Nicht invasive KHK-Diagnostik bei Niereninsuffizienz

Cardiovascular diseases are the leading cause of death in patients with end-stage renal disease (ESRD). Thus, early identification of coronary artery disease by means of ischemia-testing and non-invasive imaging has the potential to reduce the cardiovascular disease associated morbidity and mortality. The presence of atherosclerotic plaques and increased intima-mediathickness within the extracranial arteries is a surrogate for the presence of coronary heart disease. Exercise ECG has a poor diagnostic accuracy and cannot be recommended for ischemia screening, in particular not for ESRD patients in whom already Kardiologie up2date 8 ê2012 Nicht invasive KHK-Diagnostik bei Niereninsuffizienz 286

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