The 2016 ASE/EACVI recommendations may be able to more accurately identify patients at risk for diastolic dysfunction in living donor liver transplantation

• DOI: 10.1371/journal.pone.0215603
• Publication Date: 2019-04-23T17:30:40Z
• Authors: Jaesik Park; Jiyoung Lee; Ami Kwon; Ho Joong Choi; Hyun Sik Chung; Sang Hyun Hong; Chul Soo Park; Jong Ho Choi; Min Suk Chae
• Keywords: Liver Cirrhosis; Male; Science; Risk Assessment; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Natriuretic Peptide, Brain; Living Donors; Prevalence; Humans; Societies, Medical; Retrospective Studies; Heart Failure, Diastolic; Q; R; Middle Aged; Prognosis; Liver Transplantation; 3. Good health; Echocardiography; Practice Guidelines as Topic; Preoperative Period; Medicine; Female; Cardiomyopathies; Biomarkers; Research Article

Background The aim of this study was to compare the prevalence diastolic dysfunction between 2016 American Society Echocardiography (ASE)/European Association Cardiovascular Imaging and 2009 ASE/European recommendations in patients undergoing living-donor liver transplantation (LDLT). Patients methods A total 312 adult who underwent LDLT at our hospital from January 2010 December 2017 were retrospectively analyzed. Exclusion criteria systolic dysfunction, arrhythmia, myocardial ischemia, mitral or aortic valvular insufficiency. Results population largely male (68.3%), median age 54 (49–59) years. model for end-stage disease score 12 (6–22) points. predominant difference rates observed two recommendations. indeterminate function lower according than level concordance poor. proportion with a high brain natriuretic peptide (> 100 pg/mL) decreased significantly during surgery normal groups recommendations; however, only group showed an intraoperative decrease poorer overall-survival rate those both However, there survival significant patient not Conclusions classification may be better able identify risk dysfunction. Particularly, seemed require cardiac functional evaluation more frequently after group.