JUL 13, 2017 5:18 PM PDT

New App Calculates Post-Liver Transplant Cardiovascular Risks

WRITTEN BY: Kara Marker

How can you calculate your risk of dying or being hospitalized for cardiovascular complications in the year following a liver transplant? There’s an app for that.

From experts at Northwestern University, a new application - available for download on the web and smartphone app stores - is the first of its kind to calculate risk scores specific to people receiving liver transplants. The new technology is called Cardiovascular Risk in Orthotopic Liver Transplantation (CAR-OLT). It is intended for use by people with liver disease between 18 and 75 being evaluated as candidates for liver transplantation.

"Knowing the patient's risk is critical to help prevent the frequent cardiac complications that accompany liver transplant surgery and to determine which patients are likely to survive the transplant," explained Northwestern’s Dr. Lisa VanWagner. A large amount of people - about one-third - undergoing liver transplants end up in the hospital with cardiovascular complications during the first year of their recovery. For this one-third of patients, they are subsequently less likely to survive than the remaining two-thirds. Overall, experts estimate that ten percent of liver transplant patients don’t survive the year following liver transplantation.

While a tough decision, VanWagner says that the risk score calculation would enable medical professionals to choose recipients most likely to survive the procedure. This way, doctors could “maximize the benefit of scarce donor organs to persons who have a lower risk of a cardiac event and are more likely to survive the stress of a liver transplant.”

Those liver disease patients who were given high risk scores wouldn’t be immediately denied a donor organ; instead, additional “evaluation and consultation” would be conducted to address potential complications that could occur during the transplant procedure. CAR-OLT takes into account several different factors to calculate risk score, including age, sex, race, employment status, highest education achieved, cancer status, diabetes, heart failure, atrial fibrillation, pulmonary hypertension.

Previous methods of assessing risk of cardiovascular complications during liver transplant procedures were severely lacking credibility. The “revised cardiac risk index,” VanWagner said, is “no better at predicting cardiac risk in this population than flipping a coin” because it’s not specific to liver transplants.

Compared to other transplant procedures, liver transplantations are especially high-risk in the context of heart health. Three factors provide an explanation as to why:

  • Blood flow changes related to end-stage liver disease that necessitates a transplant
  • Blood volume changes during procedure
  • Boosted adrenaline levels during procedure

Nearly seven thousand people undergo liver transplant procedures every year in the United States alone, and twice as many people are still waiting. The new one-year risk app, depending on the extent of its use, could greatly enhance the process of selection for transplant candidates.

The present study was published in the journal Hepatology.

Source: Northwestern University

About the Author
  • I am a scientific journalist and enthusiast, especially in the realm of biomedicine. I am passionate about conveying the truth in scientific phenomena and subsequently improving health and public awareness. Sometimes scientific research needs a translator to effectively communicate the scientific jargon present in significant findings. I plan to be that translating communicator, and I hope to decrease the spread of misrepresented scientific phenomena! Check out my science blog: ScienceKara.com.
You May Also Like
JUL 07, 2020
Health & Medicine
Recreational Cannabis: Is There a Heart Health Caution?
JUL 07, 2020
Recreational Cannabis: Is There a Heart Health Caution?
As of May 2020, Cannabis is fully legal in 20 states and has partial legality (e.g. it may be legal as a medicine b ...
JUL 28, 2020
Cardiology
Looking to Newborns for Help Healing Scars on the Heart
JUL 28, 2020
Looking to Newborns for Help Healing Scars on the Heart
Scars are a badge of honor to many, but they are really just a consequence of the body’s repair response. The body ...
AUG 01, 2020
Cardiology
Identifying Biomarkers for the Diagnosis of Diabetic Cardiomyopathy
AUG 01, 2020
Identifying Biomarkers for the Diagnosis of Diabetic Cardiomyopathy
Type 2 diabetes affects millions around the world.  By itself, it prevents your body from properly using sugars fro ...
OCT 15, 2020
Immunology
The Immune Cells Giving Menopausal Women Higher BPs
OCT 15, 2020
The Immune Cells Giving Menopausal Women Higher BPs
In general, men have higher blood pressures than women, giving them an increased risk of developing heart disease. After ...
NOV 05, 2020
Cardiology
Investigating Platelet-Derived Extracellular Vesicles in Blood Clotting
NOV 05, 2020
Investigating Platelet-Derived Extracellular Vesicles in Blood Clotting
In our bodies, there are millions of signals and packages being sent and received every second. In the past several deca ...
NOV 16, 2020
Cardiology
High Doses of Fish Oil Don't Reduce Risk of Cardiac Events
NOV 16, 2020
High Doses of Fish Oil Don't Reduce Risk of Cardiac Events
Many people take fish oil supplements to try to improve various aspects of their health, but new work from the Cleveland ...
Loading Comments...