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Original Article



Assessment of Short-term, Within Hospital Cardiovascular Complications After Renal Transplantation in Baqiyatallah Hospital

Mohsen Sadeghi Ghahrodi, Behzad Einollahi, Amir Baharvand, Mohammad Javanbakht.




Abstract

Introduction: Several studies have looked at cardiac complications in patients with end-stage renal disease (ESRD) after renal transplantation, but more attention has been paid to the long-term cardiovascular complications. Aim: The present study was designed to investigate the short-term cardiovascular complications of intrahospital hospitalization in post-renal transplant patients and related factors. Methods: In this retrospective cohort study, the medical records of all renal transplant patients in Baqiyatallah Hospital between 2015 and 2018 during the post-transplantation phase were investigated. Demographic data, transplantation type, cardiac risk factors, pre-operation cardiac consultation and para-clinical tests results were extracted from the patients’ records. The frequency and factors influencing the need for re-visitation as well as its final diagnosis were analyzed. Results: A total of 982 patients with a mean age of 13.73 ± 45.33 years were studied (62.6% males). In 39.8% of patients, cardiology re-visitation was required; of these 391 visits, only 162 patients (41.4%) had heart problems. In multivariate analysis, patients’ need for cardiac reconsideration was predicted by 7 variables; age, diabetes, history of CABG, ECG, echocardiography, angiography, and myocardial perfusion scan (R2 = 0.652, P

Key words: Kidney transplantation, Cardiac risk assessment, Electrocardiography, Echocardiography, Coronary Angiography, Stress Test.






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