age greater than 18 years

active on the deceased donor transplant waiting list

patients not expected to require further screening for cad prior to transplantation by the current standard of care. for example, a diabetic patient recently screened for cad and expected to be transplanted <12 months from the start of the study would not require further screening according to current guidelines and would be ineligible

patients with signs or symptoms suggestive of active cardiac disease such as unstable coronary syndromes, de-compensated heart failure, uncontrolled arrhythmia, and severe valvular heart disease

patient who have been put "on hold" for transplantation due to a medical problem (e.g. an infection)

prior extra-renal transplant recipients

multi-organ transplant candidates (e.g. kidney pancreas transplant candidates)

patients with a planned living donor transplant

patients unable to provide informed consent