CIRRHOTIC CARDIOMYOPATHY. REVIEW ARTICLE

Аннотация

Liver cirrhosis is associated with numerous cardiovascular disorders. They include increased heart function and lower blood pressure and total peripheral vascular resistance. In these patients, despite an increase in the work of the heart, systolic and diastolic function deteriorates in the framework of pharmacological, physiological and surgical stresses, as well as the electrical activity of the myocardium, most often in the form of lengthening the QT interval. These deviations are combined into the concept of cirrhotic cardiomyopathy. It is believed that cirrhotic cardiomyopathy contributes to the cardiac dysfunction that is seen in patients with intrahepatic portosystemic stent shunts and liver transplants. Insufficient contractile function of the heart may play a role in the pathogenesis of hepatorenal syndrome, which rapidly leads to spontaneous bacterial peritonitis.