Research Article

Increase in Free Hepatic Venous Pressure Response to Beta-Blockers Predicts Variceal Bleeding in Cirrhotic Patients

Table 1

Patients’ demographics, liver disease characteristics, clinical presentation, and hemodynamic parameters.

Total

Mean age(years)
Gender male/female34/28
Etiology virus/alcoholic/PBC1/others37/7/5/13
PLT2 (×109/L)
TBil3 (μmol/L)
Creatinine (μmol/L)
Albumin (g/L)
PT4 (s)
INR5
CTP6 scores7 (5-9)
CTP stage A/B/C31/31/0
Ascites
 No/mild/moderate/massive24/22/15/1
Splenectomy yes/no3/59
Baseline WHVP7 (mmHg)
Baseline FHVP8 (mmHg)
Baseline HVPG9 (mmHg)
Baseline RAP10 (mmHg)
Secondary WHVP (mmHg)
Secondary FHVP (mmHg)
Secondary HVPG (mmHg)
Secondary RAP (mmHg)
WHVP decrease value (mmHg)
WHVP decrease percentage (%)
FHVP increase value (mmHg)
FHVP increase percentage (%)
HVPG decrease value (mmHg)
HVPG decrease percentage (%)
Median follow-up time (m)12.84 (0.06-49.00)

1PBC: primary biliary cirrhosis; 2PLT: platelets; 3TBil: total bilirubin; 4PT: prothrombin time; 5INR: international standard ratio; 6CTP: Child-Turcotte-Pugh; 7WHVP: wedged hepatic vein pressure; 8FHVP: free hepatic vein pressure; 9HVPG: hepatic venous pressure gradient; 10RAP: right atrial pressure. Ascites: (1) mild: patients generally have abdominal distension, the ascites can only be detectable by an ultrasound examination, and the depth is <3 cm. (2) Moderate: the patient often has moderate and symmetrical abdominal distension, and the depth is 3–10 cm. (3) Massive: the patient has a significant bloating. The ascites detected by ultrasound occupy the entire abdominal cavity, and the depth is >10 cm.