Perioperative Cardiovascular Evaluation for Orthotopic Liver Transplantation

Robert J. Donovan, Calvin Choi, Asghar Ali, Douglas M. Heuman, Michael Fuchs, Anthony A. Bavry, Ion S. Jovin

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)26-34
Number of pages9
JournalDigestive Diseases and Sciences
Volume62
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

Keywords

  • Cardiovascular risk
  • Coronary artery disease
  • End-stage liver disease
  • Liver transplantation

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

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