A5021540824- Coronary Interventions and Diagnostics
- Venous Thromboembolism Diagnosis and Management
- Cardiac Structural Anomalies and Repair
- Infective Endocarditis Diagnosis and Management
- Atrial Fibrillation Management and Outcomes
- Cardiac Valve Diseases and Treatments
- Antiplatelet Therapy and Cardiovascular Diseases
- Acute Myocardial Infarction Research
- Mechanical Circulatory Support Devices
- Cardiac Imaging and Diagnostics
- Transplantation: Methods and Outcomes
- Heart Failure Treatment and Management
- COVID-19 Clinical Research Studies
- Peripheral Artery Disease Management
- Long-Term Effects of COVID-19
- Cardiac, Anesthesia and Surgical Outcomes
- Coronary Artery Anomalies
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Central Venous Catheters and Hemodialysis
- Pericarditis and Cardiac Tamponade
- Pain Management and Treatment
- Cardiac Arrest and Resuscitation
- Cardiac tumors and thrombi
- Viral Infections and Immunology Research
The University of Texas Medical Branch at Galveston
2023-2025
Seton Hall University
2025
Brigham and Women's Hospital
2025
McLaren Regional Medical Center
2017-2024
Louisiana State University in Shreveport
2024
Icahn School of Medicine at Mount Sinai
2023-2024
Texas Medical Board
2024
John H. Stroger, Jr. Hospital of Cook County
2024
Mount Sinai Hospital
2023
Cardiovascular Institute of the South
2023
The mechanisms underlying the onset and progression of chronic pain in COVID-19 patients have been understudied. Using network meta-analysis, we previously demonstrated that alcohol augments symptoms pathologies possibly by inducing a severe cytokine storm. We others also reported acute consumption produces analgesic effects, while results hyperalgesia pain. This study aimed to identify influence on publicly available curated gene expression data sets differentially expressed genes (DEGs)...
To compare safety and efficacy of transcatheter aortic valve replacement (TAVR) with surgical (SAVR) in patients at low-intermediate risk, given the paucity robust data.We performed an aggregate data meta-analysis 7 randomized controlled trials (RCTs) 6,778 comparing TAVR SAVR for stenosis (AS) risk (Society Thoracic Surgeons risk-score ≤8%) using random-effects model. Primary outcome was all-cause mortality 30-day, 1-year 2-year follow-up. Secondary outcomes included cardiac-mortality,...
BACKGROUND Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread to more than 200 countries across the world. Studies have shown that patients with COVID-19 are prone thrombotic resulting in increased mortality. We present a case of pneumonia warehouse worker giant thrombus-in-transit involving right ventricle and tricuspid valve. also describe associated diagnostic therapeutic challenges. CASE REPORT A 54-year-old man recent...
Lung cancer is one of the leading causes cancer-related mortality and categorized into small cell lung (SCLC) non-small (NSCLC). We present a patient with epidermal growth factor receptor (EGFR)-mutant-NSCLC who developed metastatic SCLC after initial therapy second-generation EGFR-tyrosine kinase inhibitor, afatinib. A 65-year-old male non-smoker was diagnosed adenocarcinoma right lung, stage IVA (M1a). Due to tumor positivity for EGFR-Exon 19 deletion, started on oral afatinib, which...
Background: We report post-coronary artery bypass outcomes and factors affecting the from Genesee County, MI, where population is distinctly characterized by a higher prevalence of renal failure (RF), diabetes, obesity smoking than national average. Methods: performed retrospective cohort study on 1133 patients undergoing isolated CABG at our hospital June 2012 to July 2017. Primary outcome was association between preoperative hemoglobin A1c (HbA1c) all-cause postoperative mortality after...
We report a rare case of absolute thrombocytopenia with ticagrelor after 6 h single loading dose ticagrelor.A 68-year-old male ischaemic cardiomyopathy, hypertension, and dyslipidaemia presented chest pain. He was found to be in new-onset atrial flutter ruled for non-ST-segment elevation myocardial infarction. An echocardiogram showed decreased left ventricular ejection fraction, estimated at 15-20% serum troponin peaked 0.2 ng/dL, baseline platelet count 203 × 103/µL. underwent drug-eluting...
Limb ischemia is a dreaded complication of large-bore access during prolonged Impella support. We report novel technique to modify 14F sheath by creating two perfusion holes in the dorsal surface enable distal limb via dead space surrounding 9F catheter flow-occlusive iliofemoral arteries.
Introduction: Only 12% of Americans have proficient health literacy (HL). Patients hide this fact from others including physicians. This quality improvement (QI) project was developed to compare internal medicine (IM) resident physicians’ (RPs) ability accurately predict patients with low HL and improve IM-RPs’ understanding its impact on patients.Aim statement: Over six-months, our aim increase the IM residents’ HL-knowledge by 30% as measured an HL-Knowledge-Based-Survey.Methods: After IRB...
Objectives To explore the role of inspiratory muscle training (IMT) in improving cardiorespiratory fitness stable heart failure with preserved ejection fraction (HFpEF) patients. Background There is a paucity data on IMT patients HFpEF. HFpEF growing problem developed world, especially aging population. Methods We conducted systematic literature search for English studies PubMed, EMBASE, and Cochrane Central Register Controlled Trials. searched databases using terms relating to or describing...
Infective endocarditis (IE) is a rare but serious complication following Solid Organ Transplant (SOT). Due to the lack of sufficient studies, we aimed compare in-hospital mortality and length stay (LOS) patients primarily admitted for IE (index or principal hospitalization) with history SOT, including subgroup heart lung transplant (HLT), those without SOT (non-SOT) HLT (non-HLT). We used 2016-2019 National Inpatient Sample, largest all-payer inpatient hospital data from Healthcare Cost...
Concurrent Pneumocystis jirovecii (PJ) and pulmonary histoplasmosis (PHP) are rare in a single HIV individual. We present challenging case of concomitant PJ PHP young A 44-year-old man presented to the emergency department with progressive symptoms. He was hypoxic bilateral opacities on chest radiograph. CT showed geographical pattern ground-glass attenuation. started receiving intravenous antibiotics addition oral Bactrim for suspected PJ. also began itraconazole, given recent bat-droppings...
Infective endocarditis (IE) complicated by heart block can have adverse outcomes and usually requires immediate surgical cardiac interventions. Data on trends in patients with IE concurrent are lacking. Patients a primary diagnosis of or without were identified querying the Healthcare Cost Utilization Project database, specifically National Inpatient Sample for years 2013 2014, based International Classification Diseases Clinical Modification Ninth Revision codes. During total 18,733...
Background There are no clear consensus guidelines on the indications and types of anticoagulation therapies in patients with bio-prosthetic valves either concomitant atrial fibrillation (AF) or sinus rhythm. In our meta-analysis, we assessed safety efficacy DOACs as compared to standard treatment warfarin AF bioprosthetic valves. Methods We included randomized controlled trials (RCTs), cohort studies English language, reporting valvular heart disease that disease. A systematic literature...
Giant coronary artery aneurysms (GCAAs) are unusual and extremely rare. Due to their rarity, there is a lack of data on managing GCAAs. A man in his 70s who presented with worsening shortness breath bilateral lower extremity oedema was found have non-ST elevation myocardial infarction. Coronary angiography showed tortuous Shepherd's crook right ectasia gigantic 4.5×4 cm saccular aneurysm the mid-right limited flow distal vasculature. He subsequently underwent aneurysmal clipping excision...