Serum Endothilin-1 Level, Pulse Oximetry and Echocardiography for Diagnosis of Hepatopulmonary Syndrome
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 4
Abstract
Liver cirrhosis is a condition in which there is development of regenerative nodules surrounded by fibrous bands in response to chronic liver injury that leads to portal hypertension and end stage liver disease. Hepatopulmonary syndrome (HPS) is a triad of portal hypertension, intrapulmonary vascular dilatation or shunting, and hypoxemia. The prevalence of HPS in patients with liver cirrhosis varies from 4%- 47% with adverse out come and increase mortality in comparison to those without HPS especially when sever hypoxemia is present. The aim of the present work was to study the significance of serum endothelin-1 level, digital pulse oximetry, arterial blood gases analysis and contrast enhanced transthoracic echocardiography in diagnosis of HPS among Egyptian patients with liver cirrhosis.
Authors and Affiliations
Mohamed Youssef El Hasafy
Keywords
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