Diastolic echocardiographic parameters identify pediatric kidney transplant recipients with structural myocardial alterations.

Pediatric kidney transplantation recipients with structural myocardial alterations on cardiovascular magnetic resonance imaging exhibit detectable abnormalities in routine echocardiographic diastolic parameters.

Especially a markedly elevated septal E/e' could identify patients at increased risk for underlying myocardial involvement and justify the use of cardiovascular magnetic resonance imaging in post-transplant follow-up.