{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:07:53Z","timestamp":1787162873654,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,5,22]],"date-time":"2020-05-22T00:00:00Z","timestamp":1590105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The value of myocardial single\u2010photon emission computed tomography (SPECT) in pre\u2010transplant evaluation of kidney transplant recipients is controversial. We assessed whether myocardial SPECT predicts major adverse cardiac events (MACE) and determined whether SPECT findings affected transplant recipients' medical and invasive treatment. We analyzed 301 patients referred for myocardial SPECT before kidney transplantation and combined the results with information from patient files and the Transplantation Registry. During the median follow\u2010up time of 96\u00a0months (IQR 70.75\u2010118.25\u00a0months), the incidence of MACE was higher in patients (n\u00a0=\u00a037) with severely abnormal SPECT (&gt;10% reversible perfusion defect) than in patients (n\u00a0=\u00a035) with mildly abnormal or normal SPECT (51.4%, 29.4%, and 27.0%, respectively,\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a0.011). Severely abnormal SPECT findings predicted long\u2010term MACE in a univariable analysis but not after adjusting for other risk factors. Following SPECT, 29 patients (9.6%) underwent coronary angiography and 14 (4.6%) were revascularized. New antithrombotic or statin medication was prescribed to 7.3% of patients with ischemia in SPECT. Kidney transplantation patients are at high long\u2010term risk of MACE even with normal preoperative myocardial SPECT. Abnormal SPECT did not predict MACE when adjusted for other risk factors. Minority of the patients underwent coronary revascularization or had changes in preventive medication before transplantation.\n                  <\/jats:p>","DOI":"10.1111\/ctr.13894","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T12:45:11Z","timestamp":1588596311000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The value of myocardial perfusion imaging in screening coronary artery disease before kidney transplantation"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5022-6591","authenticated-orcid":false,"given":"Salla","family":"Helve","sequence":"first","affiliation":[{"name":"Department of Internal Medicine University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuomo","family":"Nieminen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine P\u00e4ij\u00e4t\u2010H\u00e4me Central Hospital Lahti Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkka","family":"Helanter\u00e4","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Liver Surgery University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrik","family":"Finne","sequence":"additional","affiliation":[{"name":"Department of Nephrology University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Rajala","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart and Lung Center Helsinki University and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Sinisalo","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart and Lung Center Helsinki University and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Laine","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Heart and Lung Center Helsinki University and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.83.2.363"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-003-1344-5"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.V71158"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/16.8.1545"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2000.00816.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000047560.51444.3A"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2007.04.045"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000611"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181ff4f61"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2017.07.012"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jex200"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.05351107"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000173652.87417.CA"},{"issue":"2","key":"e_1_2_8_15_1","first-page":"ii1","article-title":"ERBP 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