Figure 1213

Congestive heart failure (CHF). Myocardial performance has been shown to improve in some patients after renal transplantation. Thus, a low ejection fraction alone does not automatically exclude patients from transplantation. In contrast, patients with severe irreversible myocardial disease may not be good candidates for transplantation. Occasionally, patients may be candidates for simultaneous heart and kidney transplantation. (From Kasiske and coworkers [1]; with permission.)

History of stroke or TIA?

Evaluation of CVD in recipients Yes

Carotid bruit?

High-risk ADPKD patient?

Large intracranial aneurysm on g?

imaging

Recent symptoms?

Recent symptoms?

Consider carotid

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