Chronic renal disease is responsible for various cardiac complications. After renal transplantation many of these complications improve. However the extent to which cardiac failure is reversible post transplant is not known. We report two cases of end stage renal disease (ESRD) and severe heart failure characterized by left ventricular ejection fraction (LVEF) less than 20%. Three months after kidney transplantation, the LVEF rose to more than 50%. Successful renal transplantation can significantly improve cardiac function compromised as a result of ESRD.
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References
1.
LevinAFoleyRN. Cardiovascular disease in chronic renal insufficiency. Am J Kidney Dis2000;36(6 Suppl 3):S24–30.
2.
FerreiraSRMoisesVATavaresAPacheco-SilvaA. Cardiovascular effects of successful renal transplantation: A 1-year sequential study of left ventricular morphology and function, and 24-hour blood pressure profile. Transplantation2002;74:1580–7.
3.
LeveyAS. Controlling the epidemic of cardiovascular disease in chronic renal disease: Where do we start?Am J Kidney Dis1998;32(5 Suppl 3):S5–13.
4.
KoboriGMoroiSYoshidaHYamamotoSKamotoTOkunoH. Marked improvement of cardiac function following renal transplantation: A case report. Hinyokika Kiyo2003;49:17–9.
5.
RigattoCFoleyRNKentGMGuttmannRParfreyPS. Long-term changes in left ventricular hypertrophy after renal transplantation. Transplantation2000;70:570–5.
6.
StraumannEMeyerBMisteliMBlumbergAJenzerHR. Aortic and mitral valve disease in patients with end stage renal failure on long-term haemodialysis. Br Heart J1992;67:236–9.
7.
HarnettJDFoleyRNKentGMBarrePEMurrayDParfreyPS. Congestive heart failure in dialysis patients: Prevalence, incidence, prognosis and risk factors. Kidney Int1995;47:884–90.
8.
FlemingSJCaplinJLBanimSOBakerLR. Improved cardiac function after renal transplantation. Postgrad Med J1985;61:525–8.
