Usefulness of preoperative noninvasive radionuclide testing for detecting coronary artery disease in candidates for liver transplantation.
This study, conducted in 87 candidates for liver transplantation, shows that neither stress perfusion imaging nor rest radionuclide ventriculography appear useful for preoperative cardiac risk assessment because most patients have normal studies and a favorable outcome. Routine myocardial function testing "to rule out cardiomyopathy" in asymptomatic (from a cardiac standpoint) patients with end-stage alcoholic liver disease should be abandoned.
Kryzhanovski
V A
VA
Cardiovascular Division, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Beller
G A
GA
D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000453:epidemiology; D004176:Dipyridamole; D004280:Dobutamine; D005080:Exercise Test; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000453:epidemiology / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D011300:Preoperative Care; D015635:Radionuclide Ventriculography; D018570:Risk Assessment; D012307:Risk Factors; D017256:Technetium Tc 99m Sestamibi; D013794:Thallium Radioisotopes; D015899:Tomography, Emission-Computed, Single-Photon
D013794:Thallium Radioisotopes; D004280:Dobutamine; D004176:Dipyridamole; D017256:Technetium Tc 99m Sestamibi