Alejandra Gutiérrez

ORCID: 0000-0002-2022-6045
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About
Contact & Profiles
Research Areas
  • Cardiac Arrest and Resuscitation
  • Mechanical Circulatory Support Devices
  • Atrial Fibrillation Management and Outcomes
  • Venous Thromboembolism Diagnosis and Management
  • Cardiac Arrhythmias and Treatments
  • Cardiac Structural Anomalies and Repair
  • Cardiac pacing and defibrillation studies
  • Intensive Care Unit Cognitive Disorders
  • Cardiac electrophysiology and arrhythmias
  • Acute Ischemic Stroke Management
  • Cardiac, Anesthesia and Surgical Outcomes
  • Cardiomyopathy and Myosin Studies
  • Cardiac tumors and thrombi
  • Cardiovascular Disease and Adiposity
  • Heart Rate Variability and Autonomic Control
  • Clinical Nutrition and Gastroenterology
  • Cerebrovascular and Carotid Artery Diseases
  • Cardiac Health and Mental Health
  • Cardiac Imaging and Diagnostics
  • Thermal Regulation in Medicine
  • ECG Monitoring and Analysis
  • Traumatic Brain Injury and Neurovascular Disturbances
  • Anesthesia and Sedative Agents
  • Non-Invasive Vital Sign Monitoring
  • Cardiovascular Function and Risk Factors

University of Minnesota
2017-2025

University of Minnesota System
2023-2024

University of Minnesota Medical Center
2018-2024

Heart Rhythm Society
2023

Hospital General Universitario Gregorio Marañón
2021

Centro Médico Docente La Trinidad
2021

Emory University
2019

Jackson Memorial Hospital
2019

University of Pennsylvania
2019

Wake Forest University
2019

Coronavirus disease 2019 (COVID-19) is a global pandemic that wreaking havoc on the health and economy of much human civilization. Electrophysiologists have been impacted personally professionally by this catastrophe. In joint article from representatives Heart Rhythm Society, American College Cardiology, Association, we identify potential risks exposure to patients, allied healthcare staff, industry representatives, hospital administrators. We also describe impact COVID-19 cardiac...

10.1016/j.hrthm.2020.03.028 article EN other-oa Heart Rhythm 2020-04-01

Coronavirus disease 2019 (COVID-19) is a global pandemic that wreaking havoc on the health and economy of much human civilization. Electrophysiologists have been impacted personally professionally by this catastrophe. In joint article from representatives Heart Rhythm Society, American College Cardiology, Association, we identify potential risks exposure to patients, allied healthcare staff, industry representatives, hospital administrators. We also describe impact COVID-19 cardiac...

10.1161/circulationaha.120.047063 article EN mit Circulation 2020-03-31

Cardiac physiologic pacing (CPP), encompassing cardiac resynchronization therapy (CRT) and conduction system (CSP), has emerged as a strategy that may mitigate or prevent the development of heart failure (HF) in patients with ventricular dyssynchrony pacing-induced cardiomyopathy. This clinical practice guideline is intended to provide guidance on indications for CRT HF CPP pacemaker HF, patient selection, pre-procedure evaluation preparation, implant procedure management, follow-up...

10.1002/joa3.12872 article EN cc-by-nc-nd Journal of Arrhythmia 2023-05-20

Background Abnormal P‐wave indices (PWIs)—reflecting underlying left atrial abnormality—are associated with increased risk of stroke independent fibrillation. We assessed whether abnormal PWIs are incident dementia and greater cognitive decline, fibrillation ischemic stroke. Methods Results included 13 714 participants (mean age, 57±6 years; 56% women; 23% black) who were followed for through the end 2015. (Abnormal terminal force in lead V1, ≥4000 μV×ms), axis (>75° or <0°), prolonged...

10.1161/jaha.119.014553 article EN cc-by-nc-nd Journal of the American Heart Association 2019-12-13

Orthotropic heart transplantation remains the most effective therapy for patients with end-stage failure, a median survival of ≈13 years. Yet, number complications are observed after orthotropic transplantation, including atrial and ventricular arrhythmias. Several factors contribute to arrhythmias, such as autonomic denervation, effect surgical technique, acute chronic rejection, transplant vasculopathy among others. To minimize risk future bicaval technique minimizing ischemic time current...

