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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2002 June;54(2):51-63

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: English

Cardiovascular risk reduction in renal transplantation. Strategies for success

Kiberd B. A.

From the Department of Medicine, Dalhousie University - Halifax, Nova Scotia, Canada


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One of the ­aims of trans­plan­ta­tion is to ­restore the poten­tial for a ­full ­life to indi­vid­u­als ­with ­ESRD. To ­obtain ­this strat­e­gies ­that ­allow bet­ter and long­er allo­graft func­tion and a reduc­tion in ­adverse ­events ­that ­lead to pre­ma­ture ­death are ­required. To ­this end, the rec­om­men­da­tions below showed ­reduce car­di­o­vas­cu­lar dis­ease and ­help ­present and ­future trans­plant recip­ients ­live a ­full ­life. Focus­ing on tra­di­tion­al ­risk fac­tors (hyper­ten­sion, hyper­lip­i­de­mia, dis­con­tin­u­a­tion of smok­ing, and pre­ven­tion and treat­ment of dia­betes mel­lit­us) in ­patients at ­risk and striv­ing for the rec­om­mend­ed tar­gets ­will ­have the great­est clin­i­cal ben­e­fit. ­These strat­e­gies ­should ­begin in the pre-dial­y­sis and dial­y­sis phas­es in ­order to ­reduce the cumu­la­tive bur­den of dis­ease. Fail­ing ­this, ear­ly and hope­ful­ly pre-emp­tive trans­plan­ta­tion ­should be the ­goal.

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