Cirrhosis electrocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Electrocardiogram

Abnormalities of cardiac electrophysiology are noted in cirrhosis. The most common finding is QT interval prolongation.

QT interval prolongation [1]
  • It is a sign of cirrhotic cardiomyopathy.
  • It can be due to the circulating toxins in the blood stream.
  • It may be due to drugs used in treatment of cirrhosis
  • Stress due to bleed, shock or surgery(transplantation)
Attenuation of ECG voltage [2]
  • Attenuation of ECG voltages is noticed mainly in patients who have ascites.
  • This finding can be corrected by placing leads cranially. [3]

References

  1. Bernardi M, Maggioli C, Dibra V, Zaccherini G (2012). "QT interval prolongation in liver cirrhosis: innocent bystander or serious threat?". Expert Review of Gastroenterology & Hepatology. 6 (1): 57–66. doi:10.1586/egh.11.86. PMID 22149582. Retrieved 2012-09-06. Unknown parameter |month= ignored (help)
  2. Madias JE (2007). "Attenuation of ECG voltage in cirrhotic patients". Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology. 9 (3): 175–81. doi:10.1093/europace/eul182. PMID 17344308. Retrieved 2012-09-06. Unknown parameter |month= ignored (help)
  3. http://europace.oxfordjournals.org/content/10/1/96.abstract

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