Cardiac Evaluation Prior to Kidney Transplantation

被引:9
|
作者
Delos Santos, Rowena B.
Gmurczyk, Aleksandra [2 ]
Obhrai, Jagdeep S. [3 ]
Watnick, Suzanne G. [1 ]
机构
[1] Oregon Hlth & Sci Univ, Portland VA Med Ctr, Div Nephrol & Hypertens, Dept Internal Med, Portland, OR 97239 USA
[2] Northwestern Univ, Div Nephrol Hypertens, Dept Internal Med, Chicago, IL 60611 USA
[3] Oregon Hlth & Sci Univ, Transplant Med Sect, Div Nephrol & Hypertens, Dept Internal Med, Portland, OR 97239 USA
关键词
CORONARY-ARTERY-DISEASE; ISCHEMIC-HEART-DISEASE; STRESS ECHOCARDIOGRAPHY; RISK SCORE; ANGIOGRAPHY; CANDIDATES; RECIPIENTS; DIALYSIS; EVENTS; CARE;
D O I
10.1111/j.1525-139X.2010.00725.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Kidney transplantation is the treatment of choice for most patients with stage 5 chronic kidney disease and end-stage renal disease (ESRD), offering improved quality of life and overall survival rates. However, the limited supply of available organs makes this a scarce resource. Cardiovascular complications continue to be the leading cause of mortality in the kidney transplant population, accounting for over 30% of deaths with a functioning allograft. Thus, preoperative cardiac risk assessment is critical to optimize patient selection and outcomes. Currently there is no consensus for cardiovascular evaluation in the chronic kidney disease and ESRD population prior to kidney transplantation; the recommendations of the American Society of Nephrology and American Society of Transplantation differ from those of the American Heart Association and the American College of Cardiology. Previously developed risk scores have also been used to risk stratify this population. In this review, we discuss two cases that illustrate the difficulties of interpreting the prognostic value of current testing strategies. We also discuss the importance of different tests for cardiovascular evaluation as well as previous nonkidney transplant specific risk scores used in the pre-kidney transplant population.
引用
收藏
页码:324 / 328
页数:5
相关论文
共 50 条
  • [1] STANDARDIZING CARDIAC EVALUATION PRIOR TO KIDNEY TRANSPLANTATION
    Genev, Ivo
    Akkina, Sanjeev
    Lopez, John J.
    Shah, Subir
    Desai, Amishi
    Yoo, Jongwon
    Garcia-Roca, Raquel
    Mathew, Verghese
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2020, 75 (11) : 167 - 167
  • [2] CARDIAC EVALUATION PRIOR TO RENAL TRANSPLANTATION
    Perez Villardon, B.
    Gaitan Roman, D.
    Ramirez Marrero, M. A.
    Garcia Bellon, A. M.
    Gonzalez Gonzalez, A. M.
    De Mora Martin, M.
    [J]. INTENSIVE CARE MEDICINE, 2011, 37 : S162 - S162
  • [3] Proteomic evaluation of preservation solutions prior to kidney transplantation
    Coskun, A.
    Kazan, D.
    Akgoz, M.
    Baykal, A. T.
    Berber, I.
    Bilsel, G.
    Senal, M. O.
    Karaosmanoglu, K.
    Aksoy, I.
    Yazici, C.
    [J]. FEBS JOURNAL, 2012, 279 : 235 - 235
  • [4] RETROSPECTIVE EVALUATION OF CARDIOVASCULAR RISK STRATIFICATION PRIOR TO KIDNEY TRANSPLANTATION
    Deak, Andras
    Francesca, Ionita
    Odler, Balazs
    Reinhard, Kramar
    Peter, Rainer
    Katharina, Eberhard
    Andrea, Berghold
    Alexander, Rosenkranz
    [J]. NEPHROLOGY DIALYSIS TRANSPLANTATION, 2019, 34
  • [5] RETROSPECTIVE EVALUATION OF CARDIOVASCULAR RISK STRATIFICATION PRIOR TO KIDNEY TRANSPLANTATION
    Deak, A. T.
    Ionita, Francesca
    Rainer, P.
    Eberhard, K.
    Berghold, A.
    Rosenkranz, A. R.
    [J]. TRANSPLANT INTERNATIONAL, 2018, 31 : 15 - 15
  • [6] Cardiopulmonary Exercise Testing for Cardiac Risk Assessment Prior to Kidney Transplantation.
    Chakkera, H.
    Roy, S.
    Steidley, E.
    Kalya, A.
    Gopalan
    Reddy, K.
    Mulligan, D.
    Heilman, R.
    Hewitt, W.
    Khamash, H.
    Huskey, J.
    Moss, A.
    Katariya, N.
    Scott, R.
    [J]. AMERICAN JOURNAL OF TRANSPLANTATION, 2013, 13 : 133 - 134
  • [7] Dobutamine Stress Cardiac MRI for Assessment of Coronary Artery Disease Prior to Kidney Transplantation
    Dundon, Benjamin K.
    Pisaniello, Anthony D.
    Nelson, Adam J.
    Maia, Murilo
    Teo, Karen S. L.
    Worthley, Stephen G.
    Coates, Patrick T.
    Russ, Graeme R.
    Faull, Randall J.
    Bannister, Kym
    Worthley, Matthew I.
    [J]. AMERICAN JOURNAL OF KIDNEY DISEASES, 2015, 65 (05) : 808 - 809
  • [8] Cardiac Catheterization in ESKD Patients with High Cardiovascular Risk Prior to Kidney Transplantation.
    Morena, L.
    Al Jurdi, A.
    Bittencourt, M. S.
    Bucay, A. C.
    Elias, N.
    Palsson, R.
    Riella, L. V.
    [J]. AMERICAN JOURNAL OF TRANSPLANTATION, 2022, 22 : 343 - 343
  • [9] EVALUATION OF CARDIAC RISK USING DOBUTAMINE CARDIAC STRESS MAGNETIC REASONANCE PRIOR TO RENAL TRANSPLANTATION
    Swarbrick, Daniel
    Bellenger, Nick
    Kannoly, Sri
    Gosling, Oliver
    Hossain, Ejaz
    Shore, Angela
    Chawner, Rebecca
    Ripley, David
    [J]. HEART, 2015, 101 : A74 - A75
  • [10] Evaluation of Clinical Outcomes in Patients Receiving Antithrombotic Therapy Prior to Kidney Transplantation
    Diamond, A.
    Antonacci, C.
    Lau, K.
    Di Carlo, A.
    Karhadkar, S.
    [J]. AMERICAN JOURNAL OF TRANSPLANTATION, 2020, 20 : 998 - 999