Stress cardiomyopathy after live donor liver transplantation: incidence, risk factors and mortality
© Gupta et al.; licensee BioMed Central Ltd. 2012
Published: 20 March 2012
The incidence of cardiac complications in the post live donor liver transplantation (LDLT) period has been reported to be nearly 70% . Stress cardiomyopathy (SC) is a severe complication which has varied presentation and has grave prognosis if not diagnosed and managed aggressively.
Data for 250 LDLTs (June 2010 to July 2011) were collected to assess incidence, risk factors and mortality due to SC. Diagnostic criteria  for SC were taken as: global hypokinesia or new ST segment elevation or T-wave inversion in absence of coronary artery disease (CAD) or pheochromocytoma. Etiologies of chronic liver disease and preoperative cardiac status along with intraoperative vasopressor use and dosages were noted.
Our incidence was 3%. SC generally presents on the second to third postoperative day and usually recovers by the second week. Ethanolics and patients who require high vasopressor support intraoperatively are more prone to develop SC.
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