Language

English

Publication Date

1-1-2025

Journal

Frontiers in Cardiovascular Medicine

DOI

10.3389/fcvm.2025.1609071

PMID

40933311

PMCID

PMC12417393

PubMedCentral® Posted Date

8-26-2025

PubMedCentral® Full Text Version

Post-print

Abstract

Introduction: A growing amount of evidence suggests that metabolic dysfunction-associated steatotic liver disease (MASLD) may independently increase the risk of coronary artery disease and acute coronary syndrome, thus necessitating revascularization interventions such as percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) [2,3]. However, a limited number of studies have evaluated the impact of MASLD on the outcomes of these interventions.

Methods: A comprehensive search of the PubMed/MEDLINE and Embase databases was conducted to identify relevant studies from August 2015 to August 2025 using a combination of Medical Subject Headings (MeSH) terms and text words related to MASLD and cardiovascular revascularization.

Results: Two hundred nineteen papers from the PubMed/MEDLINE and Embase databases were reviewed. Six met the inclusion criteria ( Figure 1). Five studies covered PCI, and one covered CABG. Supplemental information was added using targeted PubMed/MEDLINE searches.

Conclusions: MASLD may pose an increased risk of in-hospital and long-term mortality following PCI. Risks for cardiogenic shock, cardiac arrest, in-stent thrombosis, gastrointestinal bleeding, or invasive mechanical ventilation following PCI may also be increased. Further studies are needed to determine the optimal coronary revascularization method and post-revascularization medical therapy for patients with MASLD.

Keywords

coronary heart disease, MASLD, coronary revascularisation, liver disease, coronary disease, metabolic dysfunction-associated fatty liver disease (MASLD)

Published Open-Access

yes

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