Division of Cardiology, Cook County Health, Chicago, IL, USA.
Division of Cardiology, Rush University Medical Center, Chicago, IL, USA.
J Nucl Cardiol. 2022 Jun;29(3):1078-1090. doi: 10.1007/s12350-021-02591-0. Epub 2021 Apr 6.
Cardiac risk assessment prior to liver transplantation has become widely accepted. With the emergence of nonalcoholic steatohepatitis among the leading causes of end-stage liver disease and the steady rise of the age of liver transplant recipients, the burden of cardiovascular diseases has markedly increased in this population. Selecting appropriate liver transplant candidates is crucial due to the increasing demand for scarce donor organs. The use of noninvasive cardiac imaging for pre-operative assessment of the cardiovascular status of liver transplant recipients has been on the rise, yet the optimal assessment strategy remains an area of active debate. In this review, we examine the relevant literature pertaining to the diagnostic and prognostic applications of noninvasive cardiac imaging in this population. We also propose a simple literature-based evaluation algorithm for CAD surveillance in liver transplant candidates.
在肝移植前进行心脏风险评估已被广泛接受。随着非酒精性脂肪性肝炎成为终末期肝病的主要原因之一，以及肝移植受者年龄的稳步上升，这一人群中心血管疾病的负担显著增加。由于稀缺供体器官的需求不断增加，选择合适的肝移植候选者至关重要。非侵入性心脏成像技术已被用于肝移植受者术前心血管状况的评估，且其应用日益增多，但最佳评估策略仍是一个活跃的讨论领域。在这篇综述中，我们研究了相关文献，探讨了非侵入性心脏成像在该人群中的诊断和预后应用。我们还提出了一种基于文献的简单评估算法，用于监测肝移植候选者的 CAD。
