Article Text

Download PDFPDF
E/A ratio alone cannot reliably diagnose diastolic dysfunction in the assessment before and after TIPS
  1. R D Abeles,
  2. D L Shawcross,
  3. G Auzinger
  1. Institute of Liver Studies, King’s College Hospital London, UK
  1. Dr G Auzinger, Institute of Liver Studies, King’s College Hospital London, Denmark Hill, London SE5 9RS, UK; Georg.Auzinger{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

We congratulate Cazzaniga et al on their study focusing on the heart (Gut 2007;56:869–75), an often neglected organ when assessing a patient with cirrhosis. The cardiovascular changes in cirrhosis are complex and measurement of the ratio between the early maximal ventricular filling velocity and the late filling velocity (E/A ratio) after the insertion of a transjugular intrahepatic portosystemic shunt (TIPS) may provide a powerful tool for identifying a poorly responding subgroup of patients.

However, we have certain observations about the study and its conclusions. Specifically, whether it is possible to diagnose diastolic …

View Full Text

Linked Articles

  • Letter
    Francesco Salerno Massimo Cazzaniga