Shahrukh Hashmani
- Coronary Interventions and Diagnostics
- Acute Myocardial Infarction Research
- Mechanical Circulatory Support Devices
- Cardiac Imaging and Diagnostics
- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Renal and Vascular Pathologies
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Cardiac Arrhythmias and Treatments
- Cardiac Arrest and Resuscitation
- Cardiac pacing and defibrillation studies
- Cardiovascular Issues in Pregnancy
- Pericarditis and Cardiac Tamponade
- Cardiac electrophysiology and arrhythmias
- Antiplatelet Therapy and Cardiovascular Diseases
- Cerebrovascular and Carotid Artery Diseases
- Viral Infections and Immunology Research
- Cardiac tumors and thrombi
- Vascular Procedures and Complications
- Venous Thromboembolism Diagnosis and Management
- Myasthenia Gravis and Thymoma
- Erythropoietin and Anemia Treatment
Cleveland Clinic
2019-2025
Abu Dhabi Health Services
2021-2024
Baystate Medical Center
2023
Aga Khan University Hospital
2017-2019
Aga Khan University Hospital Nairobi
2016
Using the SYNTAX score (SS) for decision-making between percutaneous coronary intervention (PCI) and artery bypass graft (CABG) left main (LMCA) revascularization is under scrutiny. This study investigated clinical outcomes of LMCA stratified by SS. multicenter included 2138 patients recruited 2015 2020 who underwent disease using PCI or CABG were categorized based on their SS into three groups: low (≤22), intermediate (23–32), high (≥33). Patients with a compared those an experienced...
Abstract Background Cardiogenic shock (CS) secondary to acute myocardial infarction (AMI) is a major cause of in-hospital mortality. With the addition right ventricular dysfunction (RVD), it associated with poorer outcomes. This study examines impact RVD on mortality in CS-AMI patients, highlighting importance early identification and tailored management. Methods Data from Gulf Shock (Gulf-CS) registry—a multicenter registry patients six countries—were analyzed compare long-term outcomes for...
Background: There is a paucity of data regarding acute myocardial infarction (MI) complicated by cardiogenic shock (AMI-CS) in the Gulf region. This study addressed this knowledge gap examining patients experiencing AMI-CS region and analyzing hospital short-term follow-up mortality. Methods: The Gulf-Cardiogenic Shock registry included 1,513 with diagnosed between January 2020 December 2022. Results: incidence was 4.1% (1,513/37,379). median age 60 years. most common presentation...
Background: Preoperative intra-aortic balloon pump (IABP) before coronary artery bypass grafting (CABG) could improve operative outcomes by augmenting the diastolic blood flow. Data on preoperative IABP use in patients with left-main (LMCA) disease are limited. This study aimed to characterize who received CABG for LMCA and evaluate its effect postoperative outcomes. Methods: multicenter retrospective cohort that included consecutive 914 underwent unprotected from January 2015 December 2019...
Catheter-induced coronary artery dissection is a serious complication of angiography. Percutaneous intervention usually indicated in case large spiral dissections, however, wiring into the true lumen can be challenging. This reports novel use intravascular ultrasound-guided rescue percutaneous for stenting an iatrogenic right artery. (Level Difficulty: Intermediate.)
Currently, gender is not considered in the choice of revascularization strategy for patients with unprotected left main coronary artery (ULMCA) disease. This study analyzed effect on outcomes percutaneous intervention (PCI) vs bypass grafting (CABG) ULMCA Females who had PCI (n = 328) were compared females CABG 132) and males 894) was 784). higher overall hospital mortality major adverse cardiovascular events (MACE) than PCI. Male MACE; however, did differ between In female patients,...
Acute myocarditis is an inflammatory disease of the heart that may occur in setting infection, immune system activation or exposure to certain drugs. Often, it caused by viruses, whereby clinical course usually benign; however, also present with rapidly progressive fulminant myocarditis, which associated high morbidity and mortality. This review highlights critical red flags – from clinical, biochemical, imaging histopathological perspectives should raise index suspicion acute myocarditis....
Risk stratification for patients undergoing coronary artery bypass surgery (CABG) left main (LMCA) disease is essential informed decision-making. This study explored the potential of machine learning (ML) methods to identify key risk factors associated with mortality in this patient group.
The optimal revascularization strategy in patients with left main coronary artery (LMCA) disease the emergency setting is still controversial. Thus, we aimed to compare outcomes of percutaneous interventions (PCI) vs. bypass grafting (CABG) and without emergent LMCA disease.
We report a 22-year-old man who presented to the emergency department with worsening shortness of breath and chronic fever for 2 months. Physical examination was unremarkable except raised jugular venous pressure palpable liver. Echocardiogram showed large right ventricular mass causing obstruction at tricuspid valve. A subsequent chest CT scan confirmed presence in ventricle. There were multiple enlarged lymph nodes consolidation upper lobe. Diagnosis disseminated tuberculosis (TB) made...
A 68-year-old male, presented with exertional dyspnoea and chest pain in his anterior wall for 3 months. He had no previous history of cardiac disease. Clinical examination failed to show anything significant. Chest X-ray showed a mass superimposed over the upper silhouette. was further evaluated by CT, which cystic mediastinum measuring 9 x 7 cm its maximum diameter. On surgical excision histopathological examination, findings were consistent benign pleuropericardial cyst, confirming...
Introduction: The aim of this study was to evaluate the effects baseline anemia and following revascularization on outcomes in patients with unprotected left main coronary artery (ULMCA) disease. Methods: This a retrospective, multicenter, observational conducted between January 2015 December 2019. data ULMCA who underwent through percutaneous intervention (PCI) or bypass graft (CABG) were stratified by hemoglobin level at into anemic non-anemic groups compare in-hospital events....
<b><i>Introduction:</i></b> The evidence about the optimal revascularization strategy in patients with left main coronary artery (LMCA) disease and impaired renal function is limited. Thus, we aimed to compare outcomes of LMCA (percutaneous intervention [PCI] vs. bypass grafting [CABG]) without function. <b><i>Methods:</i></b> This retrospective cohort study included 2,138 recruited from 14 centers between 2015 2,019. We compared who had PCI...
The optimal stenting strategy for unprotected left main coronary artery (ULMCA) disease remains debated. This retrospective observational study (Gulf Left Main Registry) analyzed the outcomes of 1 vs 2 stents in patients with percutaneous intervention (PCI). Overall, 1222 were evaluated; 173 had stent and 1049 stents. 2-stent group was older more comorbidities, higher mean SYNTAX scores, distal bifurcation lesions. In 1-stent group, in-hospital events significant major bleeding, better...
Aims The impact of left ventricular dysfunction on clinical outcomes following revascularization is not well established in patients with unprotected main coronary artery disease (ULMCA). In this study, we evaluated the ejection fraction (LVEF) ULMCA requiring percutaneous intervention (PCI) compared bypass graft (CABG). Methods details design, methods, end points, and relevant definitions are outlined Gulf Left Main Registry: a retrospective, observational study conducted between January...
The term myocardial infarction with non-obstructive coronary arteries (MINOCA) applies to patients who have clinical evidence of AMI but angiography reveals no obstructions and an alternative diagnosis is not possible.It a heterogenous group disease.Its prognosis, predictors mortality optimum management unclear.In this review, we present disease overview for MINOCA including the features, adopted definitions, prevalence, diagnosis, treatment, prognosis.