Performance versus Risk Factor-Based Approaches to Coronary Artery Disease Screening in Waitlisted Kidney Transplant Candidates.

ABSTRACT:

Introduction

Current screening algorithms for coronary artery disease (CAD) before kidney transplantation result in many tests but few interventions.

Objective

The aim of this study was to study the utility of 6-minute walk test (6MWT), an office-based test of cardiorespiratory fitness, for risk stratification in this setting.

Methods

We enrolled 360 patients who are near the top of the kidney transplant waitlist at our institution. All patients underwent CAD evaluation irrespective of 6MWT results. We examined the association between 6MWT and time to CAD-related events (defined as cardiac death, revascularization, nonfatal myocardial infarction, and removal from the waitlist for CAD), treating noncardiac death and waitlist removal for non-CAD reasons as competing eve

SUBMITTER: Cheng XS 

PROVIDER: S-EPMC8238860 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature