The prevalence of coronary artery disease in liver transplant candidates over age 50.

摘要: The prevalence of angiographically proven coronary artery disease (CAD) in adults with end-stage liver who undergo evaluation for transplantation is unknown; also it unclear if cholestatic represents an independent risk factor. Patients over age 50 having were studied using angiography. Arterial stenosis was graded as normal, mild ( 70%). Risk factors CAD assessed (male sex, smoking, hypertension, diabetes, family history premature heart disease). Complications related to the angiography and decision making based on findings recorded. Thirty seven patients (23 females) a median 61 years (range 71) underwent Thirteen (35.1%) had disease. no overall severe 16.2% (95% confidence interval [CI] = 6.2% 32.0%). No association detected between (P 0.72). After eliminating prior angina (n 1), myocardial infarction or revascularization 5), frequency moderate 13.3% CI 3.8% 30.7%). unsuspected 0.61). Diabetes most important factor 0.01). without significantly less than group whole regardless type 0.02). Two experienced transient renal insufficiency after Three denied transplantation. We conclude that significant problem undergoing transplant evaluation. Cholestatic not associated higher our population. predictive factor, those do require extensive preoperative cardiac