A5065875076- Hemodynamic Monitoring and Therapy
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Imaging and Diagnostics
- Aortic Disease and Treatment Approaches
- Cardiac tumors and thrombi
- Chemotherapy-induced cardiotoxicity and mitigation
- Viral Infections and Immunology Research
- Acute Ischemic Stroke Management
- Cardiac Valve Diseases and Treatments
- Sepsis Diagnosis and Treatment
- Cardiomyopathy and Myosin Studies
- Renal and Vascular Pathologies
- Trypanosoma species research and implications
- Adrenal and Paraganglionic Tumors
- Cardiac Structural Anomalies and Repair
- Cancer Treatment and Pharmacology
- Aortic Thrombus and Embolism
- Peripheral Artery Disease Management
- Fatty Acid Research and Health
- Infectious Diseases and Tuberculosis
- Cardiac Health and Mental Health
- Synthesis of Tetrazole Derivatives
- Congenital Heart Disease Studies
- Vasculitis and related conditions
Virginia Commonwealth University
2020-2024
Mary Washington Hospital
2024
Hunter Holmes McGuire VA Medical Center
2023
University Health System
2023
Children's Hospital of Richmond at VCU
2022
Vidant Medical Center
2018-2019
East Carolina University
2018-2019
Immune checkpoint inhibitor (ICI)-related cardiotoxicity (iRC) is uncommon but can be fatal. There have been few reports of iRC from a rural cancer population and data for inflammatory biomarkers. The purpose this study was to characterize major adverse cardiac events (MACE) in ICI-treated lung patients based setting assess the utility C-reactive protein (CRP) neutrophil-lymphocyte ratio (NLR) diagnosis iRC. Patients with treated ICIs at Vidant Medical Center/East Carolina University...
To determine if non-invasive oxygenation indices, namely peripheral capillary oxygen saturation (SpO2)/fraction of inspired (FiO2) and partial pressure alveolar (PAO2)/FiO2 may be used as effective surrogates for the arterial (PaO2)/FiO2. Also, to SpO2/FiO2 PAO2/FiO2 values that correspond PaO2/FiO2 thresholds identifying acute respiratory distress syndrome (ARDS) in patients following coronary artery bypass graft (CABG) surgery. A prospective derivation-validation cohort study Open-Heart...
Routine preprocedural fasting before cardiac catheterization remains common practice, despite a lack of robust evidence to support this practice. We investigated the impact liberal nonfasting strategy vs standardized nil per os (NPO) regimen prior catheterization. Adult inpatients undergoing elective or urgent were randomized (1:1 ratio) either NPO past midnight ad libitum intake liquids and solids (without dietary constraints) until immediately procedure. Only patients at high risk...
Abstract Introduction Certain patent foramen ovale (PFO) characteristics, such as a large right‐to‐left shunt (RLS) or atrial septal aneurysm, identify patients who may receive the highest clinical benefit from percutaneous PFO closure. This study aimed to compare intracardiac echocardiography (ICE) with standard echocardiographic imaging in evaluation of high‐risk characteristics and RLS severity PFO‐associated stroke. Methods We conducted retrospective review all aged ≥18 years underwent...
•LV thrombus can result in systemic embolization and ischemic stroke.•Oral VKA therapy for ≥3 months is the recommended treatment of choice.•The role DOAC LV limited to case reports.•Surgical thrombectomy should be considered patients with large mobile thrombi.
A 53-year-old man was admitted for recurrent syncope and found to have complete heart block (CHB). Cardiac magnetic resonance imaging MRI) showed extensive patchy late gadolinium enhancement in the apical lateral walls, consistent with cardiac sarcoidosis (CS) but no scar septum. fluorodeoxyglucose (FDG)–positron emission tomography FDG uptake septum basal walls. Imaging suggested active inflammation affecting atrioventricular (AV) conduction irreversible fibrosis. Diagnosis of isolated CS...
Due to increased morbidity and mortality, prosthetic valve infective endocarditis (IE) with dehiscence requires urgent intervention. Early identification therapy may prevent embolization.A 27-year-old Caucasian woman a history of hepatitis C, intravenous drug abuse, tricuspid (TV) replacement was admitted for recurrent IE. She found have bacteraemia fungaemia, empiric antibiotics were initiated. Transthoracic echocardiogram (TTE) revealed mobile 'mass' on the TV dehiscence. The patient...
Introduction: Although Chagas disease affects over 300,000 residents in the US, donor-derived Trypanosoma cruzi transmission is an uncommon complication after heart transplantation. We present a case of post-transplant cardiomyopathy. Results: A 68 year old male with history failure reduced ejection fraction secondary to ischemic cardiomyopathy, status post HeartMate III and subsequent orthotopic transplantation from Hispanic donor, initially presented four months transplant for routine...
Introduction: Electrocardiogram (ECG) is an integral component of cardiovascular assessment in patients evaluated for liver transplant (LT). However, despite its centrality, there paucity data linking ECG interval and rhythm to peri-LT events. Methods: In this retrospective study, the all receiving LT at our institution between 2010-2018 (n=651) were reviewed independently by two cardiologists blinded clinical according Minnesota classification. Primary outcome included cardiac arrest,...