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Currently, kidney transplantation is the only treatment that offers survival advantage over other forms of renal replacement therapy.However, it is unclear whether such benefit applies to patients with poor cardiovascular reserve.This means messages posted to our site may also appear in search engine results for some time after they have been deleted from our system.We can't get individual entries removed from a search engine's index, although they will normally disappear over time.These patients had a lower AT at study entry than those who had not yet received a transplant (mean ± SD 37.1%±8.7% versus 40.4%±10.5% predicted peak VO Baseline descriptive characteristics of the study cohort categorized to groups of survivors and nonsurvivors are presented in Table 1.Both groups were of similar age, sex, and body mass index (BMI).Relative to the group who survived, the nonsurvivors had a significantly greater history of previous cardiovascular disease (CVD) (=0.01).However, there were no significant differences in the prevalence of other major risk factors such as diabetes, CKD duration, dyslipidemia, and hypertension between the groups.
Furthermore, we hypothesized that survival in patients with poor cardiovascular reserve was better among those who received a kidney transplant compared with those who were still waiting for a transplant.
Low serum albumin (=0.01) were more prevalent among those who died compared with the survivors.
Chronic atrial fibrillation was present in only three patients (1.3%).
However, such an evaluation is limited due to its subjectivity and its inability to provide any information on cardiovascular reserve, thereby failing to accurately estimate response capacity to physiologic stress of exercise.
On the contrary, quantification of cardiovascular reserve through graded exercise has been shown to be powerful given its unique ability to predict the capacity to survive pathologic stresses in various chronic conditions such as heart failure and chronic lung disease Despite the increasing recognition that patients with CKD carry excess and complex cardiovascular burdens of premature arterial calcification, endothelial dysfunction, increased left ventricular mass, and myocardial fibrosis, it remains unknown whether AT has a similar prognostic capability among this population.