title: Prognostic value of normal dobutamine stress echocardiography in renal transplant candidates.
abstract: BACKGROUND
  Renal transplant candidates are at high-risk for cardiovascular events. No definite screening tool has been recommended for the pre-operative evaluation.
  
  
  OBJECTIVE
  The authors studied the prognostic value of normal dobutamine stress echocardiography in this population.
  
  
  METHODS
  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.
  
  
  RESULTS
  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
  
  
  CONCLUSIONS
  In renal transplant candidates, normal dobutamine stress echocardiography portends a good long-term prognosis.
authors.affiliation: Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand. sincw@mahidol.ac.th
authors.forename: Nithima
authors.initials: N
authors.lastname: Chaowalit
authors.forename: Maytinee
authors.initials: M
authors.lastname: Kittipovanonth
authors.forename: Khemajira
authors.initials: K
authors.lastname: Karaketklang
authors.forename: Bussakorn
authors.initials: B
authors.lastname: Kitrattana
authors.forename: Decho
authors.initials: D
authors.lastname: Jakrapanichakul
authors.forename: Attapong
authors.initials: A
authors.lastname: Vongwiwatana
authors.forename: Nalinee
authors.initials: N
authors.lastname: Premasathian
mesh_terms: D000328:Adult; D000368:Aged; D004280:Dobutamine; D025401:Echocardiography, Stress; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011379:Prognosis
chemical_list: D004280:Dobutamine