- Congenital Heart Disease Studies
- Coronary Artery Anomalies
- Cardiovascular Issues in Pregnancy
- Healthcare Policy and Management
- Cardiac Arrhythmias and Treatments
- Cardiac Structural Anomalies and Repair
- Cardiovascular Health and Risk Factors
- Vascular anomalies and interventions
- Aortic Disease and Treatment Approaches
- COVID-19 Clinical Research Studies
- Cardiovascular and Diving-Related Complications
- Cardiovascular Conditions and Treatments
- Infant Development and Preterm Care
- Retirement, Disability, and Employment
- Obesity, Physical Activity, Diet
- Tracheal and airway disorders
- Long-Term Effects of COVID-19
- Mechanical Circulatory Support Devices
- Maternal and Neonatal Healthcare
- Cardiac Valve Diseases and Treatments
- Health and Lifestyle Studies
- Cardiac pacing and defibrillation studies
- Venous Thromboembolism Diagnosis and Management
- Mitochondrial Function and Pathology
- Metabolism and Genetic Disorders
East Carolina University
2002-2025
University of North Carolina at Chapel Hill
2023-2025
North Carolina State University
2023
University of Alabama at Birmingham
2020-2022
Vidant Medical Center
2020-2021
Clinical Research Institute
2019
Wayne State University
2017
University of Virginia
2017
Children's Hospital of Michigan
2017
Children's Hospital Central California
2017
Background— Prospective data on the medium-term safety and effectiveness of AMPLATZER Septal Occluder in clinical practice are not available. The objective this study was to prospectively evaluate risk hemodynamic compromise obtain survival patients implanted with for percutaneous closure secundum atrial septal defects. Methods Results— Subjects were enrolled at 50 US sites followed 2 years. Between 2008 2012, defect attempted 1000 (aged 0.3–83.6 years, mean 21±22 years). Procedural occurred...
Background Little is known about the contemporary mortality experience among adults with congenital heart disease (CHD). The objectives of this study were to assess age at death, presence cardiovascular comorbidities, and most common causes death CHD in a cohort within United States. Methods Results Patients who had healthcare encounter between 2008 2013 1 5 comprehensive centers North Carolina identified by International Classification Diseases, Ninth Revision (ICD-9), code. Only patients...
Abstract Background Children born with heterotaxy syndromes have poorer outcomes compared children comparable cardiac lesions requiring similar surgical palliation. Heterotaxy has been reported as a separate risk factor for mortality and increased morbidity in series of Fontan operations from single centres. Little is known, however, about the functional state surviving patients following operation. Methods In multicentric cross-sectional study carried out by Pediatric Heart Network 546...
Myocardial injury is associated with excess mortality in severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infections, but the mechanisms of are diverse. We describe a case stress-induced cardiomyopathy setting SARS-CoV-2 and influenza A coinfection. (Level Difficulty: Intermediate.)
Background The AHA/ACC Adult Congenital Heart Disease guidelines recommend that most adults with congenital heart disease (CHD) follow-up CHD cardiologists every 1 to 2 years because longer gaps in care are associated adverse outcomes. This study aimed determine the proportion of patients North Carolina who did not have recommended and explore predictors loss follow-up. Methods Patients ages ≥18 a healthcare encounter from 2008 2013 statewide database an ICD-9 code for were assessed....
Abstract Adults with congenital heart disease (CHD) benefit from cardiology follow-up at recommended intervals of ≤ 2 years. However, for children is less clear given limited studies and unclear current guidelines. We hypothesize there are identifiable risks gaps in CHD that associated differences healthcare utilization. Our cohort included < 10 years old a encounter 2008 to 2013 one four North Carolina (NC) hospitals. assessed associations between demographics, lesion severity, access,...
Abstract Background: Adults with CHD have reduced work participation rates compared to adults without CHD. We aimed quantify employment rate among adult patients in a population-based registry and describe factors barriers associated participation. Methods: retrospectively identified information the North Carolina Congenital Heart Defects Surveillance Network. Employment was defined as any paid given year. Logistic regression used examine patients’ status during each Results: The included...
Myocardial injury is associated with excess mortality in severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections, and the mechanisms of are diverse. Coagulopathy this infection may have unique cardiovascular implications.We present a case 62-year-old male who presented after experiencing syncope cardiac arrest. Given clinical presentation electrocardiographic findings, there was concern for coronary syndrome. However, angiogram did not reveal significant obstruction. Due to...
Abstract Background We aimed to assess safety, tolerability, and improvement in weight gain with an energy‐ protein‐enriched formula (EPEF) infants poor growth. Methods Infants aged 1–8 months growth received EPEF for 16 weeks. Our primary objective was as measured by change weight‐for‐age z ‐score (WAZ) velocity (grams per day) ≥ median age. Secondary objectives included other anthropometric ‐scores, tolerance, safety. Results Twenty‐six patients due congenital heart disease ( n = 15),...
Loeys-Dietz syndrome (LDS) is a connective tissue disorder that commonly presents with vascular abnormalities. Owing to the rarity and severity of condition, consensus guidelines for aortic surgery thresholds vary. In addition, evaluation coronary arteries in patients LDS (either routinely or before root surgery) remain undefined. this case report, we discuss patient who found have an ectatic artery aneurysm management population.A 48-year-old woman was incidentally 45 mm during neck mass....
Background: Lifestyle behaviors (LB), defined by diet and physical activity, are associated with cardiometabolic health among adults. The association of LB middle-school children is uncertain. Methods: An abbreviated version the School Physical Activity Nutrition survey was used to examine students participating in a wellness program between 2004 2018. Students were incorporated into three groups determined self-reported healthy (≥6, 4-5, ≤3 behaviors), including; ≤1 serving/day sugary...
Abstract Coronary angioplasty in patients with a right‐sided heart may be difficult due to challenges engaging the coronary arteries, interpreting angiogram, and further delivering intracoronary therapies. We present our experience of percutaneous intervention two cases propose practical algorithm approach cardiac catheterization these patients.