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Published in: Journal of Nuclear Cardiology 2/2022

01-04-2022 | Kidney Transplantation | REVIEW ARTICLE

Cardiac imaging for the assessment of patients being evaluated for kidney transplantation

Authors: Kameel Kassab, MD, Rami Doukky, MD, MSc, MBA, FASNC

Published in: Journal of Nuclear Cardiology | Issue 2/2022

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Abstract

Cardiac risk assessment before kidney transplantation has become widely accepted. However, the optimal patient selection and screening tool for cardiac assessment remain controversial. Clinicians face several challenges in this process, including the ever-growing pre-transplant population, aging transplant candidates, increasing prevalence of coronary artery disease, and scarcity of donor organs. Optimizing the cardiovascular risk profile in kidney transplant candidates is necessary to better appropriate limited donor organs and improve patient outcomes. Increasing waiting times from the initial evaluation for transplant candidacy to the actual transplant raises questions regarding re-testing and re-stratification of risk. In this review, we summarize and discuss the current literature on cardiac evaluation prior to kidney transplantation. We also propose simple evidence-based evaluation algorithms for initial and follow-up CAD surveillance in patients being wait-listed for kidney transplantation.
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Metadata
Title
Cardiac imaging for the assessment of patients being evaluated for kidney transplantation
Authors
Kameel Kassab, MD
Rami Doukky, MD, MSc, MBA, FASNC
Publication date
01-04-2022
Publisher
Springer International Publishing
Published in
Journal of Nuclear Cardiology / Issue 2/2022
Print ISSN: 1071-3581
Electronic ISSN: 1532-6551
DOI
https://doi.org/10.1007/s12350-021-02561-6

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