TITLE:
Noninvasive Cardiac Testing—A New Routine in Evaluation of Renal Transplant Candidates
AUTHORS:
Marina Moguilevitch, Ellise Delphin
KEYWORDS:
Kidney Transplant, Cardiac Workup, Critical Mitral Stenosis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.3 No.4,
April
16,
2014
ABSTRACT: We
report a case of a young kidney transplant candidate presented with severe and
clinically completely asymptomatic mitral stenosis. The bedside Echocardiogram
was helpful to establish the diagnosis. The surgery had to be postponed and the
patient was referred to a cardiologist for the further workup. This case report
provides solid evidence that the renal transplant candidates are a very unique
group of patients with specific disease development course. Their preoperative
workup cannot be based on widely used guidelines from American College of
Cardiology and American Heart Association that are relying on clinical symptoms
and presentation of cardiac disease. All physicians who are involved in the
care of these patients and making decisions about their candidacy for the
transplantation should take into account severity and very often asymptomatic
presentation of the cardiovascular complications of the end stage renal
disease. This case provides a good example of the importance of the
multispecialty involvement and coordination in perioperative care for
prospective kidney transplant candidates.