A5090482517- Cardiovascular Issues in Pregnancy
- Congenital Heart Disease Studies
- Maternal and fetal healthcare
- Prenatal Substance Exposure Effects
- Opioid Use Disorder Treatment
- Maternal Mental Health During Pregnancy and Postpartum
- Hormonal Regulation and Hypertension
- Muscle Physiology and Disorders
- Cardiovascular, Neuropeptides, and Oxidative Stress Research
- Pulmonary Hypertension Research and Treatments
- Reproductive Health and Contraception
- Cardiac Imaging and Diagnostics
- Muscle metabolism and nutrition
- Liver Disease and Transplantation
- Maternal and Perinatal Health Interventions
- Pericarditis and Cardiac Tamponade
- Congenital Anomalies and Fetal Surgery
- Assisted Reproductive Technology and Twin Pregnancy
- Pregnancy and preeclampsia studies
- Takotsubo Cardiomyopathy and Associated Phenomena
- Ectopic Pregnancy Diagnosis and Management
- Magnesium in Health and Disease
- Preterm Birth and Chorioamnionitis
University of Kentucky
2022-2024
University of Missouri–Kansas City
2019-2024
University of Southern California
2021
Children's Hospital of Los Angeles
2021
Patel Hospital
2017
Evaluate maternal and neonatal outcomes after buprenorphine wean compared to patients maintained on throughout pregnancy.
Heart disease is the leading cause of pregnancy-related mortality in United States and has led to development combined cardio-obstetrics (COB) clinics as a model for prenatal care. In other areas medicine, these types collaborative care models have shown improvement morbidity, mortality, patient satisfaction. There some data suggest that COB clinic improves maternal outcomes but there no patients prefer this type model. This study aims evaluate satisfaction whether enhances perceived...
In contrast to most industrialized countries, maternal mortality in the USA is rising. Cardiovascular disease, both acquired heart disease (e.g. coronary arrhythmias, and failure), as well congenital survivors, are all potentially important factors explaining this worrisome trend. Increase cardiac likely attributable greater rates of obesity, diabetes, hypertension, an increase incidence advanced age, while pregnancy increasing due advances pediatric cardiovascular surgery. Despite growing...
Emerging evidence indicates a previously unrecognized, clinically relevant spectrum of abnormal aldosterone secretion associated with hypertension severity. It is not known whether excess contributes to during pregnancy. We quantified concentrations and angiotensin peptides in serum (using liquid chromatography tandem mass spectrometry) cohort 128 pregnant women recruited from high-risk obstetrics clinic followed prospectively for the development gestational hypertension, pre-eclampsia,...
Abstract Background Conventional buprenorphine inductions require patients to abstain from full agonist opioids until they experience mild-to-moderate opioid withdrawal. We described a successful induction case in pregnant patient using microdosing, which avoided withdrawal symptoms. Case Presentation The is 29-year-old G2P1001 at 18 2/7 weeks of gestation, who desired switch methadone minimize neonatal syndrome (NOWS), complicated her last pregnancy. She was given increasing microdoses over...
Background: Mechanisms underlying the development of pre-eclampsia in humans are not well-understood. Activation RAAS with markedly increased secretion aldosterone is a key feature normotensive pregnancy, and thought to be impaired pre-eclampsia. The purpose our study was perform profiling pre-eclampsia, where we hypothesized reduced concentrations serum patients compared pregnant without Methods: This case-control 50 gestational age-matched controls. Clinical characteristics (blood...
Abstract Purpose of review Cardiovascular disease (CVD) is the number one cause maternal mortality in USA. There are many cardiac conditions which pose significant risk to health, and these women should be offered options avoid unwanted pregnancies. Individualized contraceptive counseling focusing on woman’s desire for future pregnancy, comorbid conditions, hormone or non-hormonal (contraceptive) paramount adverse side effects. The purpose this give general guidance prescribing both hormonal...
Introduction: Takotsubo cardiomyopathy (TTC) is diagnosed in 1-2% of the patients presenting with troponin positive suspected acute coronary syndromes(ACS). Rising trends adverse events TTC, makes it imperative to explore causes and predictors readmission this patient population. Methods: National Readmission Data (NRD) 2013-14 was utilized select study cohort. International Classification Diseases, 9th Revision (ICD-9-CM) diagnostic code 429.83 used identify takotsubo cardiomyopathy....
Background The number of triplet pregnancies in the United States has increased significantly. Perinatal morbidity and mortality are higher these mainly due to preterm birth rates. Interventions decrease risk delivery this population needed. Evidence regarding cerclage placement triplets is limited. We performed a population-based, retrospective cohort study neonatal outcomes after pregnancies.Methods All U.S. deliveries from 2006 2013 with factors for cervical insufficiency were selected,...