Preoperative Cardiac Evaluation in Kidney Transplant Patients: Is Coronary Angiography Superior? A Focused Review.
Preoperative Cardiac Evaluation in Kidney Transplant Patients: Is Coronary Angiography Superior? A Focused Review. Adv Perit Dial. 2016;32:32-38 Authors: Katta N, Balla S, Velagapudi P, Mittal M, Agrawal H, Kumar A, Aggarwal K Abstract Cardiovascular disease is the major cause of morbidity and mortality in chronic kidney disease patients. Because of a higher occurrence of asymptomatic coronary artery disease and increased perioperative cardiovascular mortality in kidney transplant patients, screening for coronary artery disease before transplant surgery is essential. Various studies have shown that cardiac stress testing is an unreliable screening method in these patients because of significant variability in sensitivity and negative predictive value. We suggest that high-risk candidates such as those with diabetes or a prior history of myocardial infarction, stroke, peripheral vascular disease, or coronary artery disease should perhaps be considered for coronary angiography rather than stress testing as cardiac screening before kidney transplantation. PMID: 28988587 [PubMed]
ConclusionsPatients with CMS were more likely to present with increased comorbidities. Patients with CMS undergoing CABG were at risk for worse short ‐term secondary postoperative outcomes and reduced long‐term survival. The data supports the need for further investigation for risk reduction surrounding operative revascularization.
AbstractThe first successful human heart transplantation was reported on 3 December 1967, by Christiaan Barnard in South Africa. Since then this life ‐saving procedure has been performed in over 120 000 patients. A limitation to the performance of this procedure is the availability of donor hearts with as many as 20% of patients dying before a donor's heart is available for transplant. Today, hearts for transplantation are procured from indiv iduals experiencing donation after brain death (DBD). Interestingly, this, however, was not always the case as the first heart transplants occurred after circulatory dea...
ConclusionsTransplanting kidneys from HCV-viremic donors into HCV-uninfected recipients increased quality-adjusted life expectancy and reduced costs compared with a strategy of transplanting kidneys from HCV-unexposed donors.
Balance and ambulation are the result of a multicomponent control process through the interaction of the sensory and motor information. Despite the clinical relevance of the somatosensory system, its role has not drawn much attention from clinical research...
Condition: Diabetes Mellitus Interventions: Other: Administration of standardized questionnaires; Device: Physical activity tracker; Other: Dietary log Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre Recruiting
Condition: Coronary Artery Disease Interventions: Diagnostic Test: CT angiography; Diagnostic Test: Invasive coronary angiography Sponsors: Johns Hopkins University; Canon Medical Systems Recruiting
Conditions: Sleep; Multiple Myeloma Interventions: Behavioral: Mindfulness Awareness Practices for Insomnia; Behavioral: Sleep Health Information Sponsor: Medical College of Wisconsin Not yet recruiting
Condition: Stroke Interventions: Device: WBPC; Device: Without WBPC Sponsor: Changhua Christian Hospital Completed
Condition: Diabetes Mellitus, Type 2 Interventions: Other: Mobile Application-Based Diabetes Education; Other: Health Coaching Sponsor: Indonesia University Active, not recruiting
Condition: Vitiligo Interventions: Procedure: Melanocyte-Keratinocyte Transplantation and Ultraviolet Lamp (UVA); Device: RECELL 1:5 and Ultraviolet Lamp (UVA); Device: RECELL 1:10 and Ultraviolet Lamp (UVA); Device: RECELL 1:20 and Ultraviolet Lamp (UVA) Sponsor: Avita Medical Not yet recruiting
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