Evidence map›Paper›PMID 30848862›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2019

The relationship between coronary artery disease and cardiovascular events early after liver transplantation.

Samarth S Patel, Fei-Pi Lin, Viviana A Rodriguez, Chandra Bhati, Binu V John, Taylor Pence, Mohammad B Siddiqui, Adam P Sima, Antonio Abbate, Trevor Reichman and 1 more

Open access · greenAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 51 citations in OpenAlex.

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  20. Liver Transplantation: Contraindication and Ineligibility.Journal of clinical and experimental hepatology
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Samarth S PatelDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0003-1531-6959
Fei-Pi LinSchool of Medicine, Virginia Commonwealth University, Richmond, Virginia.
Viviana A RodriguezDepartment of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
Chandra BhatiDivision of Transplant Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia.
Binu V JohnDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
Taylor PenceSchool of Medicine, Virginia Commonwealth University, Richmond, Virginia.
Mohammad B SiddiquiDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
Adam P SimaDepartment of Biostatistics, Virginia Commonwealth University, Richmond, Virginia.
Antonio AbbateDivision Cardiology, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
Trevor ReichmanDivision of Transplant Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia.
Mohammad S SiddiquiDivision of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
Virginia Commonwealth University · US

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

BACKGROUND &

aimsCardiovascular complications are major contributors to mortality at liver transplantation (LT). However, the impact of coronary artery disease (CAD) on these complications is not well-understood as the literature is limited by non-invasive assessment of CAD, which is suboptimal in patients with cirrhosis. Thus, the current study evaluated cardiovascular events at LT stratified according to the presence and severity of CAD quantified on coronary angiography.

methodsAll patients who had LT from January 2010 to January 2017 were evaluated (N = 348), but analysis was restricted to patients who had coronary angiography prior to LT (N = 283). Protocol coronary angiography was performed in all patients' ages >50 years, history of CAD, abnormal cardiac stress test or risk factors for CAD. The primary outcome was a cardiovascular composite outcome including myocardial infraction (MI), cardiac arrest, stroke, cardiac death, heart failure or arrhythmia occurring within 4 weeks after LT.

resultsCAD was present in 92(32.5%) patients and 32(11.3%) had obstructive CAD. During the study period, 72(25.4%) patients met the primary cardiovascular outcome, the most common being arrhythmia (N = 59 or 20.8%). Non-ST elevation MI occurred in 11(3.9%) of patients. A total of 10 deaths (3.5%) occurred, of which 6(2.1%) were attributable to cardiac death. There was no evidence of a relationship between the presence and severity of CAD and composite cardiovascular events. In multiple regression modelling, only diabetes [OR 2.62, 95%CI (1.49, 4.64), P < 0.001] was associated with the likelihood of having a cardiovascular event.

conclusionCardiovascular disease mortality is the most important contributor of early mortality after LT but is not related to the severity of CAD.

Indexed as

Cardiovascular DiseasesCoronary AngiographyCoronary Artery DiseaseFemaleHumansLiver CirrhosisLiver TransplantationLogistic ModelsMaleMiddle AgedProspective StudiesRisk FactorsVirginiacardiovascular eventscirrhosiscoronary artery diseaseliver transplantation

Identifiers

PMID30848862
PMCPMC6620133
OpenAlexW2921733615

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.