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For patients with evidence of CSPH (small varices or noninvasive CSPH markers) who also have imaging-only (grade 1) ascites, do you start a nonselective beta-blocker as primary prophylaxis against first overt decompensation, or do you consider ascites itself as decompensation that changes the goalposts?

For patients with evidence of CSPH (small varices or noninvasive CSPH markers) who also have imaging-only (grade 1) ascites, do you start a nonselective beta-blocker as primary prophylaxis against first overt decompensation, or do you consider ascites itself as decompensation that changes the goalposts? | Mednet