A5007833465- Cardiovascular Effects of Exercise
- Cardiac Imaging and Diagnostics
- Sports injuries and prevention
- Cardiac Valve Diseases and Treatments
- Cardiovascular and exercise physiology
- Cardiac Arrhythmias and Treatments
- Coronary Interventions and Diagnostics
- Cardiac Health and Mental Health
- Cardiac Structural Anomalies and Repair
- Cardiomyopathy and Myosin Studies
- Cardiac Arrest and Resuscitation
- Takotsubo Cardiomyopathy and Associated Phenomena
- Heart Rate Variability and Autonomic Control
- Cardiovascular Function and Risk Factors
- Infective Endocarditis Diagnosis and Management
- Cardiac pacing and defibrillation studies
- Cardiac electrophysiology and arrhythmias
- Aortic Disease and Treatment Approaches
- Primary Care and Health Outcomes
- Neurological disorders and treatments
- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Disease and Adiposity
- Viral Infections and Immunology Research
- Sports Performance and Training
- Healthcare Policy and Management
Washington University in St. Louis
2019-2025
Jewish Hospital
2023
Barnes-Jewish Hospital
2023
Washington University Medical Center
2021
Missouri Baptist Medical Center
2020
University of Missouri–St. Louis
2020
Cardiovascular Systems (United States)
2020
Spectrum Health
2014-2016
University of Rochester Medical Center
2016
University of Rochester
2014-2015
Cardiac involvement among hospitalized patients with severe coronavirus disease 2019 (COVID-19) is common and associated adverse outcomes. This study aimed to determine the prevalence clinical implications of COVID-19 cardiac in young competitive athletes.In this prospective, multicenter, observational cohort data from 42 colleges universities, we assessed prevalence, characteristics, outcomes collegiate athletes United States. Data were collected September 1, 2020, December 31, 2020. The...
AimsA recent study demonstrated that intracoronary near-infrared spectroscopy (NIRS) findings in non-target vessels are associated with major adverse cardiovascular and cerebrovascular events (MACCE). It is unknown whether NIRS at non-stented sites target similarly future MACCE. This evaluated the association between large lipid-rich plaques (LRP) detected by a artery subsequent
This study was performed to assess the lipid burden of culprit lesions in non-ST-segment elevation myocardial infarction (non-STEMI) and unstable angina (UA).A recent intracoronary near-infrared spectroscopy (NIRS) showed 85% STEMI have a maximum core index 4-mm (maxLCBI(4mm)) ≥ 400. Whether non-STEMI UA are characterized by similarly large is unknown.We studied 81 patients undergoing vessel NIRS imaging before stenting. Culprit segments were compared all nonoverlapping 10-mm nonculprit for...
Background: Prolonged inpatient length of stay (LOS) is associated with worse clinical outcomes and increased healthcare costs. Transthoracic echocardiography (TTE) commonly utilized in cardiac evaluation hospital inpatients but prolonged LOS may not always be necessary. Point care ultrasound (POCUS) help reduce the need for TTEs. Objective: We aimed to demonstrate feasibility a POCUS-guided TTE triage protocol estimate its impact on utilization. Methods: From September December 2023,...
Background Cardiogenic shock from most causes has unfavorable prognosis. Hypertrophic cardiomyopathy (HCM) can uncommonly present with apical ballooning and in association sudden development of severe unrelenting left ventricular (LV) outflow obstruction. Typical HCM phenotypic features mild septal thickening, gradients, distinctive mitral abnormalities differentiate these patients others Takotsubo syndrome, who have normal valves no Methods Results We analyzed 8 our 4 centers obstructive...
Background— Neoatherosclerosis is an emerging phenomenon in which lipid-rich plaques (LRPs) develop within pre-existing stents. This study was undertaken to describe near-infrared spectroscopy (NIRS) and intravascular ultrasound findings stents compare NIRS stents, increased lipid signal has been speculated indicate neoatherosclerosis, a control group of freshly implanted any originates from fibroatheroma under the stent. Methods Results— At site LRP detected by cohort used determine...
BACKGROUND: Traditional cardiac rehabilitation (CR) improves cardiovascular outcomes and reduces mortality, but less is known about the relative benefit of intensive CR (ICR) which incorporates greater lifestyle education through 72 sessions (versus 36 in CR). Our objective was to determine whether ICR associated with a mortality compared CR. METHODS: Retrospective cohort study Medicare Fee-For-Service beneficiaries 100% sample, claims data set. Qualifying events were captured from May 1,...
Background Initial protocols for return to play cardiac testing in young competitive athletes following SARS-CoV-2 infection recommended troponin (cTn) screen involvement. This study aimed define the diagnostic yield of cTn undergoing cardiovascular infection. Methods and Results prospective, observational cohort from ORCCA (Outcomes Registry Cardiac Conditions Athletes) included collegiate who underwent as a component The values were stratified undetectable, detectable but within normal...
Providing hemodynamic support for patients with hypertrophic cardiomyopathy and cardiogenic shock can be challenging because inotropic medications worsen intraventricular obstruction, the effect of appropriate mechanical remains undefined. We report a patient in takotsubo requiring venoarterial extracorporeal membrane oxygenation septal reduction full recovery. (Level Difficulty: Advanced.)
Purpose: Intensive cardiac rehabilitation (ICR) was developed to enhance traditional (CR) by adding sessions focused on nutrition, lifestyle behaviors, and stress management. CR has been Medicare-approved since 2010, yet little is known about national utilization rates of ICR in the Medicare population or characteristics associated with its use. Methods: A 5% sample claims data from 2012 2016 used identify beneficiaries a qualifying indication for ICR/CR quantify within 1 yr diagnosis....
Background: It is not known whether the number of revascularizations modifies clinical outcomes in patients with ischemic cardiomyopathy (ICM) implanted cardiac resynchronization therapy defibrillator (CRT-D) vs. an implantable cardioverter-defibrillator (ICD)-only. Methods: In Multicenter Automatic Defibrillator Implantation Trial-Cardiac Resynchronization Therapy (MADIT-CRT), we evaluated effect CRT-D ICD-only on heart failure (HF) or death, ventricular tachycardia (VT), fibrillation (VF)...