Clinical Edge

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Blunted Cardiac Reserve Predicts Incident Hepatorenal Syndrome

Key clinical point: Low cardiac reserve identified end-stage liver disease patients with a high incidence of hepatorenal syndrome.

Major finding: Patients with low cardiac reserve on dobutamine stress echocardiography had a 3.9-fold increased rate of incident hepatorenal syndrome.

Study details: Review of 560 patients from Victoria, Australia, who underwent dobutamine stress echocardiography as part of their work-up for a possible liver transplant.

Disclosures: Dr. Koshy has no disclosures.


Koshy AN et al. J Hepatol. 2019 April;70(1):e56.