Point-of-care echocardiography (POC-Echo) is used to determine left ventricular systolic and diastolic dysfunction (LVDD), inferior vena cava (IVC) dynamics and volume status in cirrhosis and Acute-on-chronic liver failure ACLF accurately. We will assess IVC dynamics, LV systolic function \[LV ejection fraction (EF) \& cardiac output (CO)\], and diastolic dysfunction (E/e', e' and E/A ratio) and urinary biomarkers (cystatin C and NGAL) in patients with cirrhosis and ACLF with hepatorenal syndrome-acute kidney injury (HRS-AKI).
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Cardiac output measurement by echocardiography
Timeframe: Day 0, Day 2, Day 7.
IVC size and collapsibility changes
Timeframe: Day 0.
IVC size and collapsibility changes
Timeframe: Day 2
IVC size and collapsibility changes
Timeframe: Day 7.
Number of patients with Complete Response in HRS-AKI
Timeframe: Day 7
Number of patients with Partial Response in HRS-AKI
Timeframe: Day 7
Number of patients with Non-Response in HRS-AKI
Timeframe: Day 7