title: Preoperative dobutamine stress echocardiography versus cardiac arteriography for risk assessment prior to renal transplantation.
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.
authors: Department of Surgery, Geisinger Medical Center, Danville, PA 17822, USA.
authors: J C
authors: JC
authors: West
authors: D A
authors: DA
authors: Napoliello
authors: J M
authors: JM
authors: Costello
authors: L A
authors: LA
authors: Nassef
authors: R J
authors: RJ
authors: Butcher
authors: J E
authors: JE
authors: Hartle
authors: T R
authors: TR
authors: McConnell
authors: J W
authors: JW
authors: Finley
authors: S E
authors: SE
authors: Kelley
authors: S
authors: S
authors: Chao
authors: R
authors: R
authors: Latsha
mesh_terms: D000318:Adrenergic beta-Agonists; D017023:Coronary Angiography; D003327:Coronary Disease / Q000453:epidemiology*; D004280:Dobutamine; D004452:Echocardiography / Q000187:drug effects; D006801:Humans; D016030:Kidney Transplantation; D008875:Middle Aged; D011183:Postoperative Complications; D011237:Predictive Value of Tests; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors
chemical_list: D000318:Adrenergic beta-Agonists; D004280:Dobutamine