Akash Patel MD*
Akash Patel MD1*, Utsav Vaghani MD2, Sarang Tusharbhai Mehta MD3
1Department of Internal Medicine, Eisenhower Medical Centre, Rancho Mirage, California, USA
2Department of Internal Medicine, UNM Children Hospital, Surat, Gujarat, India
3Department of Internal Medicine, Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat, IndiaFulltext PDF
Hepatic encephalopathy (HE), a neuropsychiatric condition related to liver dysfunction, not only impairs cognitive and motor functions but also influences cardiac health. This review examines the cardiac implications of HE, with a focus on ECG findings like QT interval prolongation, which is linked to increased arrhythmic risks and mortality. It also highlights the potential for HE-related cardiac arrhythmias, though direct evidence is lacking. The cardiac hepatic axis underscores the bidirectional impact between hepatic dysfunction and cardiac irregularities. Future research directions include identifying biomarkers for cardiac risk in HE, exploring the role of liver transplantation in correcting ECG changes, and utilizing wearable technology for remote monitoring. Addressing the cardiac consequences of HE is essential for comprehensive patient management and improving overall outcomes.
Akash Patel MD, Utsav Vaghani MD, Sarang Tusharbhai Mehta.ECG Abnormalities in Hepatic Encephalopathy: Clinical Significance and Future Directions. Int Jour Gastro Hepat. 2023;2(2):1-3.