Department of Cardiovascular Medicine, Flinders Medical Centre , Bedford Park, SA , Australia ; School of Medicine, Flinders University , Bedford Park, SA , Australia.
School of Medicine, Flinders University , Bedford Park, SA , Australia ; Department of Renal Medicine, School of Medicine, Flinders University , Bedford Park, SA , Australia.
Front Cardiovasc Med. 2014 Dec 19;1:13. doi: 10.3389/fcvm.2014.00013. eCollection 2014.
Coronary artery disease is the leading cause of mortality and morbidity in the chronic kidney disease (CKD) population and often presents with atypical symptoms. Current diagnostic investigations of myocardial ischemia in CKD lack sensitivity and specificity or may have adverse effects. We present a case vignette and explore the challenges of diagnostic myocardial stress investigation in patients with CKD.
冠状动脉疾病是慢性肾脏病(CKD)患者死亡和发病的主要原因,且常表现为非典型症状。目前,用于诊断 CKD 患者心肌缺血的检查方法缺乏敏感性和特异性,或者可能具有不良反应。我们呈现了一个病例,并探讨了 CKD 患者进行诊断性心肌应激检查的挑战。