The patients followed a structured rehabilitation programme, that included 3 daily sessions on 6 days/week of respiratory exercises, aerobic training, callisthenic exercises, as well as psychological and dietary support. Methods: In the period Sept 2007 - Sept 2011, 308 pts (mean age 64,0в‘2,3 years male 77,6%) were consecutively admitted to an intensive, in-hospital, CR program, shortly after (16,9в™,9 days from event) an acute coronary syndrome (ST elevation 57%). Little is known about CR feasibility and safety in the early phase post MI (<30 days). begin relatively late after an acute event. Nevertheless its use is still rather scant in Italy and in Europe moreover, most of the structured exercise based CR programs. Read moreД«ackground: A large body of evidence shows that exercise-based cardiac rehabilitation (CR) after an acute myocardial infarction (MI) plays an important beneficial role in modifying morbidity and mortality and nowadays itвЂ™s recommended by all international guidelines. Autopsy series, arteriography studies, and review of populations of patients in end-stage renal disease programs all suggest that ischemic renal disease has a high and increasing prevalence in our aging population. Prevalence of ischemic renal disease secondary to atherosclerosis can be estimated from the incidence of atherosclerotic renal artery lesions leading to renal vascular hypertension and the natural history of these lesions. hypertension particularly with angiotensin-converting enzyme inhibitors progressive azotemia in a patient with known renal vascular hypertension treated medically and unexplained progressive azotemia in an elderly patient with refractory hypertension and other evidence of atherosclerotic disease.

The three major clinical settings in which one must suspect ischemic renal disease include acute renal failure precipitated by the treatment of. The most common etiology for this is atherosclerotic renal artery disease.

Ischemic renal disease is defined as a clinically significant reduction in glomerular filtration rate in patients with hemodynamically significant renal artery stenosis. Atherosclerotic risk factors or even the presence of symptoms were not related with abnormal images.

In this study, an abnormal G-SPECT MPI study was found in 27.7% of ESRF patients and it was mainly related with ECG findings (rest heart rate, QRS width and an ECG suggestive of ischemia). Patients age (OR=1.0 CI 0.9вЂ“1.0 p = 0.7) and male gender (OR=1.3 CI 0.5вЂ“3.6 p = 0.6), presence of risk factors, namely, diabetes (OR=1.5 CI 0.7вЂ“3.6 p = 0.3) or hypertension (OR=0.5 CI 0.2вЂ“1.2 p = 0.1), or the presence of angina (OR=1.4 CI 0.4вЂ“4.9 p = 0.6) were not predictors of an abnormal perfusion and / or left ventricular dysfunction. Using logistic regression analysis it was found that the predictors LV dysfunction and / or abnormal perfusion imaging were the rest heart rate, (OR=1.1 CI 0.0вЂ“1.1 p = 0.007), the QRS width (OR=1.0 CI 1.0вЂ“1.1 p = 0.003) and an ECG suggestive of ischemia (OR=2.6 CI 1.0вЂ“6.4 p = 0.04). Perfusion was abnormal in 22.3%, LVEF was в‰¤ 45% in 13.4% and one or both features in 27.7%. The aim of this study was to find the prevalence and the predictors of left ventricular dysfunction (LVEF under 45%) and / or an abnormal myocardial perfusion in patients referred for G-SPECT MPI with ESRF before renal transplantation.ДЎ12 consecutive patients with ESRF and without known CAD were included. Gated-SPECT myocardial perfusion imaging (G-SPECT MPI) could be used for this evaluation. Patients with end-stage renal failure (ESRF) are high risk patients for cardiovascular events and are usually evaluated in what concerns myocardial left ventricular ejection fraction (LVEF) and myocardial perfusion before renal transplant.

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