Research Article

Correlation of Serum Cardiac Markers with Acute Decompensating Events in Liver Cirrhosis

Table 1

Comparison of characteristics of cirrhotic patients without and with decompensating events.

VariablesWithout decompensationWith decompensation value
No. Pts; median (range) or frequency (percentage)No. Pts; median (range) or frequency (percentage)

Sex (male/female), (%)4235 (83.33%)/7 (16.67%)13489 (66.42%)/45 (33.58%)0.051
Age (years)42; 52.5 (46.50-62.25)134; 55.00 (47.00-65.00)0.130
Causes of liver diseases, (%)42134
Hepatitis B virus alone1414 (33.33%)4848 (35.82%)/
Hepatitis C virus alone44 (9.52%)99 (6.72%)/
Alcohol alone1212 (28.57%)2929 (21.64%)/
Hepatitis B virus+alcohol11 (2.38%)44 (2.99%)/
Autoimmune11 (2.38%)1616 (11.94%)/
Drug11 (2.38%)66 (4.48%)/
Others11 (2.38%)00 (0%)/
Red blood cell (1012/L)42; 4.05 (3.62-4.57)134; 3.10 (2.56-3.76)<0.001
Hemoglobin (g/L)42; 123.00 (108.00-131.25)134; 91.50 (70.00-115.00)<0.001
Hematocrit (%)42; 36.60 (32.88-39.63)134; 28.20 (21.90-34.73)<0.001
White blood cell (109/L)42; 3.35 (2.45-4.65)134; 3.70 (2.60-6.03)0.155
Platelet count (109/L)42; 71.00 (48.50-104.75)134; 76.00 (53.50-107.50)0.433
Total bilirubin (μmol/L)42; 22.90 (16.15-32.45)134; 23.15 (15.15-45.13)0.682
Direct bilirubin (μmol/L)42; 9.90 (6.25-13.75)134; 10.50 (6.08-20.73)0.351
Alanine aminotransferase (U/L)42; 26.29 (17.86-37.58)134; 23.43 (15.80-38.64)0.391
Aspartate aminotransferase (U/L)42; 32.73 (24.25-50.47)134; 32.71 (23.91-59.55)0.753
Alkaline phosphatase (U/L)42; 96.34 (77.34-139.58)134; 95.93 (67.99-143.13)0.612
Gamma-glutamyl transpeptidase (U/L)42; 49.94 (27.53-83.88)134; 41.56 (19.87-93.42)0.429
Albumin (g/L)42; 37.35 (32.38-41.03)134; 30.80 (25.60-35.80)<0.001
Blood urea nitrogen (mmol/L)42; 4.87 (3.79-6.19)134; 6.05 (4.39-7.87)0.007
Creatinine (μmol/L)42; 64.68 (56.02-74.81)134; 65.20 (53.53-78.15)0.694
eGFR (mL/min/1.73 m2)42; 118.40 (97.75-133.97)134; 106.52 (84.22-133.52)0.068
Na (mmol/L)42; 139.45 (137.80-140.43)134; 138.45 (136.00-141.00)0.226
Prothrombin time (second)42; 16.05 (15.03-16.88)134; 16.70 (15.10-18.90)0.033
Activated partial thromboplastin time (second)42; 41.60 (38.98-45.53)134; 40.15 (37.10-44.30)0.149
International normalized ratio42; 1.28 (1.19-1.38)134; 1.36 (1.20-1.58)0.040
D-dimer (mg/L)41; 0.60 (0.29-1.27)131; 1.81 (0.72-4.41)<0.001
High-sensitivity C-reactive protein (mg/L)41; 2.20 (0.90-6.60)133; 5.70 (1.35-14.10)0.016
MELD score42; 10.26 (9.04-13.06)134; 11.32 (9.22-16.56)0.093
Child-Pugh score42; 6.00 (5.00-6.00)134; 7.00 (6.00-9.00)<0.001
Child-Pugh class42134
 A, (%)3333 (78.57%)4444 (32.84%)<0.001
 B, (%)99 (21.43%)5858 (43.28%)<0.001
 C, (%)00 (0%)3232 (23.88%)<0.001
NT-pro BNP (pg/mL)38; 41.86 (20.36-69.16)120; 140.75 (62.34-401.33)<0.001
High-sensitivity cardiac troponin T (ng/mL)420; 0.006 (0.003-0.008)128; 0.008 (0.015-0.003)0.007
Creatine kinase (U/L)42; 84.00 (53.50-123.75)132; 71.00 (44.00-105.50)0.157
Creatine kinase MB (U/L)42; 33.00 (19.00-47.25)132; 29.5 (19.25-46.25)0.604
Lactate dehydrogenase (U/L)42; 173.50 (137.50-211.50)132; 185.00 (152.00-226.75)0.281

Bold font indicates statistically significant values. Abbreviations: eGFR: the estimated glomerular filtration rate; MELD: model for end-stage liver disease; NT-pro BNP: N-Terminal pro-B-type natriuretic peptide.