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Evaluation of subclinical ventricular systolic dysfunction assessed using global longitudinal strain in liver cirrhosis: A systematic review, meta-analysis, and meta-regression

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  • Denio A Ridjab
  • Ignatius Ivan
  • Fanny Budiman
  • Riki Tenggara

Abstract

Global longitudinal strain (GLS) can identify subclinical myocardial dysfunction in patients with cirrhosis. This systematic review aims to provide evidence of a possible difference in GLS values between patients with cirrhosis and patients without cirrhosis. Studies from inception to August 11, 2021, were screened and included based on the inclusion criteria. The Newcastle Ottawa Scale was used to assess the quality of nonrandomized studies. Meta-analyses were conducted with subsequent sensitivity and subgroup analyses according to age, sex, cirrhosis etiology, and severity. Publication bias was evaluated using Begg’s funnel plot, Egger’s test, and rank correlation test with subsequent trim-and-fill analysis. The systematic database search yielded 20 eligible studies. Random effect showed a significant reduction of left ventricular (LV) GLS (MD:-1.43;95%; 95%CI,-2.79 to -0.07; p = 0.04; I2 = 95% p

Suggested Citation

  • Denio A Ridjab & Ignatius Ivan & Fanny Budiman & Riki Tenggara, 2022. "Evaluation of subclinical ventricular systolic dysfunction assessed using global longitudinal strain in liver cirrhosis: A systematic review, meta-analysis, and meta-regression," PLOS ONE, Public Library of Science, vol. 17(6), pages 1-24, June.
    • Handle: RePEc:plo:pone00:0269691
    DOI: 10.1371/journal.pone.0269691
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    Cited by:

    1. Iwan Dakota & Muhamad Fajri Adda’i & Rido Maulana & Ignatius Ivan & Renan Sukmawan & Bambang Widyantoro, 2024. "Association between vitamin D receptor gene polymorphism and essential hypertension: An updated systematic review, meta-analysis, and meta-regression," PLOS ONE, Public Library of Science, vol. 19(12), pages 1-25, December.

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