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Cardiac response to exercise in cirrhosis
  1. R H Wachsberg1
  1. 1Professor of Radiology, UMDNJ-University Hospital, 150 Bergen Street, Room C-320, Newark, NJ, USA; wachbrh@umdnj.edu

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Reading the excellent article on the cardiac response to exercise in cirrhosis (Gut 2001;49:268–75), I was surprised that patients without ascites were labelled “preascitic”. The implication is that these are patients have not as yet developed ascites, presumably because their disease is less advanced than in those patients with ascites.

It is well known that many patients with cirrhosis will never develop ascites, regardless of the severity of other sequelae of portal hypertension that have developed or will ultimately develop. This is certainly …

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