Preoperative dobutamine stress echocardiography versus cardiac arteriography for risk assessment prior to renal transplantation
| Autor: | L. A. Nassef, James E. Hartle, T. R. McConnell, J. M. Costello, John C. West, J. W. Finley, S. E. Kelley, R. Latsha, S. Chao, D. A. Napoliello, R. J. Butcher |
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| Rok vydání: | 2000 |
| Předmět: |
Nephrology
medicine.medical_specialty Coronary Disease Disease Coronary Angiography Risk Assessment Coronary artery disease Postoperative Complications Predictive Value of Tests Risk Factors Internal medicine Dobutamine medicine Humans Prospective Studies Kidney transplantation Cause of death Transplantation business.industry Adrenergic beta-Agonists Middle Aged medicine.disease Kidney Transplantation Echocardiography Cohort Cardiology Radiology Risk assessment business |
| Zdroj: | Transplant international : official journal of the European Society for Organ Transplantation. 13 |
| ISSN: | 0934-0874 |
| Popis: | Because coronary artery disease is the leading cause of death in patients with end-stage renal disease, we prospectively studied the prognostic value of dobutamine stress echocardiography (DSE) compared to coronary angiography (CA) as an evaluative tool. Thirty-three patients at high risk for coronary artery disease were selected from a cohort of 133 renal transplant candidates and underwent both DSE and CA. In this study, the value of DSE was found to exist in its strong negative predictive value (92 %). A negative DSE coupled with a negative clinical cardiac evaluation was found to practicably exclude the necessity for CA. DSE can thus serve as a non-invasive, low cost screening test. |
| Databáze: | OpenAIRE |
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