Pubfacts - Scientific Publication Data
  • Categories
  • |
  • Journals
  • |
  • Authors
  • Login
  • Categories
  • Journals

Search Our Scientific Publications & Authors

Publications
  • Publications
  • Authors
find publications by category +
Translate page:

Cirrhotic Cardiomyopathy Predicts Post-Transplant Cardiovascular Disease: Revelations of The New Diagnostic Criteria.

Authors:
Manhal Izzy Anna Soldatova Xin Sun Mounika Angirekula Kristin Mara Grace Lin Kymberly Watt

Liver Transpl 2021 Feb 3. Epub 2021 Feb 3.

Division of Gastroenterology & Hepatology, The Mayo Clinic, Rochester, MN, United States.

Background: The diagnostic criteria for Cirrhotic Cardiomyopathy (CCM) were recently revised to reflect the contemporary advancements in echocardiographic technology. This study evaluates the prevalence of CCM, according to the new criteria, and its impact on post-transplant cardiovascular disease.

Methods: This is a single center retrospective matched cohort study of liver transplant (LT) recipients between 01/2008 and 11/2017. Three cohorts with decompensated cirrhosis (non-alcoholic steatohepatitis, alcohol-associated liver disease, or other etiologies) were matched based on age, sex, and year of transplant after excluding patients listed without evidence of hepatic decompensation. CCM was defined, according to 2020 criteria, as having diastolic dysfunction, left ventricular ejection fraction ≤50%, and/or global longitudinal strain (GLS) absolute value < 18%. The study echocardiographers were blinded to the clinical data. Post-transplant cardiovascular (CV) disease included new coronary artery disease (CAD), congestive heart failure (CHF), atrial and ventricular arrhythmia, and stroke.

Results: The study included 141 patients of whom 59 were females. The mean age at LT was 57.8 (±7.6) years. 49 patients (34.8%) had CCM. Patients with CCM were at increased risk for post-LT cardiovascular disease (HR 2.57 (95% CI 1.19-5.54), p 0.016). Changes in CCM individual parameters pre-transplant, such as GLS, early diastolic transmitral flow to early diastolic mitral annular tissue velocity (E/e') and left atrial volume index (LAVI) were associated with increased risk for post-transplant CV disease.

Conclusion: Cirrhotic cardiomyopathy, defined by the new diagnostic criteria, affects approximately one third of decompensated LT candidates. CCM predicts increased risk for new cardiovascular disease following liver transplant. Studies into management and follow-up to mitigate these risks are needed.

Download full-text PDF

Source
http://dx.doi.org/10.1002/lt.26000DOI Listing
February 2021

Publication Analysis

Top Keywords

cardiovascular disease
16
diagnostic criteria
12
increased risk
12
post-transplant cardiovascular
12
cirrhotic cardiomyopathy
12
early diastolic
8
liver transplant
8
ccm
7
disease
6
criteria
5
cardiovascular
5
atrial ventricular
4
arrhythmia strokeresults
4
strokeresults study
4
ventricular arrhythmia
4
congestive heart
4
disease cad
4
cad congestive
4
heart failure
4
failure chf
4

Keyword Occurance

Similar Publications

Childhood vascular phenotypes have differing associations with prenatal and postnatal growth.

Authors:
Line Sletner Sarah R Crozier Hazel M Inskip Keith M Godfrey Pamela Mahon Scott T Chiesa Marietta Charakida Cyrus Cooper Mark Hanson

J Hypertens 2021 Apr 14. Epub 2021 Apr 14.

Department of Pediatric and Adolescents Medicine, Akershus University Hospital, Lørenskog, Norway MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK Institute of Clinical Medicine, University of Oslo, Campus AHUS, Lørenskog, Norway NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton Vascular Physiology Unit, Institute of Cardiovascular Science, University College London, London Institute of Developmental Sciences, University of Southampton, Southampton, UK.

Objective: In children aged 8--9 years, we examined the associations of linear and abdominal circumference growth during critical stages of prenatal and postnatal development with six vascular measurements commonly used as early markers of atherosclerosis and later cardiovascular disease (CVD) risk.

