{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:31:22Z","timestamp":1779301882510,"version":"3.51.4"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2011,1,20]],"date-time":"2011-01-20T00:00:00Z","timestamp":1295481600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title\/>\n            <jats:p>Cardiovascular complications are major causes of morbidity and mortality after liver transplantation. Identifying candidates at highest risk of postoperative complications is a cornerstone of optimizing outcomes and utility. Using traditional cardiac risk factors in addition to C-reactive protein (CRP) levels, troponin levels, and echocardiographic parameters before transplantation, we sought to define cardiac risk so that we could predict cardiovascular events after transplantation. From December 1998 to December 2001, 230 adult patients who underwent liver transplantation with a median follow-up of 8.2 years were studied. The risk factors for cardiac disease were as follows: male gender with a mean age of approximately 50 years (57%), smoking history (60%), diabetes (23%), hypertension (19%), elevated troponin (25%), elevated CRP (25%), and preexisting cardiac disease (16%). Fifty-nine cardiac events occurred over 8.2 years. Risk factors (univariate analysis) for first cardiac events included age in decades [hazard ratio (HR) = 1.31, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.047], diabetes (HR = 2.20, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.004), prior cardiovascular disease (HR = 4.77, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.0001), a troponin I level &gt; 0.07 ng\/mL (HR = 2.00, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.023), left ventricular hypertrophy (HR = 2.06, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.047), stress wall abnormalities (HR = 2.25, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.018), and ischemia on stress imaging (HR = 2.89, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.015). Multivariate analysis confirmed age, diabetes, a troponin I level &gt; 0.07, and prior cardiac disease as independent risk factors for posttransplant cardiac events. In conclusion, pretransplant elevated troponin levels, diabetes, and a history of cardiovascular disease, alone or in combination, are strongly associated with the occurrence of posttransplant cardiovascular events. Liver Transpl 17:23-31, 2011. \u00a9 2011 AASLD.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1002\/lt.22140","type":"journal-article","created":{"date-parts":[[2010,7,29]],"date-time":"2010-07-29T15:16:15Z","timestamp":1280416575000},"page":"23-31","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":86,"title":["Predictors of cardiovascular events after liver transplantation"],"prefix":"10.1097","volume":"17","author":[{"given":"Elizabeth","family":"Coss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kymberly D. 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levels"],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.1002\/lt.22140","relation":{},"ISSN":["1527-6465"],"issn-type":[{"value":"1527-6465","type":"print"}],"subject":[],"published":{"date-parts":[[2011,1]]}}}