title: Myocardial Ischemia Assessment in Chronic Kidney Disease: Challenges and Pitfalls.
abstract: Coronary artery disease is the leading cause of mortality and morbidity in the chronic kidney disease (CKD) population and often presents with atypical symptoms. Current diagnostic investigations of myocardial ischemia in CKD lack sensitivity and specificity or may have adverse effects. We present a case vignette and explore the challenges of diagnostic myocardial stress investigation in patients with CKD.
authors.affiliation: Department of Cardiovascular Medicine, Flinders Medical Centre , Bedford Park, SA , Australia ; School of Medicine, Flinders University , Bedford Park, SA , Australia.
authors.forename: Susie F C
authors.initials: SF
authors.lastname: Parnham
authors.affiliation: School of Medicine, Flinders University , Bedford Park, SA , Australia ; Department of Renal Medicine, School of Medicine, Flinders University , Bedford Park, SA , Australia.
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Gleadle
authors.affiliation: Department of Cardiovascular Medicine, Flinders Medical Centre , Bedford Park, SA , Australia ; School of Medicine, Flinders University , Bedford Park, SA , Australia.
authors.forename: Carmine G
authors.initials: CG
authors.lastname: De Pasquale
authors.affiliation: Department of Cardiovascular Medicine, Flinders Medical Centre , Bedford Park, SA , Australia ; School of Medicine, Flinders University , Bedford Park, SA , Australia.
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Selvanayagam
keywords: chronic kidney disease; coronary disease; echocardiography; myocardial ischemia; myocardial perfusion imaging