Evaluation of coronary artery disease in potential liver transplant recipients.
TLDR
In assessing LT recipients, a management paradigm of “quadruple assessment” is suggested to include (1) history, examination, and electrocardiogram; (2) transthoracic echocardiograms; (3) functional testing; and (4) where appropriate, direct assessment of CAD.About:
This article is published in Liver Transplantation.The article was published on 2017-03-01 and is currently open access. It has received 52 citations till now. The article focuses on the topics: Liver transplantation & Coronary artery disease.read more
Citations
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Journal ArticleDOI
Multidisciplinary approach to cardiac and pulmonary vascular disease risk assessment in liver transplantation: An evaluation of the evidence and consensus recommendations
Lisa B. VanWagner,Matthew E. Harinstein,James R. Runo,Christopher Darling,Marina Serper,Shelley A. Hall,Jon A. Kobashigawa,Laura L. Hammel +7 more
TL;DR: A critical assessment of the diagnosis of cardiac and pulmonary vascular disease and interventions aimed at managing these conditions in LT candidates is provided to offer guidance for clinicians and identify gaps in knowledge for future investigations.
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Screening of Cardiovascular Disease in Nonalcoholic Fatty Liver Disease: Whom and How?
TL;DR: The current review article discusses as to which patients with NAFLD to screen and how to screen for CVD, and there is sparse literature regarding the screening forCVD in patients withNAFLD.
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Pre–Liver Transplant Cardiac Catheterization Is Associated With Low Rate of Myocardial Infarction and Cardiac Mortality
Issa Kutkut,Rayan Jo Rachwan,Lava Timsina,Marwan Ghabril,Marco A. Lacerda,Chandrashekhar A. Kubal,Patrick D.V. Bourdillon,Richard S. Mangus +7 more
TL;DR: This screening protocol for performing CATH based upon predefined risk factors, rather than noninvasive testing alone, is applied to a larger cohort (2010‐2016) to assess post‐LT clinical outcomes.
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Management of metabolic syndrome and cardiovascular risk after liver transplantation
TL;DR: The management of the components of metabolic syndrome following liver transplantation is discussed and practical stepwise guidance is provided and the need for adequately powered studies for the treatment of metabolic comorbidities in liver transplant recipients is emphasised.
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Risk stratification of myocardial injury after liver transplantation in patients with computed tomographic coronary angiography-diagnosed coronary artery disease.
Young-Jin Moon,Hye-Mee Kwon,Kyeo-Woon Jung,Hye-Won Jeong,Yong-Seok Park,In-Gu Jun,Jun-Gol Song,Gyu-Sam Hwang +7 more
TL;DR: In conclusion, negative CTCA finding in suspected patients can successfully exclude post‐LT MI, whereas proceeding with invasive angiography is needed to further risk‐stratify in patients with significant C TCA‐diagnosed CAD.
References
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Journal ArticleDOI
Comparison of the Frequency of Coronary Artery Disease in Alcohol-Related Versus Non-Alcohol-Related Endstage Liver Disease
Sanjay Patel,Sanjay Patel,Todd L. Kiefer,Aijaz Ahmed,Ziad A. Ali,Jennifer A. Tremmel,David P. Lee,Alan C. Yeung,William F. Fearon +8 more
TL;DR: There was a significantly lower prevalence of severe CAD in patients with alcohol-related ESLD, suggesting that invasive coronary angiography may not be necessary in this subgroup, particularly in the absence of CAD risk factors and negative results on DSE.
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The role of coronary calcium score in the risk assessment of liver transplant candidates.
TL;DR: Cardiac CT is well tolerated and is a useful noninvasive screening tool in LT candidates and future studies to determine its utility as a prognostic tool after LT will be invaluable.
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Utility of Dobutamine Stress Echocardiography as Part of the Pre-Liver Transplant Evaluation: An Evaluation of Its Efficacy
TL;DR: Dobutamine stress echocardiography is commonly used to risk stratify patients in the cardiac evaluation prior to orthotopic liver transplantation (OLT) but data remain limited regarding the accuracy to predict obstructive coronary artery disease (CAD).
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Coronary revascularization in patients with liver cirrhosis.
Akira Marui,Takeshi Kimura,Shiro Tanaka,Senri Miwa,Kazuhiro Yamazaki,Kenji Minakata,Tomohiro Nakata,Tadashi Ikeda,Yutaka Furukawa,Toru Kita,Ryuzo Sakata +10 more
TL;DR: Because overall noncardiovascular mortality is high among patients with liver cirrhosis, complete revascularization may not be associated with better survival outcomes.
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Prognostic value of preoperative coronary computed tomography angiography in patients treated by orthotopic liver transplantation
P. Cassagneau,Alexis Jacquier,Roch Giorgi,Nicolas Amabile,Jean-Yves Gaubert,Frédéric Cohen,C. Muller,Marianne Jolibert,G. Louis,Arthur Varoquaux,Vincent Vidal,Jean-Michel Bartoli,Guy Moulin +12 more
TL;DR: CT angiography that is normal or with a nonobstructive coronary plaque has a negative predicting value of 95% for major cardiac adverse events, and of 100% for clinical coronary events in patients undergoing orthotopic liver transplantation.