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What specific clinical and echocardiographic thresholds lead you to taper/de-escalate pulmonary hypertension therapy before liver transplant?

What RV function or pulmonary pressure signals on TTE make you stop tapering and obtain confirmatory RHC?
1 Answer
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Pulmonology · Mayo Clinic Pulmonary Medicine
Answered on

The goal in pulmonary hypertension therapy pre-transplant is to fulfill the MELD exception criteria in terms of mean pulmonary artery pressure, pulmonary vascular resistance, as well as right ventricular function by echo. Once those criteria are satisfied, maintain those PH therapy doses until the t...

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