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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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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Dobutamine stress echocardiography in patients undergoing liver transplantation evaluation.
TL;DR: In patients with low to moderate risk of cardiac disease, DSE performed as part of an evaluation for liver transplantation is a poor predictor of major perioperative events.
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Predictive value of stress myocardial perfusion imaging in liver transplant candidates
Charles J. Davidson,Mihai Gheorghiade,James D. Flaherty,Michael D. Elliot,Srinivas Reddy,Norman C. Wang,Sri Sundaram,Steven L. Flamm,Andres T. Blei,Michael Abecassis,Robert O. Bonow +10 more
TL;DR: Data indicate that SPECT imaging has a poor predictive value for CAD in OLT candidates andCoronary angiography has a primary screening role for this population, especially in patients with multiple cardiac risk factors or a known history of CAD.
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Submaximal cardiopulmonary exercise testing predicts 90-day survival after liver transplantation
James Prentis,James Prentis,Derek Manas,Derek Manas,Michael I. Trenell,Michael I. Trenell,Mark Hudson,Mark Hudson,David Jones,Chris Snowden,Chris Snowden +10 more
TL;DR: The preoperative cardiorespiratory reserve (as defined by CPET) is a sensitive and specific predictor of early survival after liver transplantation.
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Dyssynchronous electrical and mechanical systole in patients with cirrhosis
TL;DR: Prolonged repolarization, as evidenced by prolonged QTc, is related to both impaired liver function and systemic circulatory dysfunction, and these patients have alterations in the cardiac excitation-contraction relation with compromised association between electrical and mechanical function.
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Adverse cardiac events after orthotopic liver transplantation: a cross-sectional study in 389 consecutive patients.
Ramona Nicolau-Raducu,Marina Gitman,Donald Ganier,George E. Loss,Ari J. Cohen,Hamang Patel,Nigel Girgrah,Krish Sekar,Bobby D. Nossaman +8 more
TL;DR: Evaluated clinical predictor variables for early and late cardiac morbidity and mortality and the predictive values of noninvasive cardiac tests for perioperative cardiac events in a high‐risk liver transplant population found that Dobutamine stress echocardiography and single‐photon emission computed tomography had respective sensitivities.