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Renal transplant candidates are at high-risk for cardiovascular events. No definite screening tool has been recommended for the pre-operative evaluation. The authors studied the prognostic value of normal dobutamine stress echocardiography in this population. Dobutamine stress echocardiography was performed for the pre-operative assessment in 107 renal transplant candidates (age 53.2 +/- 6.2 years, 66.4% male). The mean follow-up time was 2.8 +/- 1.7 years. The primary endpoint was total mortality. During follow-up, 16 (15.0%) died and 26 (24.3%) patients underwent kidney transplantation. The overall survival probabilities at 1, 3 and 5 years were 87, 83 and 79%, respectively. Among those who underwent renal transplantation, the survival probabilities at 1, 3 and 5 years were 100, 100 and 89%, respectively In renal transplant candidates, normal dobutamine stress echocardiography portends a good long-term prognosis.

Citation

Nithima Chaowalit, Maytinee Kittipovanonth, Khemajira Karaketklang, Bussakorn Kitrattana, Decho Jakrapanichakul, Attapong Vongwiwatana, Nalinee Premasathian. Prognostic value of normal dobutamine stress echocardiography in renal transplant candidates. Journal of the Medical Association of Thailand = Chotmaihet thangphaet. 2013 Feb;96 Suppl 2:S152-7

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PMID: 23590036

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