文章基本信息

标题：Cardiovascular dysfunction and liver transplantation
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作者：Hye-Mee Kwon ; Gyu-Sam Hwang
期刊名称：Korean Journal of Anesthesiology
印刷版ISSN：2005-6419
出版年度：2018
卷号：71
期号：2
页码：85-91
DOI：10.4097/kjae.2018.71.2.85
语种：English
出版社：The Korean Society of Anesthesiologists,
摘要：Cardiovascular complications have emerged as the leading cause of death after liver transplantation, particularly among those with advanced liver cirrhosis. Therefore, a thorough and accurate cardiovascular evaluation with clear comprehension of cirrhotic cardiomyopathy is recommended for optimal anesthetic management. However, cirrhotic patients manifest cardiac dysfunction concomitant with pronounced systemic hemodynamic changes, characterized by hyperdynamic circulation such as increased cardiac output, high heart rate, and decreased systemic vascular resistance. These unique features mask significant manifestations of cardiac dysfunction at rest, which makes it difficult to accurately evaluate cardiovascular status. In this review, we have summarized the current knowledge of heart and liver interactions, focusing on the usefulness and limitations of cardiac evaluation tools for identifying high-risk patients.