A5016257617- Cardiovascular Function and Risk Factors
- Heart Rate Variability and Autonomic Control
- Cardiac electrophysiology and arrhythmias
- Cardiac Imaging and Diagnostics
- Atrial Fibrillation Management and Outcomes
- Hemodynamic Monitoring and Therapy
- Non-Invasive Vital Sign Monitoring
- Cardiovascular and Diving-Related Complications
- Health and Wellbeing Research
- Cardiac Valve Diseases and Treatments
- Takotsubo Cardiomyopathy and Associated Phenomena
- Sleep and related disorders
- Viral Infections and Immunology Research
- Cardiomyopathy and Myosin Studies
- Anesthesia and Sedative Agents
- Cardiac tumors and thrombi
- Cardiovascular Effects of Exercise
- Cardiovascular Syncope and Autonomic Disorders
- Poisoning and overdose treatments
- Cardiac Health and Mental Health
- Infectious Encephalopathies and Encephalitis
- Coronary Artery Anomalies
- Machine Fault Diagnosis Techniques
- Pharmacological Effects and Assays
- Aortic Thrombus and Embolism
Kern Medical Center
2018-2023
California State University, Fresno
2022
University of California, Los Angeles
2021
University of New Mexico
2014-2020
Johns Hopkins University
2014-2018
Johns Hopkins Bayview Medical Center
2018
Johns Hopkins Medicine
2014-2016
National Institutes of Health
2016
MedStar Good Samaritan Hospital
2014
Johns Hopkins Hospital
2014
Background— Case fatality and hospitalization rates for US patients with heart failure (HF) have steadily decreased during the past several decades. Diabetes mellitus (DM), a risk factor for, frequent coexisting condition with, HF continues to increase in general population. Methods Results— We used National Inpatient Sample estimate overall as well age-, sex-, race/ethnicity-specific trends hospitalizations, DM prevalence, in-hospital mortality among 2.5 million discharge records from 2000...
Vitamin K antagonists (VKAs) are known to increase vascular calcification, suggesting increased cardiovascular disease events. Apixaban is an oral direct factor Xa inhibitor superior warfarin at preventing stroke or systemic embolism and may stabilize coronary atherosclerosis. The potential benefits of avoiding VKA therapy the favorable effects inhibitors could contribute event reduction. We hypothesized that apixaban inhibits calcification atherosclerosis progression compared with in...
We report an extremely rare case of extensive biatrial thrombus straddling a patent foramen ovale (PFO) extending into the bilateral ventricles in patient presenting with acute embolic stroke. Our further developed massive saddle pulmonary embolus (PE) haemodynamic instability during course his hospitalisation. The risks pharmacological thrombolysis or surgical thrombectomy for PE haemodynamically unstable recent stroke posed significant therapeutic dilemma. Ultimately, decision was made to...
BACKGROUND:Clozapine plays a unique role in the management of treatment-resistant schizophrenia (TRS). Clozapine re-challenge following an episode myocarditis is controversial, with very limited literature, although it may be crucial recovery certain patients. To date and to best our knowledge, only 10 22 studied cases reported successful clozapine retrial after myocarditis. CASE REPORT:We present case 22-year-old Hispanic man polysubstance use disorder (methamphetamine, cannabis, alcohol)...
In systemic lupus erythematosus (SLE), cardiac manifestations are known to be present in up 50% of patients. However, it is rare for acute pericarditis the leading symptom at time diagnosis SLE occurring 1% We a case series which 3 patients with no prior history presented pericarditis. This was found manifestation their disease, ultimately led SLE. These were initially treated nonsteroidal anti-inflammatory drugs and colchicines; however, steroids disease-modifying anti-rheumatologic agents...
Syncope is a sudden but reversible brief loss of consciousness secondary to an acute reduction cerebral perfusion. Reflex syncope denotes neurologically mediated syncope, which includes vasovagal, carotid sinus syndrome, and other situational syncope. The most frequent form triggered by emotional stress or prolonged standing, may be diagnosed with the tilt table test. A thorough investigation necessary as serious cardiovascular disorders also cause. test widely used tool utilized clinicians...
Persistent left superior vena cava is the most common congenital anomaly of thoracic venous return, which results when anterior cardinal vein fails to regress. A 41-year-old African American male with a history an unspecified childhood cardiac murmur presented emergency department congestive heart failure exacerbation revealing incidental finding persistent cava. Ultimately, he required implantable cardioverter defibrillator placement and transplantation assessment. In setting advanced...
The risk of thromboembolism is increased when associated with the human immunodeficiency viral (HIV) infection. Various factors are involved in promoting thrombosis, and presence a patent foramen ovale augments potential for paradoxical embolism. We describe case 56-year-old man receiving antiretroviral therapy features right heart failure pulmonary Due to high incidence life-threatening HIV-infected group, need long-term anticoagulation has be evaluated.
Background: Transesophageal echocardiography (TEE) has not been compared to transthoracic (TTE) for assessment of left ventricular diastolic function (LVDF). Left dysfunction is common in systemic lupus erythematosus (SLE), a disease model premature myocardial disease. Methods: 66 patients with SLE (mean age 36±12 years, 91% women) and 26 age-and-sex matched healthy volunteers 34±11 85% underwent TEE immediately followed by TTE. From basal four-chamber views, mitral inflow E A velocities,...
Infective endocarditis is associated with high morbidity and mortality. Hence, early diagnosis prompt intervention crucial. Multivalvular involving 3 or more valves rarely reported little information regarding best management prognosis, particularly in nonsurgical patients. Conflicting guidelines medical versus surgical treatment multivalvular exist few studies describing the outcome of medically managed We report case a previously healthy male presenting infective further complicated by...
Clonidine is used as an antihypertensive medication due to its effect on decreasing peripheral vascular resistance and therefore lowering blood pressure. Alpha antagonism in the medulla posterior hypothalamus causing a reduction sympathetic activation allows for clonidine be effective off-label treatment attention-deficit/hyperactivity disorder (ADHD). This case of 28-year-old female with hypertension, ADHD, depression who developed acute heart failure significant troponemia after ingesting...
Hypertrophic cardiomyopathy (HCM) is a common disease that can be acquired due to chronic hypertension or via autosomal dominant inheritance. Several patterns of HCM have been described, which rare variant apical hypertrophic (AHCM). Atrial thrombus well-recognized complication especially in the setting atrial fibrillation (AF). However, left ventricular (LVT) formation not nearly as prevalent thrombus. Here case 57-year-old Hispanic female with AHCM who presented significant unintentional...
Methamphetamine use is associated with cardiovascular disease and significant morbidity mortality. There only one previous study performed on echocardiographic parameters in patients methamphetamine cardiomyopathy.
Takotsubo cardiomyopathy (TCM) is a syndrome of reversible left ventricular systolic dysfunction that, at presentation, can be easily conflated with acute coronary syndrome. TCM has clinical preponderance for older, postmenopausal females. We report on patient’s case who presented complaints upper and lower extremity weakness evidence rhabdomyolysis hepatic injury. Her occupation as field worker exposed her to toxic chemical known paraquat, which been banned by multiple countries across the...