A comprehensive review of coronary artery disease in patients with end-stage liver disease

Michael Dangl, Trevor Eisenberg, Jelani K. Grant, Louis Vincent, Rosario Colombo, Rhea Sancassani, Joao Braghiroli, Paul Martin, Rodrigo Vianna, Ramona Nicolau-Raducu, Cesar Mendoza

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

The prevalence of coronary artery disease has increased in patients with end stage liver disease. In the near future, non-alcoholic steatohepatitis is expected to be the leading cause of end stage liver disease and shares common risk factors with coronary artery disease such as hypertension, hyperlipidemia, obesity and diabetes mellitus. At present, liver transplantation is the only definitive treatment for end stage liver disease, with post-operative mortality associated with the presence of coronary artery disease. Given the high prevalence of cardiovascular disease and the unique balance of pro-thrombotic and antithrombotic factors in patients with end stage liver disease, we sought to discuss the non-invasive and invasive diagnosis, medical and procedural management considerations and pre-transplant evaluation of coronary artery disease in patients with end stage liver disease.

Original languageEnglish
Article number100709
JournalTransplantation Reviews
Volume36
Issue number3
DOIs
StatePublished - Jul 2022
Externally publishedYes

Keywords

  • Coronary artery disease
  • Coronary artery imaging
  • End-stage liver disease
  • Liver transplantation
  • Non-invasive coronary artery screening
  • Percutaneous coronary intervention
  • Pretransplantation evaluation

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