Találati lista | Tudóstér

001-es BibID:	BIBFORM061873
Első szerző:	P. Szabó Réka (orvos)
Cím:	Cardiovascular Screening and Management Among Kidney Transplant Candidates in Hungary / Szabó, R. P., Varga, I., Balla, J., Zsom, L., Nemes, B.
Dátum:	2015
ISSN:	0041-1345
Megjegyzések:	Introduction. Cardiovascular disease is a major cause of morbidity and mortality in endstage renal disease patients on dialysis and the most common cause of death in the immediate post-transplantation period. The aim of our study was to describe a novel approach of cardiovascular screening and management of dialysis patients evaluated for the transplant waiting list. Methods. Twenty-eight patients with end-stage renal disease put on the waiting list between July 2013 and July 2014 were subjected to a prespecified cardiovascular screening protocol utilizing noninvasive and/or invasive tests. Patients were subsequently divided into 3 strata in terms of their estimated cardiovascular risk. Each of these groups were then prescribed interventions aiming to improve their cardiovascular condition. Results. According to our prespecified protocol of cardiovascular screening studies, 15 (54%) patients were identified as low, 5 (18%) as intermediate, and 8 (28%) as high risk. Four (14%) patients were current smokers. In the low-risk group, we initiated a patient education program involving counseling on regular exercise such as swimming or cycling to improve their functional capacity. In the high-risk group revascularization was done in 5 cases (63%), including 3 percutaneous transluminal coronary angioplasties (PTCA) with stents for single-vessel disease, and coronary artery bypass graft surgeries (CABG) for triple-vessel disease in 2 cases. In the medium-risk group medical management was opted for, including introduction of beta-blockers, inhibitors, statins, and ezetimibe, as well as efforts to optimize anemia management, indices of bone-mineral disease, and fluid status. Conclusion. In our regional transplant program, we introduced a comprehensive multidisciplinary approach to treat potential transplant candidates according to cardiovascular risk stratification based on a prespecified screening protocol. Further studies are needed to correlate this novel strategy with post-transplantation outcomes.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban vascularis kalcifikáció krónikus veseelégtelenség oxidatív stressz oxidált LDL
Megjelenés:	Transplantation Proceedings 47 : 7 (2015), p. 2192-2195. -
További szerzők:	Varga István (orvos) Balla József (1959-) (belgyógyász, nephrológus) Zsom Lajos (1968-) (belgyógyász, nefrológus) Nemes Balázs Áron (1969-) (sebész)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: