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Abstract Coronary artery disease is the main cause of mortality and morbidity in patients with impaired renal function. Single photon emission computed tomography (SPECT) and Gated-SPECT (synchronized with ECG) (G-SPECT) radionuclide imaging are non-invasive methods that have improved the diagnosis of cardiomyopathies at the level of microvascular circulation and metabolic-contractile disturbances. There are many risk factors for CAD to happen at CKD patients, CKD is one of the important risk factor for CAD beside the traditional risk factors like DM, hypertension & smoking |