4254/wjh.v7.i3.507
Table 2 2005 World Congress of Gastroenterology diagnostic and supportive criteria for cirrhotic cardiomyopathy[1]
A working definition of cirrhotic cardiomyopathy
A cardiac dysfunction in patients with cirrhosis characterised byimpaired contractile responsiveness to stress and/or altered diastolicrelaxation with electrophysiological abnormalities in the absence ofother known cardiac disease
Diagnostic criteria
Systolic dysfunction
Blunted increase in cardiac output on exercise, volume challenge orpharmacological stimuli
Resting LVEF < 55%
Diastolic dysfunction
E/A ratio < 1 (age-corrected)
Prolonged deceleration time (> 200 ms)
Prolonged isovolumetric relaxation time (> 80 ms)
Supportive criteria
Electrophysiological abnormalities
Abnormal chronotropic response
Electromechanical uncoupling
Prolonged QTc interval
Enlarged left atrium
Increased myocardial mass
Increased BNP (brain natriuretic peptide) and pro-BNP
Increased troponinI