Hemodynamic evaluation before liver transplantation: insights into the portal hypertensive syndrome.

摘要: The cardiac hemodynamics of patients awaiting liver transplantation is complex. Coronary atherosclerosis, a hyperdynamic circulatory state and cirrhotic cardiomyopathy are present to variable degree in this population. In contribution the Symposium on Portal Hypertension, we expand our published experience with coronary angiography at time evaluation candidacy for cohort 161 patients. Although confirmed relation systemic failure, noted higher prevalence high output heart defined as an increased left ventricular end-diastolic pressure setting elevated output, most notably classified Child C. Most pulmonary artery also exhibited evidence ventricle filling pressures. A low vascular resistance, marker arterial vasodilatation, was similar presence condition where impaired vasorelaxation occurs result endothelial dysfunction. disease series supports observations that atherosclerosis major issue current population cirrhosis transplantation. lower sensitivity noninvasive screening tools detection likely interaction circulation performance these tests.