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  • Title: Preoperative dobutamine stress echocardiography versus cardiac arteriography for risk assessment prior to renal transplantation.
    Author: West JC, Napoliello DA, Costello JM, Nassef LA, Butcher RJ, Hartle JE, McConnell TR, Finley JW, Kelley SE, Chao S, Latsha R.
    Journal: Transpl Int; 2000; 13 Suppl 1():S27-30. PubMed ID: 11111956.
    Abstract:
    Because coronary artery disease is the leading cause of death in patients with end-stage renal disease, we prospectively studied the prognostic value of dobutamine stress echocardiography (DSE) compared to coronary angiography (CA) as an evaluative tool. Thirty-three patients at high risk for coronary artery disease were selected from a cohort of 133 renal transplant candidates and underwent both DSE and CA. In this study, the value of DSE was found to exist in its strong negative predictive value (92%). A negative DSE coupled with a negative clinical cardiac evaluation was found to practicably exclude the necessity for CA. DSE can thus serve as a non-invasive, low cost screening test.
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