[Transplantation of patients with cardiovascular risk]

Area of Science:

• Nephrology
• Cardiology
• Transplantation Medicine

Background:

• Increasing prevalence of cardiovascular risk in patients undergoing hemodialysis.
• Hemodialysis patients represent a growing proportion of kidney transplant recipients.
• Cardiovascular disease remains the primary cause of mortality post-kidney transplantation.

Purpose of the Study:

• To highlight the growing trend of transplanting patients with cardiovascular risk.
• To emphasize the need for pre-transplant screening and post-transplant management strategies.
• To address the leading cause of death in kidney transplant recipients.

Main Methods:

• Review of current trends in hemodialysis patient characteristics.
• Analysis of patient survival data in kidney transplant recipients.
• Discussion of cardiovascular risk factors and management in the post-transplant phase.

Main Results:

• Patient survival post-transplantation has improved overall.
• Cardiovascular mortality persists as the leading cause of death.
• Systematic screening and adapted treatment are identified as necessary interventions.

Conclusions:

• Kidney transplantation in patients with cardiovascular risk is becoming more common.
• Proactive cardiovascular risk assessment and management are essential for improving outcomes.
• Tailored immunosuppressive therapy and cautious management of cardiovascular risk factors are recommended post-transplantation.