Perioperative Cardiovascular Evaluation for Orthotopic Liver Transplantation

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• 作者：Robert J. Donovan ; Calvin Choi ; Asghar Ali…
• 关键词：Liver transplantation ; End ; stage liver disease ; Cardiovascular risk ; Coronary artery disease
• 刊名：Digestive Diseases and Sciences
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：62
• 期：1
• 页码：26-34
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Gastroenterology; Hepatology; Oncology; Transplant Surgery; Biochemistry, general;
• 出版者：Springer US
• ISSN：1573-2568
• 卷排序：62

文摘

Patients with advanced liver disease have a high prevalence of cardiovascular risk factors, but many of them are asymptomatic. Cardiovascular risk stratification prior to liver transplant can be done by dobutamine stress echocardiography, stress myocardial perfusion imaging, cardiac computer tomography, and coronary angiography, but there are no clear recommendations regarding what method should be used and who should be screened. Because of this and because of inherent risk profile in this population, the variations in practice are significant. Careful screening and rigorous management of cardiovascular risk factors are important to ensure optimal cardiovascular outcomes in the immediate post-transplantation period and in the long term as well.