Cardiovascular Risk in Orthotopic Liver Transplantation (CAR-OLT)
Predicts cardiovascular risk in orthotopic liver transplantation (OLT).
This calculator includes inputs based on race, which may or may not provide better estimates. See here for more on our approach to addressing race and bias on MDCalc.
Advice
- Results can be used to counsel patients on risk during informed consent discussions.
- A high score should trigger formal cardiology evaluation and optimisation, not automatic transplant exclusion.
Management
- Optimise modifiable risk factors for all candidates (e.g., glycemic control, blood pressure and lipid management, smoking cessation).
- Very-low and low-risk patients may be able to proceed without provocative cardiac testing.
- For higher scores, consider:
- Cardiology consultation.
- Noninvasive stress imaging +/- invasive cardiac testing.
- Closer postoperative monitoring.
Critical Actions
Do not rely on this score alone; integrate it with comprehensive clinical assessment and multidisciplinary expertise for pre-, peri-, and post-operative planning.