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Research Letter
May 13, 2019

Center-Related Variation in Cardiac Stress Testing in the 18 Months Prior to Renal Transplantation

Author Affiliations
  • 1Cardiovascular Division, Washington University in St Louis, St Louis, Missouri
  • 2Division of Infectious Diseases, Washington University in St Louis, St Louis, Missouri
  • 3Division of Nephrology, Washington University in St Louis, St Louis, Missouri
JAMA Intern Med. 2019;179(8):1135-1136. doi:10.1001/jamainternmed.2019.0423

Approximately 40% of patients with end stage renal disease (ESRD) have ischemic heart disease.1 Given this high prevalence, many renal transplant centers assess patients for ischemic heart disease in the pretransplant evaluation. Once accepted as a transplant candidate and placed on the waiting list, there is little guidance regarding subsequent stress testing in asymptomatic individuals. We examined the predictors of and variation in stress testing in the 18 months prior to renal transplantation.

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