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StatPearls, LLC

  • Echocardiography
  • Exercise Test
  • Liver Cirrhosis
  • Liver Transplantation
  • Long QT Syndrome

Cirrhotic Cardiomyopathy

Cirrhotic cardiomyopathy (CCM) is a cardiac dysfunction occurring in patients with cirrhosis, manifesting without other known heart diseases. CCM affects up to 50% of all cirrhotic patients and typically manifests under stress. This condition is characterized by both systolic and diastolic dysfunction, along with structural heart changes, such as chamber enlargement, and a hyperdynamic circulatory state. CCM presents with impaired cardiac response to stress, a hyperdynamic circulatory state, and various electrophysiological abnormalities, notably QT prolongation. Due to its stress-induced nature and the lack of standardized treatment, CCM often leads to misdiagnosis. The diagnostic criteria established at the 2005 World Congress of Gastroenterology require evidence of systolic and diastolic dysfunction, alongside supportive criteria such as QT prolongation and elevated cardiac biomarkers. Diagnosis is confirmed through laboratory and imaging studies, including echocardiography, often supplemented by stress tests to demonstrate impaired cardiac responses. Currently, treatment follows standard heart failure management protocols; however, liver transplantation remains the cornerstone of CCM therapy, significantly improving cardiac function after surgery. This activity covers diagnostic criteria, stress test evaluations, and current treatment protocols, highlighting liver transplantation as the cornerstone therapy for CCM. This activity provides healthcare professionals with the knowledge and tools to identify and manage CCM by conducting the recommended evaluations and implementing an effective interprofessional approach to its management.

Credit & MOC Details

Credit information is provided by the course provider. We recommend confirming credit eligibility with the provider or your licensing board before starting the activity.

Credit types

IPCE CreditsUp to 1 creditAAPA Category 1 Credit™Up to 1 creditAMA PRA Category 1 Credit™Up to 1 creditNursingUp to 1 creditPharmacyUp to 1 credit

MOC types

ABS — Accredited CMEUp to 1 pointABPATH — Lifelong LearningUp to 1 pointABTS — Accredited CMEUp to 1 pointABIM — Medical KnowledgeUp to 1 pointABS — Self-AssessmentUp to 1 pointABTS — Self-AssessmentUp to 1 point

FDA REMS

No

Qualifies for MIPS

No

Target Specialties

Pricing

Fee varies

This provider typically $49–98

See fees on statpearls.com

Listed by the provider

  • Article / monograph / reference
  • Credit · Up to 1 credit
  • MOC · Up to 1 point
  • Fee varies · this provider typically $49–98
  • Released
    Sep 1, 2026
  • Last day to claim credit
    Sep 1, 2029 3 years left

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