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December 10, 2020Current Opinion in Organ TransplantationOpen Access

Cardiac evaluation of the kidney or liver transplant candidate

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Key result

Computed tomography coronary angiography and transthoracic echocardiography are recommended for the cardiac evaluation of liver and kidney transplant candidates to assess short and long-term risk.

Why the study?

Cardiac events are the leading cause of morbidity and mortality after liver and kidney transplantation, highlighting the need to determine which patients require more extensive pre-transplant cardiac evaluation.

Population

Kidney or liver transplant candidates

Design

Review

Authors

PLPaul Emile LevyNorthwestern University
Sadiya S. Khan
Sadiya S. KhanGeneral / Preventive / Lipids
LVLisa B. VanWagnerGeneral / Preventive / Lipids

Discussion

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Overview

Emphasizes refined cardiac risk stratification before liver/kidney transplant; leaves open optimal noninvasive testing strategies.

Structured PICO

P
Population
Kidney or liver transplant candidates
E
Exposure
Cardiac evaluation including computed tomography coronary angiography (with or without calcium scoring) and transthoracic echocardiography with tissue doppler and strain imaging
O
Outcome
Assessment of coronary artery disease and cardiac structure/function for short and long-term risk stratification of cardiac events

Computed tomography coronary angiography and advanced echocardiography are recommended for comprehensive cardiac risk stratification in kidney and liver transplant candidates.

Cite This Study

Levy et al. (2020) conducted a review in Kidney or liver transplant candidates. Cardiac evaluation (Computed tomography coronary angiography and echocardiography) was evaluated. Computed tomography coronary angiography and transthoracic echocardiography are recommended for the cardiac evaluation of liver and kidney transplant candidates to assess short and long-term risk.

synapsesocial.com/papers/6a93b1b3c71ca0043637d430https://doi.org/10.1097/mot.0000000000000838

Topics

Coronary artery disease
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Significance of Coronary Artery Calcium Found on Non–Electrocardiogram-Gated Computed Tomography During Preoperative Evaluation for Liver Transplant2019 · 30 citations
  2. 2OPTN/SRTR 2020 Annual Data Report: Introduction2022 · 78 citations
  3. 3Outcome of Liver Transplant Recipients With Revascularized Coronary Artery Disease2017 · 71 citations