Pre-operative Evaluation of Kidney & Pancreas Transplant Patients

Although there is an increasing quantity of data demonstrating the value of stress echo in
risk stratifying patients for cardiac risk prior to major non-cardiac surgery, the current
clinical practice utilized for assessing patients being evaluated for kidney or pancreas
transplantation is both a stress echocardiogram and a coronary angiogram. This gap in opinion
appears to be a concern on the part of both nephrologists, endocrinologists, and surgeons
that the stress echocardiogram may miss significant angiographic disease that could result in
major post-operative complications in this high-risk subgroup of patients (unstable angina,
non-fatal infarction, or death).

Inclusion Criteria:

- Patients who are being evaluated for a kidney and or pancreas transplant and scheduled
for a dobutamine stress echocardiogram and a coronary angiogram will be eligible to
participate

Exclusion Criteria:

- Patients with unstable angina at the time of their evaluation, or who have a severe
underlying cardiomyopathy or valve disease will be excluded.