title: Cardiac status of persons qualified for living kidney donation--single-center experience.
abstract: Some of living kidney donors have medical conditions associated with future risk of cardiovascular diseases. It seems justified to identify risk factors and cardiological disorders prior to the donation.
  
  
  OBJECTIVE
  To determine the cardiological status of persons qualified as a living kidney donor.
  
  
  METHODS
  We analyzed the data of 109 potential living kidney donors, aged 25-70 (mean 45.7 ± 10.9) years. They underwent clinical and biochemical examination. In some of them extended diagnostics was performed. The presence of risk factors of coronary artery disease were registered.
  
  
  RESULTS
  Only 46 (42%) persons were qualified for kidney donation. As many as 40 of them had 21 risk factor. In 75 (68.8%) patients without hypertension, 24-hours ambulatory blood pressure monitoring was done. The masked hypertension was found in 6 persons. In 22 candidates aged > 50 years the exercise test was performed (positive or inconclusive in 3 persons). Coronarography was done in 5 individuals (in no any significant atherosclerotic lesions were found). 63 (58%) person were disqualified. In 15 (23.8%) person the reasons were cardiological. In 2 patient the abdominal aneurysms were found. Both men smoked and had severe dyslipidaemias. In 3rd patient we observed persistent atrial fibrillation. The next 2 men had the peripheral occlusive arterial disease. In 9 patients ≥ 2 risk factors and in the last one morbid obesity were present.
  
  
  CONCLUSIONS
  In Poland candidates for living kidney donation have very often risk factors of cardiovascular disease. Among the persons proceeded for kidney donation cardiovascular problems are an important cause of disqualification.
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Jankowski
authors.forename: Jolanta
authors.initials: J
authors.lastname: Gozdowska
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Kurnicka
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kwiatkowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Chmura
authors.forename: Magdalena
authors.initials: M
authors.lastname: Durlik
authors.forename: Piotr
authors.initials: P
authors.lastname: Pruszczyk
mesh_terms: D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000453:epidemiology*; D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology; D046148:Donor Selection / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology; D015994:Incidence; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D019520:Living Donors / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011044:Poland; D012307:Risk Factors