Transplant Cardiac Assessment — ESENeph MCQ

Correct answer: E — Use clinical risk and function to select cardiac assessment

The best answer is “Use clinical risk and function to select cardiac assessment”. KDIGO supports risk-based evaluation rather than one universal test. High-risk asymptomatic candidates may need non-invasive ischaemia assessment and cardiology input, while screening limitations are recognized. “Use invasive angiography when symptoms or screening results warrant it” is less appropriate because routine universal invasive testing is not recommended “Use cardiovascular assessment despite absence of current cardiac symptoms” is less appropriate because high-risk candidates can have occult disease “Assess diabetes-related surgical and cardiovascular risk before candidacy decisions” is less appropriate because diabetes raises risk but is not a universal contraindication “Use chest imaging as one component of pre-transplant assessment” is less appropriate because it does not assess inducible ischaemia or ventricular function adequately

Reference: KDIGO transplant-candidate guideline: https://kdigo.org/guidelines/transplant-candidate/