心血管疾病与诊断

Patients Undergoing Evaluation for Orthotopic Liver Transplants: Cardiology Assessment

Abstract

Stacy Mandras

For end-stage liver disease, orthotopic liver transplantation (OLT) is a viable treatment option. Due to changes in hemodynamics and the length of the procedure, the cardiovascular system is put under a lot of stress during the perioperative period. To ensure positive outcomes, cardiovascular disease must be diagnosed and treated prior to OLT. Practitioners who take care of these patients vary significantly. Foundations tailor their conventions based on neighborhood and authentic practices, the inclinations of the cardiologists, and the OLT group, and calculations are not frequently changed or refreshed based on the accessible proof. We sought to examine the diagnostic cardiovascular workup of OLT candidates, including a review of the available literature on the diagnostic modalities used to screen for cardiovascular disease prior to OLT, in collaboration with experts in cardiology and hepatology from leading OLT centers. Non-invasive cardiovascular risk assessment should be prioritized, with the use of invasive risk stratification reserved for select patients.