Journal article

Prediction of Perioperative Cardiovascular Events in Liver Transplantation

Anoop N Koshy, Omar Farouque, Benjamin Cailes, Jefferson Ko, Hui-Chen Han, Laurence Weinberg, Adam Testro, Andrew W Teh, Han S Lim, Paul J Gow, Marcus Robertson

TRANSPLANTATION | LIPPINCOTT WILLIAMS & WILKINS | Published : 2021

Abstract

BACKGROUND: Hepatorenal syndrome (HRS) is a serious complication of liver cirrhosis with poor survival in the absence of liver transplantation (LT). HRS represents a state of profound circulatory and cardiac dysfunction. Whether it increases risk of perioperative major adverse cardiovascular events (MACE) following LT remains unclear. METHODS: We performed a retrospective cohort study of 560 consecutive patients undergoing cardiac workup for LT of whom 319 proceeded to LT. All patients underwent standardized assessment including dobutamine stress echocardiography. HRS was defined according to International Club of Ascites criteria. RESULTS: Primary outcome of 30-day MACE occurred in 74 (23.2..

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