- Vascular Procedures and Complications
- Central Venous Catheters and Hemodialysis
- Peripheral Artery Disease Management
- Coronary Interventions and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Cardiac Imaging and Diagnostics
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Food Allergy and Anaphylaxis Research
- Cerebrovascular and Carotid Artery Diseases
- Acute Myocardial Infarction Research
- Mechanical Circulatory Support Devices
- Aortic aneurysm repair treatments
- COVID-19 Clinical Research Studies
- Muscle metabolism and nutrition
- Acute Ischemic Stroke Management
- Cardiac Arrhythmias and Treatments
- Cardiovascular and exercise physiology
- Advanced X-ray and CT Imaging
- Pericarditis and Cardiac Tamponade
- Transplantation: Methods and Outcomes
- Ion channel regulation and function
- Viral Infections and Immunology Research
- Cardiac Arrest and Resuscitation
- Soft tissue tumor case studies
Prince Sultan University
1995-2022
Marshall University
2015-2020
Misr University for Science and Technology
2020
An-Najah National University
2020
Allegheny Health Network
2020
Indiana University School of Medicine
2015-2019
University of Louisville
2019
Centre Hospitalier Universitaire Mohammed VI
2014
Riyadh Armed Forces Hospital
1993-2001
Royal Surrey County Hospital
2001
Introduction There is a high prevalence of hypertensive crisis with myocardial injury, as evidenced by elevation in cardiac troponin levels. The risk factors predisposing patients to developing detectable troponin, and increase serial this population are not known. Methods A retrospective study was designed include all patients, presenting the emergency room, diagnosed crisis, using International Classification Diseases, 10
The use of serum ammonia as a novel marker for sepsis compared to lactic acid levels in intensive care unit (ICU) patients.Single arm, prospective clinical trial collect arterial blood samples from patients with sepsis. Serial and were sent every six hours total three days.Compare mean terms diagnosing patient outcome, including length stay mortality. A 30 enrolled the pilot study. On admission, level was 35.7 μmol/L 3.06 mmole/L. Ammonia checked at end day 2 (ammonia 2-4) beginning 3 3-1)...
Background Multiple studies have shown that trans-radial access (TRA) for women undergoing coronary angiography/intervention (CA/I) has a lower risk of vascular site complications as compared with trans-femoral (TFA). In patients who had previously undergone artery bypass grafting (CABG), also showed no significant difference between TRA and TFA in terms contrast amount (CA), procedure time (PT), fluoroscopy (FT). However, those mainly included men. Limited information is available on the...
BMV is an established treatment for rheumatic mitral valve stenosis. The procedure historically guided by fluoroscopy, and the role of intracardiac echocardiogram (ICE) guidance not well defined. We report our initial experience using ICE to guide procedures.During procedure, catheter was inserted into right atrium from femoral vein, septal puncture monitored ICE, as positioning balloon in valve. Comparisons were made between transthoracic echocardiography (TTE), catheterization derived...
Elastofibroma dorsi (ED) is a benign connective tissue tumor that most commonly occurs on the inferior pole of scapula. It can be found incidentally radiologic imaging or due to clinical symptoms. Patients may become apprehensive it mimicking new malignancy recurrence prior malignancy. Treatment only recommended in symptomatic cases and biopsy usually unnecessary. We present case 70-year-old female status-post lung cancer resection who was have lump at her right She seen by multiple...
Background: Tricuspid valve regurgitation may affect the outcomes after heart transplantation. There is a paucity of data reporting transplants in our region. The objectives this study were to report occurrence tricuspid transplantation, its course, and effect on survival.
Loeys-Dietz syndrome is a rare autosomal dominant connective tissue disorder notable for rapidly progressive vascular aneurysmal disease and craniofacial defects. Patients are at an increased risk aneurysm rupture dissection younger ages compared to other syndromes. Early surgical intervention important prevention of ruptures and/or dissection. The coronary arterial tree mostly involved as result postoperative complications aortic root repair. This fact has been sparsely reported. We report...
Introduction. Retrograde pedal access has been well described in the literature as a secondary approach for limb salvage critical ischemia (CLI) patients. In this manuscript we are presenting case where retrograde tibiopedal used bail-out procedure management of superficial femoral artery (SFA) intervention complications. Procedure/Technique. After development perforation while trying to cross totally occluded mid SFA using conventional CFA access, were able lesion after accessing posterior...
Protamine sulfate is considered a "life-saving" antidote for heparinized patients with major bleeds. Although the beneficial attributes and application of protamine in various clinical settings cannot be argued, it also has an impressive side-effect profile. Kounis syndrome (KS) acute coronary setting allergic reaction, which can induced by numerous allergens. Herein, we report case KS secondary to use after cryoablation atrial fibrillation.
We report a case of cardiac catheterization that was done entirely by accidentally accessing the inferior epigastric artery (IEA) through an unintentional puncture U-shaped portion artery. Luckily patient did not have any trauma to IEA and d/c home with no complications. A 48-year-old female history hypertension CAD S/P left circumflex stent many years ago who presented our facility persistent crescendo angina for which decision made proceed LHC. The showed significant patent so it decided...
We are presenting three cases (out of similar several cases) where tibio-pedal approach was performed as an initial primary for limb salvage in patients with CLI secondary to Infra-popliteal (IP) disease. consider this be a necessary evolution endovascular intervention.
Abstract Solid-organ transplant patients have a high risk of severe infection related to acute respiratory syndrome coronavirus-2 (SARS-Cov-2). This case represents 54-year-old woman known as diabetic, hypothyroidism, and recent heart recipient who presented with 1-week history cough fatigue. She was hypoxic on presentation the hospital progressively declined required invasive mechanical ventilation. had distress hypoxia chest x-ray showed progressive bilateral infiltrates. leukopenia 3.5...
Artificial neural networks are computer systems which can be trained to recognize similarities in patterns and learn by example; one of the more straightforward types being feed forward network (FFNN). We previously reported use FFNNs for classification hypoperfusion bull's-eye representation 201Tl single photon emission tomography myocardial perfusion studies showed that, when such an image was divided into 24 segments, could detect defects without direct comparison a normal data base. This...
ST segment elevation on an electrocardiogram (EKG) is alarming finding that warrants urgent coronary angiogram. Early diagnosis and intervention extremely important in the setting of Acute Coronary Syndrome (ACS) to prevent irreversible myocardium damage reduce mortality rate. However, it very know not all ST- Elevations (STE) EKG are due myocardial infraction. Etiologies can be divided into cardiac non-cardiac causes. Cardiac causes include aneurysm acute pericarditis while cholecystitis...
Background . Kissing Balloon Technique using retrograde pedal approach together with anterograde common femoral artery (CFA) could be the treatment of choice in patients diseased infrapopliteal bifurcation. We report seven cases where KBT was utilized for bifurcation access conjunction conventional access. Methods reviewed all that underwent combination and a single-center study from 2014 to 2015 utilizing Rutherford classification severity index; were deemed stage 3 (severe claudication) 6...
Twenty-four subjects with suspected ischaemic heart disease underwent a treadmill exercise stress test (TEST). Nine individuals developed ischaemia as defined by standard criteria. Total plasma antioxidant status (TPAS), and serum concentrations of vitamin E were measured pre-TEST, 0, 1, 2, 4, 8 24 h following the test. Mean fell 33% in group whole (from 9.53 +/- 0.92 mg/L pre-TEST to 6.39 1.06 immediately post test, P < 0.02) rose baseline over subsequent h. The levels 34% patients who had...