A5113583487- Cardiovascular Effects of Exercise
- Cardiac Imaging and Diagnostics
- Cardiovascular and Diving-Related Complications
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Radiation Dose and Imaging
- Vasculitis and related conditions
- Pericarditis and Cardiac Tamponade
- Cardiac tumors and thrombi
- Infective Endocarditis Diagnosis and Management
- Advanced X-ray and CT Imaging
- Renal and Vascular Pathologies
- Medical Imaging and Pathology Studies
- Injury Epidemiology and Prevention
- Parathyroid Disorders and Treatments
- Coronary Artery Anomalies
- Renal Diseases and Glomerulopathies
- Cardiac Arrest and Resuscitation
- Vascular anomalies and interventions
- Trauma Management and Diagnosis
- Cardiovascular Disease and Adiposity
- Aortic Disease and Treatment Approaches
- Restraint-Related Deaths
- Bone health and treatments
- Chronic Obstructive Pulmonary Disease (COPD) Research
Naval Medical Center San Diego
2014-2025
University of California, San Diego
2024-2025
Walter Reed National Military Medical Center
2018
University of California San Diego Medical Center
2012
University Radiology
2012
Dual-energy lateral chest radiography enables creation of images that can demonstrate coronary artery calcium with relatively high accuracy in detection.
The perioperative management of the patient with an anterior mediastinal mass (AMM) is viewed as one more challenging anesthetic endeavors. Diligent preoperative planning essential and often involves imaging studies using multiple modalities, pulmonary function assessment, minimally invasive biopsy for tissue diagnosis prior to arriving in operating room. Anesthetic induction, without major risks most patients, can be catastrophic AMM possible complications that include complete airway...
Abstract Coagulase-negative staphylococci are generally not considered to be very virulent; they an uncommon cause of native valve endocarditis. Staphylococcus lugdunensis is important exception and causes more severe infections, clinically mimicking S. aureus. We present a case direct Gerbode defect associated with infective endocarditis (IE) requiring cardiac surgery. (J Card Surg 2012;27:316-320)
To describe parathyroid computed tomography angiography (PCTA), determine its accuracy, and, as a secondary objective, calculate mean radiation dosimetry.Retrospective chart review of patients who underwent parathyroidectomy for primary hyperparathyroidism from 2007 to 2015.Single-center tertiary care academic military hospital.PCTA is 2-phase imaging technique that uses individualized timing contrast infusion and novel patient positioning accurately identify adenomas. Consecutive 2015 were...
Aortic insufficiency from iatrogenic valve perforation nonaortic operations is rarely reported despite the prevalence of these procedures. Rapid diagnosis defects essential to prevent deterioration cardiac function. In this paper, we describe a young man who our institution after two open surgeries with new aortic regurgitation found be due an his noncoronary cusp. This defect was not appreciated by previous intraoperative transesophageal echocardiography and inadequately visualized on...
Little data exist regarding the association of epicardial adipose tissue (EAT) and cardiovascular disease among HIV-infected persons. Among 213 men, there was a significant between protease inhibitor use increasing EAT volume. significantly associated with coronary artery calcium greater than 100. The elevated risk in men may be partially explained by use.
Heart disease remains the leading cause of death among men and women in world. The majority cardiac morbidity worldwide is secondary to atherosclerotic coronary disease. In this article, we discuss our experience using dual exposure, dual-energy lateral chest x-ray (CXR) technique detect calcium. Similar other reports demonstrating opportunistic detection on imaging studies, here demonstrate added value calcium CXR. This reinforces importance "knowing where look" recognize appearance wherein...
Swimming-induced pulmonary edema (SIPE) is a respiratory condition frequently seen among Naval Special Warfare (NSW) trainees. The incidence of positive panel (RP) findings in trainees with diagnosis SIPE currently unknown.Does significant difference exist the pathogens nasopharyngeal samples NSW candidates and control group?Retrospective analysis clinical information from Sea, Air, Land (SEAL) team over 12-month period. Candidates who demonstrated common signs symptoms underwent swab RP...
ABSTRACT Swimming-induced pulmonary edema (SIPE) is an incompletely understood condition that often seen in U.S. special operations candidates participating maritime qualification training courses. We present a case of two monozygotic twins with the simultaneous onset acute respiratory distress during crucible event assessment and selection course. Subsequent ultrasonography both showed wedge-shaped hyperechoic lines (B-lines) extending from pleural interface into interstitium. Chest...
ABSTRACT Introduction Sternal intraosseous (IO) access has advantages over humeral and tibial for fluid resuscitation in military medical settings due to superior flow rates pharmacokinetics. However, the morphology of young adult manubrial cortical medullary bone as it relates IO catheter tips currently available FDA-approved devices is unclear. Materials Methods Computed tomography manubrium images active duty service members (N = 93) aged 18 30 were assessed by radiologists, including...
ABSTRACT In the last two decades, our military and federal health care facilities have transitioned from traditional X-rays exposing film screen systems, developed much like photographic film, to an entirely digital detection system that affords computer processing of images image report distribution. While providers are well aware practicality these advancements, they may not be improved diagnostic capabilities afforded by new methods. this report, we outline how application physical...
Edwards, Sheldon L. MD, MSc; Baker, Virginia MD; Boswell, Gilbert E. Butts, Melissa S. DO Author Information
Transcatheter aortic valve replacement (TAVR) is a minimally invasive cardiac surgical procedure that has revolutionized the treatment of stenosis. This most common valvular heart condition in developed countries, affecting 3.4% those ages 75 and above. Because there no medical therapy can arrest progression disease, forms cornerstone therapy.Naval Medical Center San Diego VA Healthcare System have unique collaborative TAVR program-a first Department Defense-to offer this revolutionary to...
Edwards, Sheldon L. MD, MSc; Baker, Virginia MD; Boswell, Gilbert E. Butts, Melissa S. DO Author Information
ABSTRACT Anomalous aortic origin of a coronary artery (AAOCA) is rare congenital abnormality associated with myocardial ischemia and sudden cardiac death. We present case 20 year old previously healthy male presenting exertional syncope non-ST elevation infarction. Coronary computed tomography angiography showed an anomalous left main arising from the right cusp slit-like appearance, acute angle origin, intramural course, subsequent inter-arterial course between pulmonary proximal aorta....