{"id":398898,"date":"2025-05-03T14:05:00","date_gmt":"2025-05-03T12:05:00","guid":{"rendered":"https:\/\/medizinonline.com\/prophylaxis-of-decompensation-focus-on-portal-hypertension\/"},"modified":"2025-05-03T16:01:09","modified_gmt":"2025-05-03T14:01:09","slug":"prophylaxis-of-decompensation-focus-on-portal-hypertension","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/en\/prophylaxis-of-decompensation-focus-on-portal-hypertension\/","title":{"rendered":"Prophylaxis of decompensation &#8211; focus on portal hypertension"},"content":{"rendered":"\n<p><strong>While until recently the rule was to initiate beta-blocker therapy only when varices occurred, it has recently been recommended to prescribe beta-blockers early and regardless of the stage of the varices. This treatment strategy has been shown to improve long-term survival and reduce the risk of decompensation events. In patients with already decompensated liver cirrhosis, there is a survival advantage if the TIPS <em>(transjugal intrahepatic portosystemic shunt)<\/em> is placed early in secondary prophylaxis.    <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fprophylaxis-of-decompensation-focus-on-portal-hypertension%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>While until recently the rule was to initiate beta-blocker therapy only when varices occurred, it has recently been recommended to prescribe beta-blockers early and regardless of the stage of the&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/en\/my-account\/packages\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">Already a member? <a href=\"https:\/\/medizinonline.com\/en\/log-in\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fen%2Fprophylaxis-of-decompensation-focus-on-portal-hypertension%2F\">Log in here<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":398901,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Liver cirrhosis  ","footnotes":""},"category":[11513,11391,11297,11548,11503],"tags":[15692,82221,82255,82254],"powerkit_post_featured":[],"class_list":["post-398898","post","type-post","status-publish","format-standard","has-post-thumbnail","category-congress-reports","category-gastroenterology-and-hepatology","category-general-internal-medicine","category-rx-en","category-studies","tag-cirrhosis-of-the-liver","tag-davos-medical-forum","tag-portal-hypertension","tag-prophylaxis-of-decompensation","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-02 00:21:53","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"en_US","wpml_translations":{"fr_FR":{"locale":"fr_FR","id":398845,"slug":"prophylaxie-de-la-decompensation-lhypertension-portale-en-ligne-de-mire","post_title":"Prophylaxie de la d\u00e9compensation - l'hypertension portale en ligne de mire","href":"https:\/\/medizinonline.com\/fr\/prophylaxie-de-la-decompensation-lhypertension-portale-en-ligne-de-mire\/"},"it_IT":{"locale":"it_IT","id":398892,"slug":"profilassi-dello-scompenso-focus-sullipertensione-portale","post_title":"Profilassi dello scompenso - focus sull'ipertensione portale","href":"https:\/\/medizinonline.com\/it\/profilassi-dello-scompenso-focus-sullipertensione-portale\/"},"pt_PT":{"locale":"pt_PT","id":398886,"slug":"profilaxia-da-descompensacao-foco-na-hipertensao-portal","post_title":"Profilaxia da descompensa\u00e7\u00e3o - foco na hipertens\u00e3o portal","href":"https:\/\/medizinonline.com\/pt-pt\/profilaxia-da-descompensacao-foco-na-hipertensao-portal\/"},"es_ES":{"locale":"es_ES","id":398880,"slug":"profilaxis-de-la-descompensacion-centrada-en-la-hipertension-portal","post_title":"Profilaxis de la descompensaci\u00f3n - centrada en la hipertensi\u00f3n portal","href":"https:\/\/medizinonline.com\/es\/profilaxis-de-la-descompensacion-centrada-en-la-hipertension-portal\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/398898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/comments?post=398898"}],"version-history":[{"count":2,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/398898\/revisions"}],"predecessor-version":[{"id":399736,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/posts\/398898\/revisions\/399736"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media\/398901"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/media?parent=398898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/category?post=398898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/tags?post=398898"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/en\/wp-json\/wp\/v2\/powerkit_post_featured?post=398898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}