The Liver Meeting 2019-Assessing Cardiopulmonary Reserve & Renal Function

Video Transcription

Video Summary

In the video transcript, the focus is on assessing cardiopulmonary reserve and renal function in NASH (Non-Alcoholic Steatohepatitis) candidates for liver transplantation. Cardiovascular complications are a significant risk following transplant, especially in NASH candidates. Existing guidelines for preoperative assessment lack specific guidance for this population, leading to variations in management approaches. The American Society of Transplantation has provided consensus guidance to address this gap. NASH candidates in 2019 are characterized by older age, diabetes, obesity, CKD, and frailty compared to other transplant indications. NASH itself contributes to cardiovascular disease through cirrhotic cardiomyopathy, vascular risk factors, inflammation, and liver-related factors. Assessing renal function is crucial for evaluating cardiovascular risk in NASH candidates. Accurate estimation of renal function and diagnosis of AKI and CKD, along with preventive measures, are key in managing renal health. Evaluation for coronary artery disease and cardiomyopathy using advanced imaging techniques like speckle tracking echocardiography is recommended. A multidisciplinary approach is essential to determine candidacy for liver transplant based on cardiovascular risk assessments.

Asset Caption

Presenter: Lisa B. VanWagner

Keywords

cardiopulmonary reserve

renal function

NASH candidates

liver transplantation

cardiovascular risk assessment