Current status and prospect of preoperative assessment of heart disease risk in liver transplant recipients
10.3969/j.issn.1674-7445.2023.04.019
- VernacularTitle:肝移植受者术前心脏疾病风险评估的现状及展望
- Author:
Wenlei LI
1
;
Guangming LI
Author Information
1. Beijing You'an Hospital Affiliated to Capital Medical University, Beijing 100069, China
- Publication Type:Research Article
- Keywords:
Liver transplantation;
Heart disease;
Coronary artery disease;
Heart failure;
Arrhythmia;
Cardiac magnetic resonance imaging;
Coronary computed tomography angiography;
Single-photon emission computed tomography
- From:
Organ Transplantation
2023;14(4):605-
- CountryChina
- Language:Chinese
-
Abstract:
With the changes of the disease spectrum of liver transplantation and organ allocation system, more and more patients complicated with cardiovascular complications have entered the waiting list for liver transplantation. However, surgical stress, severe infection and adverse reactions of immunosuppressive drugs will significantly increase the risk of postoperative cardiac complications and affect the short-and long-term survival of the recipients. Therefore, comprehensive evaluation of cardiac structure and function of the recipients before liver transplantation is of significance for improving clinical prognosis of the recipients. In this article, the main causes for the increased risk of heart disease during the perioperative period of liver transplantation, the time and methods of heart disease risk assessment for liver transplant recipients were reviewed, and existing assessment approaches for common heart diseases before liver transplantation were illustrated, aiming to provide reference for further reducing the incidence of heart complications after liver transplantation, improving the survival rates of grafts and recipients and enhancing clinical prognosis.
