- Coronary Interventions and Diagnostics
- Cardiac Imaging and Diagnostics
- Acute Myocardial Infarction Research
- Peripheral Artery Disease Management
- Antiplatelet Therapy and Cardiovascular Diseases
- Erythropoietin and Anemia Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Blood transfusion and management
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Cardiac Arrest and Resuscitation
- Health Systems, Economic Evaluations, Quality of Life
- Lipoproteins and Cardiovascular Health
- Heart Failure Treatment and Management
- Cardiac Health and Mental Health
- Hemoglobinopathies and Related Disorders
- Cerebrovascular and Carotid Artery Diseases
- Cardiovascular Function and Risk Factors
- Cardiac Valve Diseases and Treatments
- Acute Kidney Injury Research
- Pain Management and Treatment
- Atrial Fibrillation Management and Outcomes
- COVID-19 and Mental Health
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Iron Metabolism and Disorders
University of Missouri–Kansas City
2015-2024
Saint Luke's Hospital
2015-2024
University of Washington
2017-2023
Cardiovascular Research Foundation
2023
Saint Luke's Health System
2012-2022
Missouri Heart Center
2017-2019
Salisbury University
2011-2018
University of Chicago Medical Center
2018
Monash Health
2017
Monash University
2017
Background— Improving patients’ quality of life is a primary indication for percutaneous coronary intervention (PCI), yet little known about patient characteristics associated with greater quality-of-life improvement from the procedure. This study was conducted to identify benefit after PCI. Methods and Results— A consecutive series 1518 patients undergoing PCI in nonacute myocardial infarction settings were prospectively enrolled into an observational documenting their postprocedural health...
<h3>Background</h3>Hospital-acquired anemia (HAA) during acute myocardial infarction (AMI) is associated with higher mortality and worse health status often develops in the absence of recognized bleeding. The extent to which diagnostic phlebotomy, a modifiable process care, contributes HAA unknown.<h3>Methods</h3>We studied 17 676 patients AMI from 57 US hospitals included contemporary database January 1, 2000, through December 31, 2008, who were not anemic at admission but developed...
Same-day discharge (SDD) after elective percutaneous coronary intervention (PCI) is associated with lower costs and preferred by patients. However, to our knowledge, contemporary patterns of SDD PCI respect the incidence, hospital variation, trends, costs, safety outcomes in United States are unknown.To examine (1) incidence trends SDD; (2) variation (3) association between readmissions for bleeding, acute kidney injury (AKI), myocardial infarction (AMI), or mortality at 30, 90, 365 days...
Background— Anemia is common among patients hospitalized with acute myocardial infarction and associated poor outcomes. Less known about the incidence, correlates, prognostic implications of acute, hospital-acquired anemia (HAA). Methods Results— We identified 2909 who had normal hemoglobin (Hgb) on admission in multicenter TRIUMPH registry defined HAA by criteria proposed Beutler Waalen. used hierarchical Poisson regression to identify independent correlates multivariable proportional...
Benefits of drug-eluting stents (DES) in percutaneous coronary intervention (PCI) are greatest those at the highest risk target-vessel revascularization (TVR). Drug-eluting cost more than bare-metal (BMS) and necessitate prolonged dual antiplatelet therapy (DAPT), which increases costs, bleeding risk, complications if DAPT is prematurely discontinued. Our objective was to assess whether DES preferentially used patients with higher predicted TVR estimate lower use low-TVR-risk would be...
We sought to determine the impact of subintimal plaque modification (SPM) on early health status following unsuccessful chronic total occlusion (CTO) PCI.Intentionally dilating space during CTO PCI facilitate flow through dissection planes and improve success repeat attempts is a technique used by some hybrid operators, may restoring distal vessel despite PCI.We studied 138 patients who underwent in 12-center registry. Safety was assessed comparing in-hospital outcomes undergoing with...
The aim of this study was to evaluate the cost-effectiveness drug-coated balloon (DCB) angioplasty versus standard percutaneous transluminal (PTA).Recent trials have reported lower rates target lesion revascularization with DCB PTA. However, is unknown.A prospective economic performed alongside IN.PACT SFA II (IN.PACT Admiral Drug-Coated Balloon vs. Standard Angioplasty for Treatment Superficial Femoral Artery [SFA] and Proximal Popliteal [PPA]) trial, which randomized 181 patients...
Objectives To determine whether a variation of an abandoned antegrade percutaneous coronary intervention (PCI) technique, termed subintimal tracking and reentry (STAR), could be safe effective strategy to contend with complex chronic total occlusions (CTO) when other strategies fail. Background Complex CTOs require advanced techniques such as the retrograde approach, which is associated higher complication rates than strategies. Methods The medical records 32 consecutive patients who...
The optimal hemoglobin threshold to guide red blood cell (RBC) transfusion for patients with acute myocardial infarction (MI) and anemia is uncertain. To estimate the efficacy of 4 individual thresholds (<10 g/dL [<100 g/L], <9 [<90 <8 [<80 <7 [<70 g/L]) in MI anemia. Prespecified secondary analysis MINT (Myocardial Ischemia Transfusion) trial using target emulation methods. (ClinicalTrials.gov: NCT02981407). 144 clinical sites 6 countries. 3492 participants a level below 10 g/dL. Four...
Health status and quality of life improvement after chronic total occlusion (CTO) percutaneous coronary intervention (PCI) among patients with refractory angina has not been reported. We sought to determine the degree CTO PCI in angina.Among 1000 consecutive who underwent a 12-center registry, was defined as any (baseline Seattle Angina Questionnaire [SAQ] Frequency score ≤90) despite treatment ≥3 antianginal medications. at baseline 1-year follow-up quantified using SAQ. Refractory present...
Intracoronary (IC) imaging for percutaneous coronary intervention (PCI) is associated with better patient outcomes and carries a class IIA guideline recommendation, but it remains rarely used. We sought to characterize hospital-level variability in IC PCI the United States identify factors that may explain this variability.