Coronary Intervention Outcomes in Patients with Liver Cirrhosis
Author Information
Author(s): Ang Song Peng, Chia Jia Ee, Iglesias Jose, Usman Muhammed Haris, Krittanawong Chayakrit
Primary Institution: Rutgers Health/Community Medical Center
Hypothesis
What are the outcomes of coronary interventions in patients with liver cirrhosis and coronary artery disease?
Conclusion
Patients with liver cirrhosis undergoing coronary interventions face significantly higher mortality rates and complications compared to non-cirrhotic patients.
Supporting Evidence
- Patients with liver cirrhosis have higher in-hospital mortality rates during PCI compared to non-cirrhotic patients.
- Radial access is recommended to reduce bleeding complications in cirrhotic patients undergoing PCI.
- Contrast-induced nephropathy is a significant risk for cirrhotic patients post-PCI.
Takeaway
People with liver cirrhosis who need heart procedures are at a much higher risk of dying or having problems than those without liver issues.
Methodology
This review assesses outcomes based on recent studies and databases comparing patients with and without liver cirrhosis undergoing PCI.
Potential Biases
Potential biases may arise from the retrospective nature of the studies reviewed.
Limitations
The study primarily relies on retrospective data, which may not capture all variables affecting outcomes.
Participant Demographics
The study includes patients with liver cirrhosis and coronary artery disease, with varying severity of liver disease.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI 1.28–1.41
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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