The prognostic significance of arterial blood pressure in liver cirrhosis.
A decrease of the blood pressure (BP) due to the changes in the regulatory mechanisms of blood pressures homeostasis is frequently observed in cirrhosis. The present work studied the blood pressure profile of the cirrhotic patients and estimated the influence it might have on the survival prognosis at one year. A lower mean blood pressure: 8.25 +/- 1.5 cm Hg is observed versus a control group: 9.8 + 2.0 cm Hg (p < 0.001). The decrease is due to the patients with severe liver impairment (Child class C). The survival is poor in cirrhosis with hypotension (systolic blood pressure < 9 cm Hg): 75 +/- 10%, than in patients with systolic blood pressure between 9 and 11 cm Hg (survival rate 91 +/- 6%) and patients with systolic blood pressure over 11 cm Hg (survival rate 88 +/- 6%) (p < 0.001).
Dumitraşcu
D L
DL
Third Medical Department, University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Stanciu
L
L
Dumitraşcu
D
D
Simon
B
B
D000328:Adult; D000368:Aged; D001794:Blood Pressure; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000401:mortality / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D015996:Survival Rate; D013599:Systole