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December 12, 2023Gastroenterology InsightsOpen Access

Left ventricular diastolic dysfunction defined by 2016 ASE criteria showed no significant difference in mortality after liver transplant in a meta-analysis of two studies.

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Why the study?

The impact of left ventricular diastolic dysfunction on survival after liver transplant was not known, especially when defined using current diagnostic criteria.

Does left ventricular diastolic dysfunction (LVDD) per 2016 ASE criteria increase all-cause mortality after a liver transplant in patients with end-stage liver disease?

Population

Cirrhotic patients undergoing liver transplant across screened cohort studies

Comparison

Presence vs absence of LVDD per 2016 American Society of Echocardiography criteria

Design

Systematic review and meta-analysis of cohort studies

Key result

Left ventricular diastolic dysfunction defined by 2016 ASE criteria showed no significant difference in mortality after liver transplant in a meta-analysis of two studies.

Authors

CGCarlos E. González-MartínezDRDiego Regalado-CeballosSMSamantha Medrano-Juárez

Discussion

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Member takes

Overview

Pretransplant LVDD by 2016 ASE criteria shows no post-LT mortality difference; leaves open whether older criteria or other CCM features predict outcomes.

Study Design

Type

Systematic Review

Structured PICO

Does left ventricular diastolic dysfunction (LVDD) per 2016 ASE criteria increase all-cause mortality after a liver transplant in patients with end-stage liver disease?

P
Population
Systematic review and meta-analysis of cohort studies evaluating mortality after liver transplant in cirrhotic patients with and without left ventricular diastolic dysfunction.
E
Exposure
Presence of left ventricular diastolic dysfunction (LVDD) defined per the 2016 American Society of Echocardiography criteria
C
Comparator
Cirrhotic patients without LVDD
O
Outcome
All-cause mortality after a liver transplanthard clinical

Current evidence is insufficient to definitively link LVDD defined by 2016 ASE criteria to increased mortality after liver transplantation, highlighting the need for prospective studies.

Limitations

  • High heterogeneity
  • Lack of high-quality prospective studies using current criteria
  • High heterogeneity between included studies

Cite This Study

González-Martínez et al. (2023) conducted a systematic review in End-stage liver disease. Left ventricular diastolic dysfunction (LVDD) vs. Without LVDD was evaluated on All-cause mortality after a liver transplant. Left ventricular diastolic dysfunction defined by 2016 ASE criteria showed no significant difference in mortality after liver transplant in a meta-analysis of two studies.

synapsesocial.com/papers/6a93b14feea32b7d89ebb68ahttps://doi.org/10.3390/gastroent14040044
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Also Consider

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

  1. 1Left ventricular diastolic dysfunction per the 2016 ASE criteria and mortality after liver transplant in patients with end stage liver disease: a Systematic Review and Metanalysis2023
  2. 2Impact of left ventricular diastolic dysfunction on liver transplantation outcomes based on the latest American Society of Echocardiography/European Association of Cardiovascular Imaging recommendations2021 · 12 citations
  3. 3Diastolic dysfunction: Prevalence and outcome in liver transplantation candidates2025 · 4 citations
  4. 4The predictive value of revised diastolic dysfunction in outcomes of liver transplantation: A propensity score matching analysis2023 · 5 citations
  5. 5Diastolic dysfunction is a predictor of poor outcomes in patients with cirrhosis, portal hypertension, and a normal creatinine2013 · 180 citations