The value of pre-transplant coronary angiography findings in kidney transplant candidates at high risk for cardiovascular disease

Autor: Leela Morená, Ayman Al Jurdi, Eduardo Leal Adam, Rucháma Verhoeff, Ragnar Palsson, Guilherme Taborda Ribas, Frank Hullekes, Abraham Cohen Bucay, Nahel Elias, Leonardo. V. Riella
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Transplantation, Vol 2 (2023)
Druh dokumentu: article
ISSN: 2813-2440
DOI: 10.3389/frtra.2023.1304516
Popis: IntroductionCardiovascular disease is a significant cause of mortality after kidney transplantation. Whether pre-transplant screening for coronary artery disease (CAD) in asymptomatic kidney transplant candidates (KTCs) is beneficial is unclear.MethodsWe conducted a retrospective cohort study evaluating post-transplant cardiovascular events in 192 high-risk KTCs who underwent pre-transplant CAD evaluation. The study aimed to identify risk factors associated with finding severe CAD on pre-transplant angiography, and to assess the relationship between screening strategies and post-transplant cardiovascular events.ResultsAt five years post-transplant, cardiovascular events occurred in 23.9% of subjects. Prior CAD history and left ventricular ejection fraction (LVEF)
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