- Cardiovascular Health and Risk Factors
- Liver Disease Diagnosis and Treatment
- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Venous Thromboembolism Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Aortic Disease and Treatment Approaches
- Pericarditis and Cardiac Tamponade
- Obesity, Physical Activity, Diet
- Abdominal vascular conditions and treatments
- Hormonal Regulation and Hypertension
- COVID-19 Clinical Research Studies
- Vascular Procedures and Complications
- Infectious Aortic and Vascular Conditions
- Vitamin K Research Studies
- Oropharyngeal Anatomy and Pathologies
- Cardiac electrophysiology and arrhythmias
- Biliary and Gastrointestinal Fistulas
- Magnesium in Health and Disease
- ECG Monitoring and Analysis
- Coronary Artery Anomalies
- Mechanical Circulatory Support Devices
- Cardiovascular Effects of Exercise
- Gallbladder and Bile Duct Disorders
- Electrolyte and hormonal disorders
University of Kansas Medical Center
2024-2025
University of Kansas
2017-2024
Heartland Research Associates
2024
California State University, Fresno
2024
University of California, San Francisco
2024
Ascension Via Christi
2024
Wichita State University
2017-2022
Wichita Clinic
2020
West Virginia University
2017
Via Christi Hospital
2017
This cohort study examines the incidence and outcomes of pulmonary embolism as well anticoagulant use among patients with end-stage kidney disease initiating dialysis.
Non-invasive cardiac monitoring has well-established indications and protocols. Telemetry is often overused leading to a shortage of tele-beds an increment hospital expenses. In some cases, patients are kept on telemetry longer than the indicated length because providers unaware its ongoing use. We investigated effect reminder pop-ups, incorporated into electronic medical record (EMR), minimizing use telemetry. Three regional hospitals implemented pop-up for discontinuing when no indicated....
Critical mitral valve stenosis due to a failed bioprosthetic is associated with significant morbidity and mortality, the transcatheter Valve-in-Valve (ViV) approach becoming popular treatment option. We present case of cardiogenic shock secondary stenotic bio-prosthetic valve. The Heart team was consulted; patient high-risk surgical candidate for replacement. He required venoarterial extracorporeal membrane oxygenation as bridge definitive therapy. underwent successful urgent ViV procedure...
Spontaneous adrenal hemorrhage (SAH) is a serious medical condition associated with variable clinical presentation depending on the extent of hemorrhage. Pregnancy-induced poorly understood. A low cortisol level in peripartum period radiological findings sufficient to establish diagnosis. Prompt hormone replacement and supportive care ensure good outcomes crucial. Due potentially life-threatening complications, physicians should have high suspicion for when they evaluate patients...
Selenium-associated cardiomyopathy is a rare but potentially fatal condition that has previously been described in the literature. Once identified, may be reversible via supplementation. Gastrointestinal operations, especially bariatric and bowel resection, are increasingly associated with multiple deficiencies, including deficiency of micronutrient selenium (Se). This case report presents patient Se-deficient whose improved due to Se replacement.
Spontaneous coronary artery dissection (SCAD) is an emerging and rare cause of acute syndrome sudden cardiac death. While it was previously reported among young females with fibromuscular dysplasia, new literature indicates that this condition could occur in older populations. Polyarteritis nodosa (PAN) causes systemic necrotizing vasculitis which typically affects small to medium-sized muscular arteries affect the arteries. A few case reports PAN causing disease have been literature. We...
Pulmonary edema is a common cause of dyspnea and leading reason for inpatient admission. results from accumulation fluid or proteins in the alveoli, resulting ventilation perfusion mismatch, hence shortness breath.1 The principal mechanisms underlying formation pulmonary are transudation protein poor into interstitial alveolar spaces, as happens cardiogenic edema; increased permeability endothelium non-cardiogenic causes such acute respiratory distress syndrome (ARDS).1–3 Pulmonary...
Primary aortoenteric fistula is a rare cause of upper gastrointestinal bleed but can lead to significant mortality if the diagnosis delayed. Aortitis, characterized by inflammation aortic wall, fistula. We present case report 72-year-old male patient with infectious secondary Streptococcus parasanguinis , along review literature. This demonstrates importance early and aggressive surgical treatment fistulae recognizing aortitis as potential etiology.
Protocols exist on how to manage STEMI patients, with well-established timelines. There are times when patients present chest pain, ST segment elevation, and biomarker elevation that not due coronary artery disease. These conditions usually normal angiography. We a case was clinically indistinguishable from diagnosed focal myopericarditis cardiac MRI.
Background: The use of electronic cigarettes (e-cigarettes) is on the rise in US. It increased adults aged 25-44 years from 2.4% 2012 to 4.2% 2016 and 2% 2.8% between ages 55 64 over same period. Among youth, increase was 900% 2011 2015. Much remains be known about health effects e-cigarette use, but epidemiologic studies suggest an independent association cardiovascular disease. There a need for data social demographic factors that are predictive with disease (CVD), identify appropriate...
Introduction: Hepatic encephalopathy (HE) is a significant cause of morbidity in decompensated cirrhotic patients due to the systemic accumulation gut-derived neurotoxins leading abnormal neurotransmission with alteration glutaminergic inputs culminating decreased excitatory transmission. However, diagnosis large portosystemic shunts often delayed, and historically, orthotopic liver transplantation (OLT) has been only option for medically refractory HE. We describe unique case HE because...
Introduction: There is limited data describing the cardiovascular outcomes in patients with coronavirus 2019 (COVID-19) and chronic kidney disease (CKD). This study aims to investigate impact of CKD on hospitalized COVID-19. Goals: To assess mortality, readmission, other in-hospital COVID-19 without CKD. Methods: Patients >18 years a diagnosis were identified 2020 National Readmissions Database. 3, 4 5 subsequently using relevant ICD-10 codes. Nearest propensity score matching was...
Introduction: End Stage Kidney Disease (ESKD) patients are at a higher risk of morbidity and mortality from cardiovascular diseases, particularly coronary artery disease (CAD). There is paucity sex related differences in percutaneous intervention (PCI) outcomes this population. Methods: Patients ≥ 18 years with ESKD on dialysis for least 3 months who underwent PCI stable CAD between 2010 2018 were identified the United States Renal Data System (USRDS) database. Appropriate ICD-9/10 codes...