Diagnostic and Prognostic Role of Liver Elastography in Heart Failure

• DOI: 10.36660/ijcs.20190005
• Publication Date: 2019-12-17T13:32:46Z
• Authors: Diane Xavier Ávila; Priscila Abreu Matos; Gabriel Quintino; Wolney de Andrade...; Dalmo Machado; Claudio Tinoco Me...; Humberto Villacor...
• Keywords: Transient elastography

Background: Hepatic congestion is a frequent finding in patients with heart failure (HF). Physical examination has limitations quantifying systemic and requires correlation echocardiographic laboratory data (usually B-type natriuretic peptide, BNP, or N-terminal pro-B type NT-proBNP). elastography evaluates liver stiffness using transducer that transmits low-frequency vibrations (50 Hz), the speed of shear waves propagating through tissues measured by ultrasound. The faster propagate hepatic parenchyma, stiffer liver, which, case HF, can be correlated congestion. Objective: In this systematic review, case-controls, cohort studies, randomized clinical trials were searched MEDLINE, LILACS Cochrane Database Systematic Review, to evaluate use detection HF. Methods: From 49 articles retrieved, seven selected for according inclusion exclusion criteria. most used methods diagnosis evaluation HF echocardiography combined BNP NT-proBNP measurements. Results: Elastography performed at bedside was able establish significant between increased venous capillary pressure. addition, hospital discharge predict rehospitalization mortality. Conclusion: Liver non-invasive method useful predicting prognosis mortality individuals contributing management these patients.