Preoperative Noncoronary Cardiovascular Assessment and Management of Kidney Transplant Candidates.
Clin J Am Soc Nephrol
; 14(11): 1670-1676, 2019 11 07.
Article
en En
| MEDLINE
| ID: mdl-31554619
ABSTRACT
The pretransplant risk assessment for patients with ESKD who are undergoing evaluation for kidney transplant is complex and multifaceted. When considering cardiovascular disease in particular, many factors should be considered. Given the increasing incidence of kidney transplantation and the growing body of evidence addressing ESKD-specific cardiovascular risk profiles, there is an important need for a consolidated, evidence-based model that considers the unique cardiovascular challenges that these patients face. Cardiovascular physiology is altered in these patients by abrupt shifts in volume status, altered calcium-phosphate metabolism, high-output states (in the setting of arteriovenous fistulization), and adverse geometric and electrical remodeling, to name a few. Here, we present a contemporary review by addressing cardiomyopathy/heart failure, pulmonary hypertension, valvular dysfunction, and arrhythmia/sudden cardiac death within the ESKD population.
Palabras clave
arrhythmias, cardiac; atrial remodeling; calcium phosphates; cardiomyopathies; cardiovascular disease; cardiovascular diseases; chronic kidney failure; congestive heart failure; death, sudden, cardiac; end-stage kidney disease; heart failure; humans; incidence; kidney transplantation; pericardial disease; pulmonary hypertension; risk assessment; risk factors; sudden cardiac death; valvular heart disease
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Cardiovasculares
/
Trasplante de Riñón
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Fallo Renal Crónico
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Guideline
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Prognostic_studies
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Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Clin J Am Soc Nephrol
Asunto de la revista:
NEFROLOGIA
Año:
2019
Tipo del documento:
Article