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Cardio-Nephrology pp 251–258Cite as

Cardiac Surveillance Whilst Listed for Renal Transplantation

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Abstract

The renal transplant waiting list in the United States has almost doubled since 2002 [1]. Annual mortality whilst listed is estimated at 5% [2], a third of cases with a documented cause are attributable to cardiovascular disease. In this chapter, we discuss the role, if any, of periodic cardiac surveillance following the initial cardiac evaluation and listing. In this context, the aim of performing routine periodic screening is to sensitively and specifically predict which patients are likely to experience cardiac events while awaiting transplantation, and to correct these as to minimize post-transplant complications. The discussion will be based on recommendations from existing guidelines and relevant published literature, specifically relating to coronary artery disease, valvular heart disease, and left ventricular dysfunction. Based on existing data, there is a paucity of published studies to provide definitive advice as to the utility of surveillance screening for those with a normal initial assessment who are listed for renal transplantation. Prospective research to assess the prognostic value of interval surveillance whilst awaiting transplant is required.

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Author information

Authors and Affiliations

  1. Centre for Transplant and Renal Research, The Westmead Institute for Medical Research, University of Sydney at Westmead Hospital, 176 Hawkesbury Rd., Westmead, Sydney, NSW, 2145, Australia

    Karen L. Keung

  2. Division of Nephrology and Recanati-Miller Transplantation Institute, Mount Sinai Hospital, One Gustave L. Levy, Place Box 1243, New York, NY, 10029, USA

    Madhav C. Menon

  3. Icahn School of Medicine, Mount Sinai, One Gustave L. Levy, Place Box 1118, New York, NY, 10029, USA

    Barbara Murphy

Authors
  1. Karen L. Keung
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  2. Madhav C. Menon
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  3. Barbara Murphy
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Correspondence to Barbara Murphy .

Editor information

Editors and Affiliations

  1. Department of Internal Medicine, Einstein Medical Center, Sidney Kimmel College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA

    Janani Rangaswami

  2. Department of Medicine, Section of Nephrology, University of Illinois at Chicago, Chicago, Illinois, USA

    Edgar V. Lerma

  3. Department of Nephrology Dialysis and Transplantation, International Renal Research Institute, San Bortolo Hospital, Vicenza, Italy

    Claudio Ronco

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Keung, K.L., Menon, M.C., Murphy, B. (2017). Cardiac Surveillance Whilst Listed for Renal Transplantation. In: Rangaswami, J., Lerma, E., Ronco, C. (eds) Cardio-Nephrology. Springer, Cham. https://doi.org/10.1007/978-3-319-56042-7_24

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  • DOI: https://doi.org/10.1007/978-3-319-56042-7_24

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