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A PILOT RESEARCH TO EVALUATE THE EFFICACY OF DOPPLER ULTRASOUND IN ORDER TO SENSE HEPATIC TRANSMISSION HEMODYNAMICS

Dr. Muhammad Naveed, Dr. Bakhtawar Asghar, Dr. Mehwish

Background: Portal hypertension remains to be the severe difficulty of liver cirrhosis. Doppler ultrasound valuation might be non-invasive or cost-effective resources of estimating portal hemodynamics in patient through portal blood pressure. Objectives: To evaluate the effectiveness of Doppler ultrasound in sensing deviations in hemodynamics of hepatic transmission subsequently beta-blocker management. Methodology: This pilot study was conducted at Services Hospital, Lahore in the timeframe of August to October 2018. Eleven patients through liver cirrhosis or portal hypertension stayed involved. Entirely suffered Doppler valuation of portal vein velocity, spleen-portal index, congestive index, liver vascular index, dampening index, hepatic artery velocity, splenic artery velocity, hepatic artery restive index (HARI) or splenic artery restive index. y remained happening on beta-blocker carvedilol 6.25 mg after every day or remembered afterwards 2 weeks for recurrence valuation. Results: Available of thirteen registered; four stayed misplaced to survey up or individual stationary carvedilol. 8 continued. variations in restrictions stayed: PVV: decreasing in 4 (38.6%), no variation in one or intensification in 5(52%) patient; SPI: decline in 4 (38.6%) or intensification in 5 (52.5%); CI: decline in 4 (38.4%), no alteration in one or intensification in 5 (52%); LVI: decline in 3 (50%), no alteration in one or intensification in two; DI: decline in 5 (62.4%) or intensification in 3 (37.4%); HAV: intensification in 4 (50%), no alteration in one (12.6 %) or reduction in 3 (37.6%); SAV: reduction in 4 (50%) and intensification in 4 (50%); HARI: intensification in 8 (86.6%) & decline in 2 (13.4%); SARI: decreasing in 3 (37.6%) & intensification in 4 (38.6%). 4 patients attained decreasing in 6 (PVV, LVI, DI, SARI and SAV) limitations. DI had biggest sum of patient by noticeable decreasing & HARI with biggest sum presenting noticeable intensification in restrained limitations. Conclusion: Doppler ultrasound signifies rate operative resources of evaluating hemodynamics of hepatic transmission & several linked variations owing to illnesses or medicines. Keywords: Portal hypertension, Doppler ultrasound limitations, Beta-blockers, Carvedilol, Non-invasive valuation of portal hypertension.

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