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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
|
pubmed:dateCreated |
1989-10-30
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pubmed:abstractText |
We report the cases of four patients with end-stage renal disease and New York Heart Association class III or IV heart failure of nonischemic origin as documented by coronary angiography. Because of left ventricular dysfunction (left ventricular end-diastolic pressure, 23 to 30 mm Hg; ejection fraction, 20% to 35%), all four patients were initially considered poor surgical candidates for renal transplantation. These same four patients became asymptomatic, however, with markedly improved cardiac function (ejection fraction, 43% to 69%) detected as early as 6 and 14 days after renal engraftment. Therefore, there exists a subset of patients with end-stage renal disease in whom congestive heart failure should not be considered a contraindication to renal transplantation. We conclude that some dialysis-dependent patients who manifest symptomatic heart failure of nonischemic origin have a reversible cardiomyopathy and should not be denied renal transplantation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0003-4819
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
111
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
635-40
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2802418-Adult,
pubmed-meshheading:2802418-Cardiomyopathy, Dilated,
pubmed-meshheading:2802418-Coronary Angiography,
pubmed-meshheading:2802418-Humans,
pubmed-meshheading:2802418-Kidney Failure, Chronic,
pubmed-meshheading:2802418-Kidney Transplantation,
pubmed-meshheading:2802418-Male,
pubmed-meshheading:2802418-Middle Aged,
pubmed-meshheading:2802418-Renal Dialysis,
pubmed-meshheading:2802418-Stroke Volume
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pubmed:year |
1989
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pubmed:articleTitle |
Reversal of left ventricular dysfunction after renal transplantation.
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pubmed:affiliation |
St. Luke's Episcopal Hospital, Houston, Texas.
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pubmed:publicationType |
Journal Article,
Case Reports
|