The Liver for the Cardiologist: Beyond Fatty Liver
The Liver for the Cardiologist: Beyond Fatty Liver
• From CKM to CKML: a proposed term discussed in JACC, adding liver care—particularly MASLD (fatty liver associated with metabolic risk factors such as obesity, diabetes, hypertension, high triglycerides, or low HDL)—to cardiovascular, kidney, and metabolic care.
• MASLD is fatty liver associated with metabolic risk factors, such as obesity, diabetes, hypertension, high triglycerides, or low HDL; a JACC article discusses the proposed term CKML to include liver care alongside cardiovascular, kidney, and metabolic care.
• FIB-4: a phone-accessible calculator using age, AST, ALT, and platelets to estimate advanced liver fibrosis risk.
• Elevated FIB-4 score → Assessment with Scan and/or hepatology referral, as indicated.
Source : Nature Reviews G&H • Sep 2026
https://www.nature.com/articles/s41575-026-01255-z
https://doi.org/10.1016/j.jacc.2026.05.043
FIB-4 calculator:
https://www.mdcalc.com/calc/2200/fibrosis4-fib-4-index-liver-fibrosis
