Publications by authors named "Nathaniel Elsner"
Article Synopsis
- Major adverse cardiac events (MACE) are a significant health risk after orthotopic liver transplantation (OLT), and cirrhotic cardiomyopathy (CCM) is a contributing factor to MACE in these patients.
- A study involving 131 adult patients who underwent OLT found that those who had ascites and hepatorenal syndrome, along with those meeting the 2005 CCM criteria, were more likely to experience MACE within a year.
- The 2005 CCM criteria were better predictors of MACE and showed a 34% reversibility post-OLT, while the newer 2019 criteria were less effective and only showed a 57% reversibility rate among fewer patients.
Article Synopsis
- Coronary artery disease (CAD) is prevalent among patients with cirrhosis facing orthotopic liver transplantation (OLT) evaluation, and traditional stress echocardiograms can miss it.
- This study involved 88 patients with obstructive CAD and 97 without, using stress echo, CT scans, and cardiac catheterization to evaluate the role of vascular and valvular calcification in detecting CAD.
- The combination of calcification data from CT and echo with stress echo significantly enhanced CAD detection accuracy (area under the curve improved from 0.58 to 0.73), especially when considering age, gender, and diabetes history (further increased to 0.80).
