REGULATORY ISSUES AND QUALITY IMPROVEMENT: Edited by Michael L. VolkCardiac evaluation of the kidney or liver transplant candidateLevy, Paul Emilea; Khan, Sadiya S.b; VanWagner, Lisa B.a,c,dAuthor Information aDepartment of Medicine-Division of Gastroenterology and Hepatology bDepartment of Medicine-Division of Cardiology cDepartment of Preventive Medicine dComprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA Correspondence to Lisa B. VanWagner, MD, MSc, FAST, FAHA, Department of Medicine, Division of Gastroenterology & Hepatology, Northwestern University Feinberg School of Medicine, 676 N. St Clair St - Suite 1400, Chicago, IL 60611, USA. Tel: +1 630 695 1632; fax: +1 312 695 3999; e-mail: [email protected] Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.co-transplantation.com). Current Opinion in Organ Transplantation: February 2021 - Volume 26 - Issue 1 - p 77-84 doi: 10.1097/MOT.0000000000000838 Buy SDC Metrics Abstract Purpose of review As the field of transplant has advanced, cardiac events have become the leading cause of morbidity and mortality after liver and kidney transplantation ahead of graft failure and infection. This trend has been bolstered by the transplantation of older and sicker patients who have a higher burden of cardiovascular risk factors, accentuating the need to determine which patients should undergo more extensive cardiac evaluation prior to transplantation. Recent findings Computed tomography coronary angiography with or without coronary artery calcium scoring is now preferred over stress imaging in most transplant candidates for assessment of coronary artery disease. Assessment of cardiac structure and function using transthoracic echocardiography with tissue doppler imaging and strain imaging is recommended, particularly in liver transplant candidates who are at high risk of cirrhotic cardiomyopathy, for which new diagnostic criteria were recently published in 2019. Summary Cardiac evaluation of liver and kidney transplant candidates requires a global assessment for both short and long-term risk for cardiac events. Imaging of cardiac structure and function using transthoracic echocardiography with tissue doppler imaging and strain imaging is recommended. Risk stratification should consider both the anatomic and functional consequences of coronary artery disease in transplant candidates. http://links.lww.com/MOT/A27 Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.