- Cardiac Valve Diseases and Treatments
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Mechanical Circulatory Support Devices
- Cardiovascular Function and Risk Factors
- Cardiac Arrest and Resuscitation
- Cardiac Imaging and Diagnostics
- Cardiac Arrhythmias and Treatments
- Cardiac pacing and defibrillation studies
- Pericarditis and Cardiac Tamponade
- Hemodynamic Monitoring and Therapy
- Cardiac, Anesthesia and Surgical Outcomes
- Atrial Fibrillation Management and Outcomes
- Sepsis Diagnosis and Treatment
- COVID-19 Clinical Research Studies
- Liver Disease and Transplantation
- Venous Thromboembolism Diagnosis and Management
- Myasthenia Gravis and Thymoma
- Aortic Disease and Treatment Approaches
- Congenital Heart Disease Studies
- Transplantation: Methods and Outcomes
- Cardiac tumors and thrombi
- Ultrasound in Clinical Applications
- Renal and Vascular Pathologies
- Heart Rate Variability and Autonomic Control
Cleveland Clinic
2020-2024
University of Catania
2023
Intermountain Medical Center
2023
King's College London
2023
Queen Medical
2023
Queen's Medical Center
2023
Fairview Southdale Hospital
2022
University of Kentucky
2022
Island Hospital
2021
Akron General Medical Center
2020
Background: The conventional method of implanting balloon-expandable SAPIEN-3 (S3) valve results in a final 70:30 or 80:20 ratio the aorta:left ventricular outflow tract with published rates permanent pacemaker around 10%. We sought to evaluate whether higher implantation S3 reduces conduction abnormalities including need for pacemaker. Methods: included consecutive patients who underwent transfemoral transcatheter aortic replacement using between April 2015 and December 2018 compared...
Summary The IMPEDE VTE score has recently emerged as a novel risk prediction tool for venous thromboembolism (VTE) in multiple myeloma (MM). We retrospectively reviewed 839 patients with newly diagnosed MM between 2010 and 2015 at Cleveland Clinic included 575 final analysis to validate this score. c‐statistic of the predict within 6 months treatment start was 0·68 (95% CI: 0·61–0·75). 6‐month cumulative incidence 5·0% 2·1–7·9) low group, compared 12·6% 8·9–16·4%) 24·1% 12·2–36·1)...
The aims of this study were to understand the incidence and outcomes patients with cardiogenic shock (CS) due severe aortic stenosis (AS), impact conventional treatment strategies in population.
Abstract Background Monitored anesthesia care (MAC) has become more widely used during transcatheter aortic valve replacement (TAVR) to avoid the complications of general (GA). Methods We included consecutive patients who underwent transfemoral‐TAVR at our institution between January 2012 and April 2017. compared outcomes with GA versus MAC. Results Of 998 patients, MAC was in 43.9%. associated shorter procedural time (96.9 ± 30.9 vs. 135 64.6 mins; p < .001), fluoroscopy (20.4 8.9 29...
The clinical characteristics and outcomes of patients who develop cardiogenic shock (CS) secondary to primary valvular dysfunction (valvular [VCS]) remain unclear.
PURPOSE: Bacterial and fungal infections in COVID-19 patients have been inadequately studied reported.The purpose of this study is to determine the incidence outcomes superinfections with COVID-19. METHODS:A retrospective observational all diagnosed at Fairview Hospital-Cleveland Clinic.Main were bacterial, viral among in-hospital mortality.RESULTS: There 82 .Fifty-one (62.2%) male median age was 64.5 years.On admission, 48 (58.5%) admitted ICU 13 (15.9%)required mechanical ventilation.Of...
Tissue Doppler-derived left ventricular systolic velocity (mitral S') has shown excellent correlation to ejection fraction (LVEF) in non-critically patients. However, their septic patients remains poorly understood and its impact on mortality is undetermined. We investigated the relationship between mitral S' LVEF a large cohort of critically-ill patients.We conducted retrospective study 01/2011 12/2020. All adult (≥ 18 years) who were admitted medical intensive care unit (MICU) with sepsis...
New-onset left bundle branch block (LBBB) can develop after transcatheter aortic valve replacement (TAVR) resulting in worse outcomes.Describe clinical and echocardiographic outcomes with new-onset LBBB TAVR.We included consecutive patients who underwent transfemoral-TAVR SAPIEN-3 (S3) between April 2015 December 2018. Exclusion criteria pre-existing LBBB, right BBB, anterior hemiblock, posterior wide QRS ≥ 120ms, prior permanent pacemaker (PPM), nontransfemoral access.Among 612 patients,...
Hyperglycaemia has been an established predictor of poor outcomes in critically ill patients. The aim this study is to assess the pattern early glycemic control patients with cardiogenic shock (CS) on temporary mechanical circulatory support (MCS) and its impact short-term outcomes.All adult admitted Cleveland clinic cardiac intensive care unit (CICU) between 2015 2019 CS necessitating MCS intra-aortic balloon pump (IABP), Impella or venous arterial- extra corporeal membrane oxygenation (VA-...
Abstract Background Baseline conduction abnormalities are known risk factors for permanent pacemaker (PPM) implantation after transcatheter aortic valve replacement (TAVR). We sought to determine the impact of baseline right bundle branch block (RBBB), left (LBBB), anterior hemiblock (LAHB), first‐degree atrioventricular (AVB) and atrial fibrillation/flutter (AF) on TAVR outcomes. Methods Consecutive patients who underwent transfemoral with SAPIEN‐3 (S3) were included. excluded prior PPM,...
Drowsy drivers are a major cause of many road accidents around the world. Facial emotions known to be one visual cues for detecting drowsiness. In this paper, we propose machine learning approach drowsiness detection based on using combination facial emotion features extracted by deep convolutional neural networks (CNN) and eye-aspect-ratio (EAR) features. The combined feature vectors then used training classifier. From our experiments, obtain classification accuracy 81.7% when use with...
Melanoma is a highly aggressive disease with the risk of developing metastasis to virtually all organs including heart, which can manifest as arrhythmia, right ventricular obstruction, heart failure, or pericardial effusion. Only few reports are found in literature metastatic melanoma, causing arrhythmia. Prior advent contemporary therapies, cardiac metastases implied very poor prognosis. The use immune checkpoint inhibitors and targeted therapy has greatly improved survival outcomes...