01) and splenomegaly (40% vs 63%, P= 0.01) on ultrasound, and higher Hb (P=0.01) and platelet count (P<0.001). Patients with mild-PH had higher systemic vascular resistance (1469±335 vs 1336±423 dyne.s.cm-5, P<0.01) and lower cardiac index (2.8±0.5 vs 3.3±0.9 L/min.m2, P<0.01). Clinical markers of PH, as well as HVPG, hyperdynamic circulation and liver dysfunction worsened gradually from patients with mild-PH to patients with CSPH without varices, and from these to those with varices. After propranolol,

the HVPG decreased from 7.3±1 to 6.6±1 mmHg (P<0.01) in patients with mild-PH and from 14.7±4 to 12.2±5 mmHg (P<0.01) in those with CSPH. Such a reduction Navitoclax supplier was much higher in patients with CSPH: -16±12% vs -8±9% (P<0.01). Patients with CSPH had higher rates of decreasing HVPG ≥10% (69% vs 36%, P<0.001), ≥20% (40 vs 12%, P<0.001) and ≥30% (14% vs 0, P=0.002). CONCLUSIONS: In compensated cirrhosis, patients with mild-PH had better liver function, lower liver stiffness, less hyperdynamic circulation and lower portal pressure reduction

with propranolol than those with CSPH. These findings support the potential utility of NSBB to prevent decompensation of cirrhosis in CSPH but not in earlier stages. Disclosures: Juan G. Abraldes – Speaking and Teaching: Gore, Janssen Rosa María Morillas – Advisory Committees or Review Panels: BRISTOL, GILEAD, Abvvie; Speaking CH5424802 and Teaching: ROCHE, JANSSEN, MSD Juan Carlos Garcia-Pagan – Grant/Research Support: GORE Jaime Bosch – Consulting: Falk, Gilead Science, Norgine, ONO-USA, Intercept pharma, Exalenz, Almirall, Conatus; Grant/Research Support: Gore The following people have nothing to disclose: Càndid Villanueva, Agustin Albil-los, Joan Genescà, Jose Luis Calleja, Carles Aracil, Rafael Bañares, Maria Poca, Beatriz Peñas, Salvador Aguustin,

Oana Pavel BACKGROUND AND AIMS: The increase of intrahepatic availability of nitric oxide induced by statins makes this drugs a potential option for the treatment of portal hypertension. This clinical trial was designed to evaluate the effects of simvastatin on the hepatic venous pressure gradient (HVPG) and on the azygos vein blood flow (AzBF) in cirrhotic patients. METHODS: A prospective, randomized, 上海皓元 controlled, triple-blind trial with simvastatin and placebo was conducted, including patients with cirrhosis and portal hypertension detected by abdominal ultrasound with color Doppler flowmetry or upper digestive endoscopy. Placebo or simvastatin (40 mg) was given daily; HVPG was determined by hepatic vein catheterization and AzBF was measured by color Doppler echoendoscopy (EUS-Cd), both procedures performed at the beginning and after three months of treatment. The main endpoint was a decrease in HVPG of at least 20% from baseline or to ≤ 12 mm Hg after treatment, considered clinically relevant. The correlation between HVPG and AzBF was also tested. RESULTS: Thirty four patients were prospectively enrolled in the study and 22 of them completed the 3 month-protocol.