A5082418709- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- Cardiac electrophysiology and arrhythmias
- Health Systems, Economic Evaluations, Quality of Life
- Blood Pressure and Hypertension Studies
- COVID-19 diagnosis using AI
- SARS-CoV-2 detection and testing
- Healthcare cost, quality, practices
- Heart Failure Treatment and Management
- Cardiovascular Syncope and Autonomic Disorders
- Electrolyte and hormonal disorders
- Ultrasound in Clinical Applications
- Frailty in Older Adults
- Acute Ischemic Stroke Management
- Acute Myocardial Infarction Research
- Congenital Heart Disease Studies
- Health Policy Implementation Science
- Medication Adherence and Compliance
- Healthcare professionals’ stress and burnout
- Effects and risks of endocrine disrupting chemicals
- Cardiovascular Function and Risk Factors
- Cultural Competency in Health Care
- Infective Endocarditis Diagnosis and Management
- Vitamin D Research Studies
Georgia Arrhythmia Consultants
2019-2024
Mercer University
2019-2024
Navicent Health
2003-2020
Felix Scholarship
2019
Association of Black Cardiologists
2019
University of Massachusetts Chan Medical School
2019
Introduction: Prior studies suggest that right ventricular apical (RVA) pacing has deleterious effects. Whether the outflow tract (RVOT) is a more optimal site for permanent in patients with congestive heart failure (CHF) not been established. Methods and Results: We conducted randomized, cross‐over trial to determine whether quality of life (QOL) better after 3 months RVOT than RVA 103 pacemaker recipients CHF, left (LV) systolic dysfunction (LV ejection fraction ≤ 40%), chronic atrial...
Background: Cardiovascular implantable electronic device (CIED) infection rates are increasing faster than implantation rates. More effective antimicrobial prophylaxis may help reduce CIED infections and improve clinical outcomes. The AIGIS Rx ® antibacterial envelope is a polymer mesh implanted in the generator pocket with CIED. After it releases two antibiotics, minocycline rifampin, that have been shown to associated other medical devices. purpose of this retrospective cohort study...
Oral anticoagulants are the cornerstone of stroke prevention in high-risk patients with atrial fibrillation (AF). Geriatric elements, such as cognitive impairment and frailty, commonly occur these often cited reasons for not prescribing oral anticoagulants. We sought to systematically assess geriatric impairments AF determine whether they were associated anticoagulant prescribing.Cross-sectional analysis baseline data from ongoing Systematic Assessment Elements Atrial Fibrillation (SAGE-AF)...
Etripamil is a fast-acting, intranasally administered calcium-channel blocker in development for on-demand therapy outside health-care setting paroxysmal supraventricular tachycardia. We aimed to evaluate the efficacy and safety of etripamil 70 mg nasal spray using symptom-prompted, repeat-dose regimen acute conversion atrioventricular-nodal-dependent tachycardia sinus rhythm within 30 min. RAPID was multicentre, randomised, placebo-controlled, event-driven trial, conducted at 160 sites North...
Successful anticoagulation is critical for stroke prevention in adults with atrial fibrillation (AF). Anticoagulation satisfaction a key indicator of treatment success. While physical, cognitive, and psychosocial limitations are common elderly AF patients, their associations unknown.Examine whether differs among patients without conditions.The study comprised greater than or equal to 65 years old who were prescribed an oral anticoagulant (warfarin 57%; direct [DOAC] 43%). Frailty, cognitive...
Shortly after the first case of SARS-CoV-2 was diagnosed a public health emergency (PHE) declared and multi-agency response initiated within US federal government to create propagate testing capacity. As part this response, an unprecedented program designated Rapid Acceleration Diagnostics (RADx) Tech established by National Institutes Health (NIH) facilitate development point-of-care tests for COVID-19. The RADx Clinical Studies Core (CSC), located at University Massachusetts Chan Medical...
Background: Geriatric conditions are common among patients with atrial fibrillation (AF) and relate to complications of oral anticoagulation (OAC). Objective: To examine the prevalence geriatric older AF on OAC type conditions. Methods: Participants had a diagnosis AF, were aged ≥65 years, CHA2DS2VASC ≥ 2, no contraindications. completed 6-component assessment that included validated measures frailty (CHS Frailty Scale), cognitive function (MoCA), social support (MOS), depressive symptoms...
Treatment with sacubitril-valsartan reduces mortality and heart failure (HF) events in HF reduced ejection fraction may reduce hospitalization women preserved fraction.EVALUATE-HF randomized 464 participants (109 women) to or enalapril for 12 weeks. Documented left ventricular (LVEF) ≤0.40 within the prior months was required, although core laboratory LVEF>0.40 permitted. Assessments of aortic stiffness (pulse pressure characteristic impedance, Zc) were performed at baseline trough 4 hours...
Permanent cardiac implantable electronic devices (CIEDs) are traditionally implanted with the assistance of fluoroscopy. While clinically effective, this technique exposes both patients and providers to radiation which is associated adverse health effects represents an occupational hazard. In study, we investigate safety feasibility permanent CIED placement under guidance transthoracic echocardiography (TTE). There also increasing interest in use non-fluoroscopic options for noninvasive...
African Americans, other minorities and underserved populations are consistently under- represented in clinical trials. Such underrepresentation results a gap the evidence base, health disparities. The ABC Cardiovascular Implementation Study (CVIS) is comprehensive prospective cohort registry that integrates social determinants of health. CVIS uses real world practice data to address critical gaps care by facilitating robust participation Americans will include diverse patients from...
Cognitive impairment is strongly associated with atrial fibrillation (AF). Rate and rhythm control are the two treatment strategies for AF effect of strategy on risk cognitive decline frailty not well established. We sought to determine how affects geriatric-centered outcomes.
The Multicenter Automatic Defibrillator Implantation Trial II in 2002 recommended implantable cardioverter defibrillators (ICDs) prophylactically for all patients with a prior myocardial infarction and ejection fraction (EF) of 30% or less. In June 2003, the Centers Medicare Medicaid Services approved reimbursement ICD placement an EF less who have QRS interval greater than 120 ms. purpose this study was therefore to determine value duration predicting occurrence ventricular arrhythmias...
Rationale: Brugada syndrome (BrS) is a cardiac ion channel disease that caused by an autosomal dominant genetic abnormality. It frequently seen among young and middle-aged adults of Asian descent rarely in blacks. Patient Concerns: We report extremely rare case 82-year-old male known hypertensive with poor drug compliance, who suffered recurrent palpitations pre-syncope. His electrocardiogram showed unusual right bundle branch block coved ST segment elevation leads V1-V3. Diagnoses: The...
Background: Data from previous studies that examined sex differences in the characteristics, clinical presentation, and management of patients with atrial fibrillation (AF) have been inconsistent. Objective: To use data a large contemporary cohort older AF to examine specific baseline symptoms, practices. Methods: We used interviews review medical records participants Systematic Assessment Geriatric Elements (SAGE-AF) study. Participants were ≥ 65 years old CHA2DS2-VASc≥ 2. Results: Of 1244...