- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac Structural Anomalies and Repair
- Cardiac electrophysiology and arrhythmias
- Cardiac tumors and thrombi
- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Cardiomyopathy and Myosin Studies
- Cardiovascular Effects of Exercise
- Cardiovascular Issues in Pregnancy
- Aortic Thrombus and Embolism
- Dialysis and Renal Disease Management
- Peripheral Artery Disease Management
- Innovations in Medical Education
- Cardiovascular Syncope and Autonomic Disorders
- Congenital Heart Disease Studies
- Neurological disorders and treatments
- Systemic Lupus Erythematosus Research
- Intraperitoneal and Appendiceal Malignancies
- Electrostatic Discharge in Electronics
- Infectious Aortic and Vascular Conditions
- Viral Infections and Immunology Research
- Heparin-Induced Thrombocytopenia and Thrombosis
- Vascular anomalies and interventions
University of Puerto Rico System
2009-2024
Center for Advanced Studies on Puerto Rico and the Caribbean
2023
University of Puerto Rico, Medical Sciences Campus
2020-2022
San Juan City Hospital
2019
University of Miami
2012
Abstract Background The subcutaneous ICD established its role in the prevention of sudden cardiac death recent years. occurrence premature battery depletion a large subset potentially affected devices has been cause concern. incidence not studied systematically beyond manufacturer-reported data. Methods Retrospective data and most follow-up on S-ICD from fourteen centers Europe, US, Canada was studied. generator removal or failure reported to investigate depletion, defined as within 60...
Background: Finding early specific indicators of failure in the United States Medical Licensing Examination (USMLE) Step 1 and 2 Clinical Knowledge (CK) could be used to develop interventions that solve deficiencies help at-risk students ultimately attain a passing score. This study was aimed at determining if National Board Examiners (NBME) Comprehensive Basic Science (CBSE) predict score during USMLE 1. We also assessed NBME Medicine Subject (CSSE) or scores CK. Methods: Gender from 724...
Dextrocardia is a congenital anomaly where the heart abnormally located in right hemithorax. In these patients, implementation of transvenous implantable cardioverter-defibrillator (TV-ICD) can be technically challenging and pose higher risk complications than general population. We present case male patient that was successfully submitted to right-sided implantation subcutaneous ICD (S-ICD) as an alternative for primary prevention sudden cardiac death. This option not only feasible but may...
It is estimated that 5% of patients with heart failure (HF) will progress to end-stage disease refractory medical therapy and might require prolonged hospitalisation inotropic support. We present the case a patient HF who was admitted cardiogenic shock. During his hospitalisation, he required intravenous vasopressor due hypotension. He did not qualify for transplantation or left ventricular-assist device strategies. Midodrine started as last resort attempt wean off vasopressors. After 5 days...
Non-Hispanic whites present with higher atrial fibrillation (AF) prevalence than other racial minorities living in the mainland USA. In two hospital-based studies, Puerto Rican Hispanics had a lower of 2.5% non-Hispanic Whites 5.7%. This data is particularly controversial because possess traditional risk factors for developing AF yet have prevalence. phenomenon known as paradox. Despite recent advancements understanding AF, its pathogenesis remains unclear. this study, we compared genetic...
Abstract Background The absence of the left atrial appendage is an exceedingly rare structural variant that could have important implications for anticoagulation regimens in patients with fibrillation. Case summary We report case a 63-year-old Puerto Rican female history hypertension, cerebral artery aneurysms, and type 2 diabetes mellitus who suffered multiple haemorrhagic strokes. patient had never received therapy. During indicated stroke work-up, was found to paroxysmal Given high risk...
Acute coronary syndrome rarely occurs in young individuals and is seldomly associated with antiphospholipid syndrome. We report the case of a 26-year-old Hispanic man who presented acute ST-elevation myocardial infarction was treated urgent percutaneous transluminal angioplasty. He experienced stent thrombosis within 48 h intervention subsequently developed left apical thrombus. Hypercoagulable state studies were obtained at admission 12 weeks after event establishing diagnosis
Abstract Funding Acknowledgements Type of funding sources: None. Introduction A subset more than 35,000 S-ICD is under FDA advisory, warning the potential premature battery depletion (PBD), caused by a faulty low-voltage capacitor. Based on internal data, manufacturer projects incidence at 3.7% after 5 years. Data independent from sparse. Methods This study was multicenter effort 14 centers in Europe, US, and Canada. Consecutive patients who received participating were included this...