Cardiovascular Disease Burden and Risk Factors Before and After Kidney Transplant

Author(s): Mira T. Keddis, Gauri Bhutani, Ziad M. El-Zoghby.

Journal Name:Cardiovascular & Hematological Disorders-Drug Targets

Volume 14 , Issue 3 , 2014

Abstract:

Cardiovascular (CV) disease is the most common cause of mortality among kidney transplant candidates on the waiting-list and after kidney transplantation. The mechanisms of cardiovascular disease burden after transplant are multifactorial and the risk is largely determined by pre-transplant factors including CV disease and dialysis duration. Current pre-transplant cardiac evaluation protocols have proven to be inconsistent in predicting adverse cardiovascular outcome post-transplant. However, multiple biomarkers have been recognized as predictors of all-cause mortality and cardiovascular events including graft function, hemoglobin, homocysteine, C - reactive protein among others. Of these, elevation in the biomarker cardiac troponin T appears to be a significant predictor of cardiovascular events and mortality among wait-listed kidney transplant candidates and after transplantation. The relationship between CV risk reduction, normalization of cardiac troponin T levels and restoration of renal function after kidney transplant is complex but opens opportunities for the use of cardiac troponin T and other cardiovascular biomarkers as important endpoints of clinical interventions in kidney transplant recipients.

Keywords: Cardiovascular disease, kidney transplant, risk factors.

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Article Details

VOLUME: 14
ISSUE: 3
Year: 2014
Page: [185 - 194]
Pages: 10
DOI: 10.2174/1871529X14666140401112654
Price: $58