Methods: In 724 children from the UK Southampton Women's Survey mother--offspring cohort, offspring length/height and abdominal circumference measurements were collected at 10 ages between 11 weeks' gestation and age 8--9 years. Using residual growth modelling and linear regression, we examined the independent associations between growth and detailed vascular measures made at 8--9 years. Read More

View Article and Full-Text PDF
April 2021
Similar Publications

Right Ventricular Dysfunction and Adverse Outcomes after Renal Transplantation.

Authors:
Megan S Joseph Francis Tinney Abhijit Naik Raviprasenna Parasuraman Milagros Samaniego-Picota Nicole M Bhave

Cardiorenal Med 2021 Apr 14:1-10. Epub 2021 Apr 14.

Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan Medical School and Michigan Medicine, Ann Arbor, Michigan, USA.

Introduction: Pulmonary hypertension is common among patients with end-stage renal disease, although data regarding the impact of right ventricular (RV) failure on postoperative outcomes remain limited. We hypothesized that echocardiographic findings of RV dilation and dysfunction are associated with adverse clinical outcomes after renal transplant.

Methods: A retrospective review of adult renal transplant recipients at a single institution from January 2008 to June 2010 was conducted. Read More

View Article and Full-Text PDF
April 2021
Similar Publications

Cerebrovascular tone and resistance measures differ between healthy control and patients with acute intracerebral haemorrhage: exploratory analyses from the BREATHE-ICH study.

Authors:
Jonathan Ince Alex S Mankoo Meeriam Kadicheeni David Swienton Ronney B Panerai Thompson G Robinson Jatinder Singh Minhas

Physiol Meas 2021 Apr 14. Epub 2021 Apr 14.

Department of Cardiovascular Sciences, University of Leicester, Leicester, UNITED KINGDOM OF GREAT BRITAIN AND NORTHERN IRELAND.

Objective: Cerebral autoregulation impairment in acute neurovascular disease is well described. The recent BREATHE-ICH study demonstrated improvements in dynamic cerebral autoregulation, by hypocapnia generated by hyperventilation, in the acute period following intracranial haemorrhage (ICH). This exploratory analysis of the BREATHE-ICH dataset aims to examine the differences in hypocapnic responses between healthy controls and patients with ICH, and determine whether haemodynamic indices differ between baseline and hypocapnic states. Read More

View Article and Full-Text PDF
April 2021
Similar Publications

New frontiers in pharmacologic obstructive sleep apnea treatment: A narrative review.

Authors:
Sonja G Schütz Abbey Dunn Tiffany J Braley Bertram Pitt Anita V Shelgikar

Sleep Med Rev 2021 Mar 13;57:101473. Epub 2021 Mar 13.

Department of Neurology Sleep Disorders Center, University of Michigan Ann Arbor, MI, USA.

Obstructive sleep apnea (OSA) is the most common form of sleep-disordered breathing characterized by intermittent partial or complete closure of the upper airway during sleep. If left untreated, OSA is associated with adverse cardiovascular outcomes such as hypertension, coronary heart disease, heart failure, cardiac arrhythmia, stroke, and death. Positive airway pressure (PAP) is often considered the first-line treatment for OSA. Read More

View Article and Full-Text PDF
March 2021
Similar Publications

Fungal and bacterial coinfections increase mortality of severely ill COVID-19 patients.

Authors:
Danielle L Silva Caroline M Lima Vanessa C R Magalhães Ludmila M Baltazar Nalu T A Peres Rachel B Caligiorne Alexandre S Moura Tatiani Fereguetti Juliana C Martins Lívia F Rabelo Jônatas S Abrahão Ana C Lyon Susana Johann Daniel A Santos

J Hosp Infect 2021 Apr 11. Epub 2021 Apr 11.

Department of Microbiology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address:

Background: SARS-CoV-2 predisposes patients to secondary infections; however, a better understanding of the impact of coinfections on the outcome of hospitalized COVID-19 patients is still necessary.

Aim: To analyse death risk due to coinfections in COVID-19 patients.

Methods: We evaluated the Odds of death of 212 severely ill COVID-19 patients, with detailed focus on the risks for each pathogen, site of infection, comorbidities and length of hospitalization. Read More

View Article and Full-Text PDF
April 2021
Similar Publications
© 2021 PubFacts.
  • About PubFacts
  • Privacy Policy
  • Sitemap