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Screening for cardiovascular disease before kidney transplantation
#MMPMID26722655
Palepu S
; Prasad GV
World J Transplant
2015[Dec]; 5
(4
): 276-86
PMID26722655
show ga
Pre-kidney transplant cardiac screening has garnered particular attention from
guideline committees as an approach to improving post-transplant success.
Screening serves two major purposes: To more accurately inform transplant
candidates of their risk for a cardiac event before and after the transplant,
thereby informing decisions about proceeding with transplantation, and to guide
pre-transplant management so that post-transplant success can be maximized.
Transplant candidates on dialysis are more likely to be screened for coronary
artery disease than those not being considered for transplantation. Thorough
history and physical examination taking, resting electrocardiography and
echocardiography, exercise stress testing, myocardial perfusion scintigraphy,
dobutamine stress echocardiography, cardiac computed tomography, cardiac
biomarker measurement, and cardiac magnetic resonance imaging all play
contributory roles towards screening for cardiovascular disease before kidney
transplantation. In this review, the importance of each of these screening
procedures for both coronary artery disease and other forms of cardiac disease
are discussed.
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