10.1161/circep.120.007954 article EN Circulation Arrhythmia and Electrophysiology 2021-03-01

Abstract Background Ventricular tachycardia (VT) is a common arrhythmia in heart failure with reduced ejection fraction but its incidence, predictors, and significance have not been determined preserved (HFpEF). Methods We performed retrospective review of arrhythmias two cohorts patients an HFpEF diagnosis. Patients cohort 1 (n = 40) underwent routine surveillance 14‐day ambulatory electrocardiogram (ECG) monitor. 2 85) had cardiac pacemakers device interrogations. Results In 1, 13 (32.5%)...

10.1111/pace.14043 article EN Pacing and Clinical Electrophysiology 2020-08-28

While early enteral nutrition is generally preferred in critically ill patients, the optimal timing of feeding among refractory cardiac arrest patients unknown. We examined association between and patient survival safety outcomes with out-of-hospital (OHCA) who were treated extracorporeal cardiopulmonary resuscitation (ECPR).We performed a retrospective analysis 142 consecutive presenting OHCA due to ventricular fibrillation or tachycardia ECPR targeted temperature management (TTM)....

10.1016/j.resuscitation.2021.04.029 article EN cc-by-nc-nd Resuscitation 2021-05-14

Extracorporeal cardiopulmonary resuscitation improves outcomes after out-of-hospital cardiac arrest. However, bleeding and thrombosis are common complications. We aimed to describe the incidence predictors of their association with in-hospital mortality.

10.1161/jaha.123.034516 article EN Journal of the American Heart Association 2024-05-03

Sodium nitroprusside is the preferred agent for treatment of high blood pressure during acute aortic syndrome if remains elevated after heart rate control with beta-blockers. The increasing cost sodium in USA led us to assess efficacy and safety intravenous clevidipine, a calcium channel blocker quick onset action, short half-life significantly lower costs than nitroprusside, patients presenting syndrome.We performed retrospective chart review consecutive admitted Cleveland Clinic Cardiac...

10.1177/2048872618777919 article EN European Heart Journal Acute Cardiovascular Care 2018-06-07

Background: The role of cancer-specific factors for ischemic stroke and mortality in patients with cancer atrial fibrillation (AF) is unknown. We evaluated the utility a previously validated risk tool venous thromboembolism (VTE) outpatients [Khorana score (KS)] predicting AF. Methods: conducted retrospective cohort study AF at Cleveland Clinic from 2008 to 2014. Outcomes, CHADS2, CHA2DS2-VASc, KS scores were calculated date diagnosis. Prognostic identified Fine Gray regression (for stroke)...

10.1177/1753944719860676 article EN cc-by-nc Therapeutic Advances in Cardiovascular Disease 2019-01-01

To compare the complication rates associated with carotid endarterectomy (CEA) versus artery stenting (CAS).Carotid stenosis is a well-known cause of stroke and increased mortality. The safety revascularization may be related to symptom status, medical comorbidities, use embolic protection devices, as well operator experience these factors vary across patient populations within single operating center.We retrospectively analyzed patients admitted our hospital for between January 1, 2007...

10.1002/ccd.26593 article EN Catheterization and Cardiovascular Interventions 2016-05-24

Immune-mediated coronary spasm, called Kounis syndrome (KS), is not rare but underdiagnosed. In this report, we present a case of KS induced by iodinated contrast resulting in cardiac arrest, requiring temporary mechanical circulatory support. We show angiographic evidence and outline commonly associated clinical features that may predict KS. (Level Difficulty: Beginner.).

10.1016/j.jaccas.2019.12.044 article EN cc-by-nc-nd JACC Case Reports 2020-04-01

Objective: To assess the impact of a 1-hour communication skills workshop highlighting “ask more and summarize technique” (AMST) to teach residents an effective way respond emotionally charged questions. Methods: From December 2015 January 2017, on inpatient oncology or palliative medicine rotation attended mandatory AMST involving short introduction technique followed by practice. A survey (S1) was administered during first session their self-reported attitudes practices. follow-up (S2)...

10.1177/0825859718777319 article EN Journal of Palliative Care 2018-05-29

The role of hypothermia in post-arrest neuroprotection is controversial. Animal studies suggest potential benefits with lower temperatures, but high-fidelity ECPR models evaluating temperatures below 30 °C are lacking.

10.1016/j.resplu.2024.100745 article EN cc-by-nc-nd Resuscitation Plus 2024-08-16
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