A5058592266- Hemodynamic Monitoring and Therapy
- Ultrasound in Clinical Applications
- Cardiac Imaging and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Coronary Interventions and Diagnostics
- Acute Myocardial Infarction Research
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Health and Mental Health
- Radiation Dose and Imaging
- Peripheral Artery Disease Management
- interferon and immune responses
- Pericarditis and Cardiac Tamponade
- Lipoproteins and Cardiovascular Health
- Atrial Fibrillation Management and Outcomes
- Antiplatelet Therapy and Cardiovascular Diseases
- Mitochondrial Function and Pathology
- Adrenal and Paraganglionic Tumors
- Eosinophilic Disorders and Syndromes
- Kawasaki Disease and Coronary Complications
- Infective Endocarditis Diagnosis and Management
- Adipokines, Inflammation, and Metabolic Diseases
- Systemic Sclerosis and Related Diseases
- Cardiovascular Health and Risk Factors
- Muscle and Compartmental Disorders
- Cardiac Structural Anomalies and Repair
University of Utah
2004-2024
George E. Wahlen Department of VA Medical Center
2021-2022
University of Utah Health Care
2020-2022
Nepean Hospital
2020
The University of Adelaide
2013
Queen Elizabeth Hospital
2013
Royal College of Physicians
2001
Assessment of volume status through the estimation central venous pressure (CVP) is integral in care heart failure (HF). Bedside assessment limited by obesity, variation physical examination skills, and expertise ultrasonography.To validate accuracy quantitative qualitative point-of-care ultrasonography jugular (JVP) predicting elevated CVP.Prospective observational study using convenience sampling.2 U.S. academic hospitals.Adult patients undergoing right catheterization between 5 February...
Obesity is now considered a primary comorbidity in heart failure with preserved ejection fraction (HFpEF) pathophysiology, mediated largely by systemic inflammation. Although there accumulating evidence for disease-related dysregulation of blood flow during exercise this patient group, the role obesity hemodynamic response to remains unknown. Small muscle mass handgrip (HG) was used evaluate exercising nonobese (BMI < 30 kg/m2, n = 14) and obese > 40) patients HFpEF. Heart rate (HR), stroke...
Peripheral artery disease (PAD) in the lower extremities often leads to intermittent claudication. In present study, we proposed a low-dose DCE MRI protocol for quantifying calf muscle perfusion stimulated with plantar flexion and multiple new metrics interpreting maps, including ratio of gastrocnemius over soleus (G/S; assessing vascular redistribution between two muscles) normalized by whole body (for muscle’s active hyperemia). Twenty-eight human subjects participated this Institutional...
Pericardial decompression syndrome (PDS) is a potentially fatal disorder of left ventricular function that sometimes occurs after drainage pericardial effusion for cardiac tamponade. Patients at risk PDS are difficult to identify. Here, we report 2 cases where developed effusions had been present years, suggesting patients with chronic higher PDS. (Level Difficulty: Advanced.).
Introduction: Accurate intravascular volume status assessment is central to heart failure management, but current non-invasive bedside techniques remain a challenge. Visual inspection of jugular venous pulsation (JVP) used as surrogate for pressure (CVP). Studies have shown variability and inaccuracy the JVP exam in estimating CVP or right atrial (RAP). Published methods RAP estimation through internal vein (IJV) ultrasonography are either complex require offline analysis. We validated...
Background: CAD is the leading cause of death and disability in US. Cardiac rehabilitation (CR) program an important secondary-prevention intervention to reduce mortality, cardiovascular (CV) events, & disability. At start CR program, patients undergo extensive risk assessment guide reduction goals. However, residual at completion not well studied. We sought investigate modifiable factors completing Methods: retrospectively reviewed our center’s data on consecutive between October 2012...
Introduction: Cardiac Rehabilitation (CR) is a multi-disciplinary secondary prevention program associated with decreased rates of re-infarction, cardiac and overall mortality in post myocardial infarction (MI) patients. Despite clear benefits, only 14-35% MI survivors participate nationwide. Aim this study was to describe the characteristics CR eligible patients MI, percutaneous or surgical revascularization, valvular, transplant left ventricular assist device (LVAD) surgery who completed...
Introduction: Accurate intravascular volume status assessment is central to heart failure management, but current non-invasive bedside techniques remain a challenge. The visual inspection of jugular venous pulsation (JVP) in reclined position and measuring its height from the sternal notch has been used as surrogate for right atrial pressure (RAP). There are no studies on predictive value visible internal vein (IJV) upright (U 2 JVP). Hypothesis: Point care ultrasound (POCUS) clinically...
Introduction: Accurate volume status assessment is central to heart failure management, but current non-invasive bedside techniques remain a challenge, particularly in obese patients. Studies have shown variability and inaccuracy of the jugular venous pulse (JVP) exam estimating right atrial pressure (RAP). Hypothesis: The accuracy POCUS imaging JVP (uJVP) preserved obesity. Methods: Prior undergoing catheterization (RHC), subjects were enrolled for internal vein with device, Butterfly iQ™....
Introduction: Bedside central venous pressure assessment is integral to diagnosing and managing heart failure (HF). A noninvasive point of care ultrasound (POCUS) the jugular (uJVP) was validated as accurate in predicting elevated right atrial (RAP) on catheterization (RHC) HF patients. qualitative uJVP upright position (uuJVP) found be highly specific for detecting RAP. We compared prognostic value distended uuJVP RAP one-year mortality. Hypothesis: hypothesized that a predictive all-cause...