A5028387777- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Acute Myocardial Infarction Research
- Hepatitis B Virus Studies
- Health Systems, Economic Evaluations, Quality of Life
- Cardiomyopathy and Myosin Studies
- Cardiac Arrhythmias and Treatments
- Venous Thromboembolism Diagnosis and Management
- Blood transfusion and management
- Cardiac Imaging and Diagnostics
- Liver Disease Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Pulmonary Hypertension Research and Treatments
- Erythropoietin and Anemia Treatment
- Radiation Dose and Imaging
- Occupational Health and Safety Research
- Hepatitis C virus research
- Cardiovascular Issues in Pregnancy
- Healthcare Systems and Practices
- Global Public Health Policies and Epidemiology
- Chronic Disease Management Strategies
- Hepatitis Viruses Studies and Epidemiology
- Health and Medical Research Impacts
Baylor Medical Center at Garland
2024
Heart Hospital Baylor Plano
2024
University of Arkansas for Medical Sciences
2022-2023
Alexandria University
2023
New York Medical College
2020-2022
Westchester Medical Center
2020-2022
Chronic hepatitis C virus (HCV) infection is a major public health problem in many low- and middle-income countries. In 2015, Egypt's HCV prevalence of 7% among adults was the highest world accounted for 7.6% country's mortality. 2014, Egypt embarked on an aggressive screening treatment program that evolved into national strategy to eliminate as threat by 2021.In this qualitative case study, we analyzed control using Kingdon framework understand how problem, policy, political streams merged...
The optimal hemoglobin threshold to guide red blood cell (RBC) transfusion for patients with acute myocardial infarction (MI) and anemia is uncertain. To estimate the efficacy of 4 individual thresholds (<10 g/dL [<100 g/L], <9 [<90 <8 [<80 <7 [<70 g/L]) in MI anemia. Prespecified secondary analysis MINT (Myocardial Ischemia Transfusion) trial using target emulation methods. (ClinicalTrials.gov: NCT02981407). 144 clinical sites 6 countries. 3492 participants a level below 10 g/dL. Four...
Regional level data on hospitalized heart failure (HHF) patients in Egypt is scarce. The aim of this study was to compare the demographics, clinical characteristics, and outcomes HHF from four distinct geographical regions Egypt.Study participants were part European Society Cardiology Heart Failure Long Term (ESC-HF-LT) Registry, which enrolled April 2011 February 2014. A total 1661 enrolled, whom 1645 eligible for analysis: 914 Alexandria, 249 Cairo, 409 Delta region, 73 Upper Egypt. mean...
To determine seroprevalence of anti-hepatitis A virus (HAV) antibodies and potential risk factors for age contracting symptomatic hepatitis infection among children different socioeconomic status (SES) in Cairo, we carried out a cross-sectional study on 426 aged 3-18 years from low SES areas 142 high areas. Seroprevalence was significantly higher with age. Seropositivity to anti-HAV very SES, 90%, compared 50%. Water supply sewage disposal were the most significant HAV seropositivity SES....
Knowledge of the frequency precipitating factors for acute heart failure (AHF) is important (either new-onset [NOHF] or worsening [WHF]), as this can guide strategies prevention and treatment. Most data come only from Western Europe North America; nevertheless, geographic differences do exist. We set out to study prevalence AHF their connection patient characteristics in-hospital long-term mortality in patients Egypt hospitalized decompensated HF. Using ESC-HF-LT Registry which a...
ost clinical trials in cardiovascular medicine are conducted developed countries by well-funded academic institutions.Africa, home to 1.4 billion people, only contributes ≈2% of published/registered trials. 1 In light the increasing burden diseases continent, 2 we present analysis evaluate African-led over past 3 decades and analyze its visibility, limitations, funding sources.A comprehensive PubMed search was retrieve eligible trials.We included which planning (eg, trial design, protocol...
Percutaneous catheter-directed interventions for pulmonary embolism is a rapidly evolving field. We present the first case report of simultaneous intravascular ultrasound (IVUS) use during transcatheter embolectomy. Real-time IVUS guidance offers advantage better clot visualization and precise suction catheter localization while minimizing contrast medium exposure wire exchanges. (Level Difficulty: Advanced.)
Abstract Background Obesity is an established risk factor for cardiometabolic disease and heart failure (HF). Nevertheless, the relationship between obesity HF mortality remains controversial. Results The goal of this study was to describe prevalence in patients hospitalized Egypt investigate factors, phenotype mortality. Between 2011 2014, 1661 across were enrolled as part European Society Cardiology Long-term Registry. Obese patients, defined by a BMI ≥ 30 kg/m 2 , compared non-obese...
BackgroundPercutaneous mitral balloon commissurotomy (PMBC) is the gold standard for treatment of patients with symptomatic rheumatic valve (MV) stenosis and favorable morphology. Intracardiac ultrasound (ICE)-guided PMBC an attractive alternative to transesophageal echocardiography guidance simplification procedure avoiding general anesthesia.MethodsWe conducted a retrospective analysis all ICE-guided cases at our institution between July 2020 November 2023. Procedural success was defined...
Importance In patients with acute myocardial infarction (MI), limited physiologic adaptation to anemia might lead greater benefit from a liberal red blood cell (RBC) transfusion strategy. Data on such possible are lacking. Objectives To compare chronic and post-MI outcomes estimate the differential effect of restrictive RBC strategy compared according acuity. Design, Setting, Participants A prespecified subgroup analysis Myocardial Ischemia Transfusion (MINT) multicenter randomized clinical...
The co-existence of hypertrophic obstructive cardiomyopathy (HOCM) and pulmonary arterial hypertension (PAH) is extremely rare poses a management conundrum. This the first case report in published literature to describe diagnosis patient with both conditions.A 49-year-old female history HOCM recently diagnosed scleroderma presented clinic progressive dyspnoea. Transthoracic echocardiogram demonstrated left ventricular outflow tract (LVOT) obstruction at rest, elevated artery (PA) pressure....
Background: Type 2 diabetes mellitus (T2DM) is a notable disease in developing and/or developed countries associated with high risk of morbidity form cardiac disease.It has been proposed that the composition lipid particles diabetic dyslipidemia more atherogenic than other types dyslipidemia.The aim our study was to identify relation between T2DM and profile disorders factors increasing patients T2DM.Methods: We conducted an epidemiological cross-sectional DM Clinic comprehensive health...
Introduction: Heart failure (HF) is a growing public health burden in many low and middle-income countries (LMIC). However, most HF registries were conducted high income countries, which often have different ethnic cultural backgrounds from that of LMIC. Hypothesis: Independent clinical variables associated with mortality patients hospitalized for Egypt are those established the United States (US). Methods: Between 2011 2014, 1,660 enrolled 20 centers across as part European Society...
Abstract Background Increased right ventricular (RV) dilation measured by the ratio of RV diameter (RVD) to left (LV) (LVD) (RV:LV) is associated with pulmonary embolism (PE) severity and mortality. Data regarding individual contributions RVD LVD are limited. Purpose To examine as independent contributors death or need for cardiopulmonary resuscitation (CPR) in intermediate- high-risk PEs treated surgical catheter-based strategies Methods We basal on presenting transthoracic echocardiograms...
Background: ST-segment Elevation Myocardial Infarction (STEMI) is the most common cardiac emergency, and associated with high morbidity mortality. Data on management outcomes of patients STEMI in middle-income countries (MICs) are limited. The goal present meta-analysis was to evaluate quality care MICs current era, as compared high-income (HICs).Methods: This included multicenter, prospective registries that enrolled from between January 1, 2000 December 31, 2019. Relevant publications were...