Diagnosis and treatment of coronary artery disease in hemodialysis patients evaluated for transplant.
We present a review of current strategies for the diagnosis and treatment of coronary artery disease (CAD) in patients with advanced chronic kidney disease who are on the waiting list for transplants, based on data from the literature and originated from a single-center cohort of 1,250 patients with maximum follow-up of 12 years. We discuss the best way to select patients to be tested for CAD, how to choose the more adequate screening test for CAD and cardiovascular disease, how to select patients for invasive treatment studies and how to treat patients with significant CAD. We also suggest new research avenues to be explored to resolve some problems in this area.
Heart Institute (InCor), Hospital das Clínicas, University of São Paulo Medical School, Rua Eneas Carvalho Aguiar, 44, 05403-000,, São Paulo, Brazil. jose.lima@incor.usp.br.
Jose Jg
JJ
De Lima
Luis Henrique W
LH
Gowdak
Flavio J
FJ
de Paula