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. 2025 May-Jun;77(3):204-212.
doi: 10.1016/j.ihj.2025.03.012. Epub 2025 Mar 25.

Cardiac evaluation in patients awaiting kidney transplant-position statement of the Cardiological Society of India and Indian Society of Nephrology

Ajay Bahl  1 , Narayan Prasad  2 , Dhurjati Prasad Sinha  3 , Kajal Ganguly  4 , Sandipta Roy  4 , Debabrata Roy  5 , Sumit Rakshit  5 , Dilip Kumar  6 , Saurav Das  6 , Dinkar Bhasin  7 , Sree Bhushan Raju  8 , Mayuri Trivedi  9 , Manish Rathi  10 , Sanjeev Gulati  11 , Sourabh Agstam  12 , Vinant Bhargava  13 , Anil Kumar Bhalla  13 , Shyam Bihari Bansal  14 , Santosh Varughese  15 , Manas Ranjan Patel  2 , Rakesh Yadav  12 , Nitish Naik  12 , Vijay Harikisan Bang  16 , Dipankar Ghosh Dastidar  17 , Partha Sarathi Banerjee  18
Affiliations

Cardiac evaluation in patients awaiting kidney transplant-position statement of the Cardiological Society of India and Indian Society of Nephrology

Ajay Bahl et al. Indian Heart J. 2025 May-Jun.

Abstract

Cardiovascular diseases are a major cause of death after kidney transplantation. This statement addresses preoperative cardiac decision-making and management with the aim of assessing and reducing the risk of the kidney transplant surgery. Important issues from a clinician's perspective include the basic cardiovascular workup of these patients, coronary evaluation and management of coronary artery disease, valvular heart disease and left ventricular systolic dysfunction. Recovery left ventricular function after kidney transplant is discussed. In addition, the use of cardiovascular drugs in patients with special emphasis on antiplatelets and anticoagulants in patients planned for kidney transplant is also discussed.

Keywords: Coronary artery disease; End stage kidney disease; Kidney transplant; Valvular heart disease.

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Conflict of interest statement

Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Rakesh Yadav- Editor, Indian Heart Journal Dipankar Ghosh Dastidar- Associate Editor, Indian Heart Journal If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Surgery/intervention of severe aortic stenosis in ESKD patients planned for kidney transplant.
Fig. 2
Fig. 2
Options for surgical aortic valve replacement in ESKD patients planned for kidney transplant.
See this image and copyright information in PMC

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