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This score was derived in a population of 1,024 orthotopic liver transplantrecipients age 18-75 years at a single large academic transplant center. Candidates were excluded from analysis if they had an absolute cardiac contraindication to transplant, defined as: (1) decreased left ventricular systolic function (ejection fraction < 45%), (2) decreased right ventricular function and/or significant right ventricular dilation, (3) uncontrolled pulmonary hypertension defined as pulmonary arterial systolic pressure (PASP) ≥ 35 mmHg at rest despite maximal medical management, (4) significant uncorrectable structural valvular abnormalities (aortic stenosis, mitral stenosis, aortic regurgitation, tricuspid regurgitation), (5) uncorrectable coronary artery disease with induced ischemia on stress testing, (6) significant carotid disease in particular if symptomatic, and (7) diffuse atherosclerotic disease involving multiple organs.

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History of Atrial Fibrillation?
Current Respiratory Failure on a Ventilator?
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History of Hepatocellular Carcinoma?
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