Document Detail


Transthoracic echocardiographic findings in patients with chronic kidney disease awaiting kidney transplantation.
MedLine Citation:
PMID:  20970624     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: The high prevalence of classic cardiovascular risk factors in patients undergoing dialysis therapy or transplantation is associated with a 3.5- to 50-fold higher risk than in the general population. The primary cause of death in transplant recipients is cardiovascular disease.
OBJECTIVE: To report echocardiographic findings using a screening protocol to detect heart disease in candidates for kidney transplantation.
METHODS: Between November 2005 and December 2009, we examined 356 patients using 2-dimensional color Doppler echocardiography.
RESULTS: A high prevalence of left ventricular hypertrophy, left ventricular diastolic dysfunction, valvulopathy, and valve calcification was observed. There was a positive correlation between valve calcification and female sex, age (P<.001), duration of renal replacement therapy (P=.01), peripheral arterial disease (P=.02), cerebrovascular disease (P=.005), and high concentration of lipoprotein(a) (P=.02).
CONCLUSION: An echocardiographic study should be part of the initial evaluation in candidates for renal transplantation.
Authors:
J D Arjona Barrionuevo; M F Gonzáles Vargas-Machuca; F Gómez Pulido; L Gil Sacaluga; M A Gentil Govantes; A Martínez-Martínez
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  42     ISSN:  1873-2623     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3123-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Servicio de Cardiología, Virgen del Rocío University Hospital, Seville, Spain.
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