Cardiovascular disease is the commonest cause of death in Renal Transplant patients. It is, also, the leading cause of death in Dialysis patients.
Selection and screening transplant patient candidates with cardiovascular disease, and treating them before transplantation is of paramount importance.
High-risk patients for cardiovascular disease include diabetics, hypertensive, and with previous history of chest pain or ischemic heart disease. But what about diabetics over the age of forty and completely asymptomatics? This is an enigma and controversial. Whether to go for the golden standard, invasive angiogram or just non-invasive tests. This is what I am going to discuss based on the evidence available today.