Diagnostic and therapeutic challenge of heart failure after liver transplant:Case series
Diagnostic and therapeutic challenge of heart failure after liver transplant: Case series作者机构：Institute of Liver and Biliary SciencesNew Delhi 110070India
出 版 物：《World Journal of Hepatology》 (世界肝病学杂志（英文版）（电子版）)
年 卷 期：2017年第9卷第33期
页 面：1253-1260页
主 题：肝移植 心失败 肝脏硬化症的心肌症 强调心肌症 白酒心肌症
摘 要：Heart failure(HF) following liver transplant(LT) surgery is a distinct clinical entity with high mortality. It is known to occur in absence of obvious risk factors. No preoperative workup including electrocardiogram, echocardiography at rest and on stress, reasonably prognosticates the risk. In patients of chronic liver disease, cirrhotic cardiomyopathy, alcoholic cardiomyopathy, and stress induced cardiomyopathy have each been implicated as a cause for HF after LT. However distinguishing one etiology from another not only is difficult, several etiologies may possibly coexist in a given patient. Diagnostic dilemma is further compounded by the fact that presentation and management of HF irrespective of the possible underlying cause, remains the same. In this case series, 6 cases are presented and in the light of existing literature modification in the preoperative workup are suggested.
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