A5048351164- Cardiac Arrhythmias and Treatments
- Infective Endocarditis Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Atrial Fibrillation Management and Outcomes
- Pleural and Pulmonary Diseases
- Cardiovascular Effects of Exercise
- Mechanical Circulatory Support Devices
- Pericarditis and Cardiac Tamponade
- Cardiac tumors and thrombi
- Health Systems, Economic Evaluations, Quality of Life
- Transplantation: Methods and Outcomes
- Amyloidosis: Diagnosis, Treatment, Outcomes
- COVID-19 and healthcare impacts
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- Cardiovascular Syncope and Autonomic Disorders
- Cardiac electrophysiology and arrhythmias
- Heart Failure Treatment and Management
- Inflammatory Biomarkers in Disease Prognosis
- Peripheral Artery Disease Management
- Global Health and Epidemiology
- Streptococcal Infections and Treatments
- COVID-19 Impact on Reproduction
- Diverse Scientific Research Studies
- Antimicrobial Resistance in Staphylococcus
Tulane University
2024
University of Kentucky
2021-2023
University of Kentucky HealthCare
2022-2023
Montefiore Medical Center
2019-2021
Albert Einstein College of Medicine
2019
To investigate whether COVID-19 patients with pulmonary embolism had higher mortality and assess the utility of D-dimer in predicting acute embolism.Using National Collaborative retrospective cohort, a cohort hospitalized was studied to compare 90-day intubation outcomes without multivariable cox regression analysis. The secondary measured 1:4 propensity score-matched analysis included length stay, chest pain incidence, heart rate, history or DVT, admission laboratory parameters.Among 31,500...
Abstract Objectives To understand the prevalence of malnutrition and its association with chronic limb‐threatening ischemia (CLTI) outcomes; to clarify differential impact revascularization methods on assess ability CLTI Frailty Risk Score (CLTI‐FRS) predict adverse events in patients hospitalized CLTI. Background Despite advances management CLTI, a majority still undergo major amputation, minority heal within 6 months. There is lack validated assessment tools for identification frailty...
There is growing evidence of coexistence aortic stenosis (AS) and transthyretin cardiac amyloidosis (CA). Not screening AS patients at the time hospital/clinic visit for CA represents a lost opportunity.We surveyed studies that reported prevalence among patients. Studies compared with (AS-CA) alone were further analyzed, meta-regression was performed.We identified nine 1,321 AS, which 131 had concomitant CA, 11%. When to AS-alone, AS-CA older, more likely be males, higher carpal tunnel...
Left-sided infective endocarditis (IE) is increasingly being recognized among intravenous drug use (IVDU) patients. We sought to assess the trends and risk factors that contribute left-sided IE in this high-risk population at University of Kentucky.A retrospective chart review patients with diagnosis both IVDU admitted Kentucky was carried out from January 1, 2015 December 31, 2019. Baseline characteristics, clinical outcomes (mortality in-hospital interventions) were recorded.A total 197...
Methicillin-resistant Staphylococcus aureus (MRSA) purulent pericarditis is a rare but potentially fatal complication of MRSA bacteremia. We describe case 27-year-old patient with active intravenous drug use, who presented fever, chills, and dyspnea was found to have tricuspid valve endocarditis. Echocardiogram on admission showed no pericardial effusion. The became hypotensive, worsening dyspnea, in the following 3 days. A computed tomography scan chest repeated large underwent...
Background: Increasing reports suggest the safe use of direct oral anticoagulants (DOACs) in electrical cardioversion. The aim this study was to assess trends and 30-day outcomes associated with anticoagulation for Methods: Patients who underwent cardioversion from January 2015 October 2020 a follow-up were included; including stroke, transient ischemic attack, intracranial hemorrhage (ICH), major gastrointestinal bleeding recorded. Results: Of 515 patients, 351 (68%) men 164 (32%) women,...
Elderly patients with coronary artery disease have a high prevalence of frailty and malnutrition. Frailty syndrome is associated poor outcomes in myocardial infarction. There known overlap between malnutrition, yet these are two different entities. Fried Phenotype, Frail Scale, timed up go test, gait speed rapid screening tests that may identify everyday clinical setting. Short Form MNA sensitive tool to screen for Despite the availability several tools both conditions, rates remain low. We...
Left ventricular assist devices (LVADs) have revolutionized the management of patients with advanced heart failure refractory to medical therapy. Current indications LVADs include Bridge Transplantation (BTT), Destination Therapy (DT) for long-term use, Decision (BTD) used as a temporary measure, and lastly Recovery (BTR). Here, we briefly review clinical evidence molecular mechanisms behind myocardial recovery following LVAD placement. We also share institutional protocols at 2 major centers in USA.
Introduction: Wellens’ sign is a characteristic finding on ECG, often found to be indicative of severe proximal Left anterior descending artery (LAD) stenosis. Our study sought identify the prevalence in ethnically diverse population Bronx, NY and elucidate its relationship presence significant CAD. Methods: We retrospectively analyzed an ECG database at Montefiore Medical Center over 1.7 million ECGs, using six diagnostic codes for ischemia ECGs that resemble sign. Of codes, two highest...
BackgroundCardiac amyloidosis (CA) is frequently detected in patients with clinically significant aortic stenosis (AS) and possibly portends a worse prognosis. Lack of screening for CA may affect the long-term outcome planned intervention AS.MethodsSeven PubMed indexed studies 1134 undergoing TAVR/SAVR were included which 5 comparing cardiac coexistent (AS-CA) alone (AS), used to compare characteristicsResultsThe pooled prevalence AS-CA cohort was 11%, indicating 1 patient per 9 AS...
Lung abscesses result from invasive infections causing collection of necrotic debris in the lung parenchyma. Antibiotics are considered first line therapy. Rarely, event failure therapy, surgical resection or drainage is advised. Here we report case an adult immunocompetent patient with two large not responding to antibiotic therapy and managed percutaneous clinical recovery, avoiding resection.