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Coronary angiography prior to renal transplantation
Author(s) -
PIDGEON Grant B,
LYNN Kelvin L,
BAILEY Ross R,
ROBSON Richard A,
IKRAM Hamid
Publication year - 1995
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/j.1440-1797.1995.tb00010.x
Subject(s) - medicine , coronary artery disease , dialysis , diabetes mellitus , transplantation , myocardial infarction , angiography , cardiology , disease , surgery , endocrinology
Summary: A retrospective analysis of coronary angiography in 89 patients (57 male, 32 female) on regular dialysis treatment, prior to their acceptance onto the cadaveric renal transplant waiting list, was performed. Patients studied included those older than 40 years and those symptomatic of coronary artery disease (CAD) or diabetics. Thirty patients (34%) had significant CAD: 18 one‐vessel, 8 two‐vessel, 3 three‐vessel and 1 four‐vessel disease. Significant predictors of CAD were a history of cardiac ischaemic symptoms, a diagnosis of diabetes mellitus, and a family history of CAD. There was no difference in survival between those with and those without CAD. Total mortality, and that due to myocardial infarction, was similar in patients with one‐ and two‐vessel disease and those without CAD, but increased in those with three‐ or four‐vessel disease ( P <0.001). Thirteen patients (11 with CAD) were excluded from the transplant waiting list, and their survival was significantly worse ( P <0.001). Restriction of coronary angiography to patients who were either symptomatic or diabetic would have resulted in 63% fewer angiograms without altering acceptance onto the transplantation waiting list for any patient.