Liver transplant (LT) recipients are at a substantially increased risk of cardiovascular disease compared due to accelerated development and progression of hypertension, diabetes, obesity and dyslipidemia. As a result, cardiovascular disease is a leading cause of morbidity and mortality post-LT. This is in spite of aggressive pre-transplant evaluation for prevalent cardiovascular disease, in particular coronary artery disease (CAD), and exclusion of very high-risk patients from LT. However the commonest causes of early (<1 year) cardiovascular disease complications are arrhythmias and heart failure, whereas coronary heart disease complications typically manifest later after LT.