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April 2, 2013Liver Transplantation

In 970 liver transplant recipients, 10.1% developed new-onset heart failure over 5.3 years, with pretransplant diastolic dysfunction, diabetes, and hypertension identified as predictors.

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Why the study?

What are the pretransplant predictors of new-onset heart failure after liver transplantation?

Population

970 liver transplantation (LT) recipients between January 2000 and December 2010

Design

Cohort

Follow-up

5.3 ± 3.4 years

Key result

In 970 liver transplant recipients, 10.1% developed new-onset heart failure over 5.3 years, with pretransplant diastolic dysfunction, diabetes, and hypertension identified as predictors.

Authors

WQWaqas QureshiCMChetan MittalUAUmair Ahmad

Discussion

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Overview

Supports risk stratification in liver transplant candidates; leaves open whether modifying diastolic dysfunction, diabetes, or hypertension reduces heart failure incidence.

Study Design

Type

Cohort (n=970)

Structured PICO

What are the pretransplant predictors of new-onset heart failure after liver transplantation?

P
Population
970 liver transplant recipients followed for a mean of 5.3 years to evaluate predictors of post-transplant heart failure.
O
Outcome
Post-LT heart failure: systolic (ejection fraction ≤ 50%), diastolic, or mixed heart failurehard clinical

Pretransplant risk factors, including grade 3 diastolic dysfunction, diabetes, and specific hemodynamic parameters, are important predictors of post-liver transplant heart failure, which independently predicts mortality.

Cite This Study

Qureshi et al. (2013) conducted a cohort in Liver transplantation (n=970). Pretransplant clinical, hemodynamic, and echocardiographic variables vs. Absence of these variables was evaluated on Post-LT heart failure (systolic, diastolic, or mixed). In 970 liver transplant recipients, 10.1% developed new-onset heart failure over 5.3 years, with pretransplant diastolic dysfunction, diabetes, and hypertension identified as predictors.

synapsesocial.com/papers/6a61bde7c72d59d08cf539d2https://doi.org/10.1002/lt.23654
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Characteristics, Risk Factors, and Outcome of New-onset Systolic Heart Failure After Liver Transplantation: A Single-center Cohort2023 · 4 citations
  2. 2Systolic heart failure after liver transplantation: Incidence, predictors, and outcome2018 · 36 citations
  3. 3Diastolic Dysfunction in Patients With End-Stage Liver Disease is Associated With Development of Heart Failure Early After Liver Transplantation2012 · 104 citations
  4. 4Echocardiographic assessment of cardiovascular function and clinical outcomes in liver transplant recipients2022 · 9 citations
  5. 5Impact of peri‐transplant heart failure & left‐ventricular diastolic dysfunction on outcomes following liver transplantation2012 · 33 citations