Complications Posters

Monday July 02, 2018 from 16:30 to 17:30

Room: Hall 10 - Exhibition

P.357 The assessment of cardiovascular risk in renal transplant recipients

Zbigniew Heleniak, Poland

associate professor
Department of Nephrology, Transplantology and Internal Medicine
Medical University of Gdansk

Abstract

The Assessment of Cardiovascular Risk in Renal Transplant Recipients

Zbigniew Heleniak1, Karolina Komorowska-Jagielska1, Alicja Dębska-Ślizień1.

1Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland

Introduction: The cardiovascular diseases are the most common cause of death in patients with chronic kidney disease (CKD), including patients after kidney transplantation.
Aim: The retrospective analysis of cardiovascular (CV) risk in renal transplant recipients (RTRs).
Methods: The analysis of CV risk was made based on scales: QRISK (assessment of development CV disease), Pol-SCORE (assessment of CV death) during 10 years.
Material: 100 RTRs, (M-65/F-35), transplanted in 2007-2009,  in the average age 48.4 years were enrolled to the study.Coronary heart disease and diabetes were diagnosed in 7% and 15% of participants, respectively. Coronarography was performed in 38% of patients. Hypertension was diagnosed in 98% of participants, 6% and 2% of them  experienced myocardial infarction and stroke, respectively.
Results: The highest risk of the CV endpoint according to the QRISK and Pol-SCORE scales was in 41%, and 41% patients, respectively. After 5 years of follow up  total of 13 CV events (myocardial infarction, stroke) in 11 patients were observed. Among these patients, the highest risk of endpoint according to QRISK and Pol-SCORE scales was in 36% and 45%  of patients, respectively.
Conclusions: 1. In 41% of RTRs a significant risk of CV endpoint according to QRISK and Pol-SCORE scales were assessed.2. After 5 years of follow up in RTRs, CV events occurred in 11% of patients. 3. The Pol-SCORE scale seem to be more useful tool for assessment of CV risk in RTRs in Poland.



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