“…Instead, the 2012 AHA/ACC scientific statement regarding cardiac evaluation in renal transplantation candidates recommends that the decision to proceed with noninvasive stress testing in patients with no active cardiac conditions should be based on the presence of multiple risk factors for CAD most relevant to the transplantation population, regardless of functional status. These risk factors include diabetes mellitus, prior cardiovascular disease, >1 year on dialysis, left ventricular hypertrophy (LVH), age >60 years, smoking, hypertension, and dyslipidemia 20, 22. Although the specific number of risk factors to proceed with stress testing remains to be determined, the AHA/ACC guidelines suggest the presence of ≥3 risk factors as a reasonable threshold for noninvasive testing 20.…”