- Cardiac Arrhythmias and Treatments
- Neonatal Respiratory Health Research
- Cardiac electrophysiology and arrhythmias
- Cardiovascular Function and Risk Factors
- Atrial Fibrillation Management and Outcomes
- Cardiac pacing and defibrillation studies
- ECG Monitoring and Analysis
- Cardiac Valve Diseases and Treatments
- Neuroscience of respiration and sleep
- Aortic aneurysm repair treatments
- Infant Development and Preterm Care
- Hip disorders and treatments
- Mechanical Circulatory Support Devices
- Antiplatelet Therapy and Cardiovascular Diseases
- Aortic Disease and Treatment Approaches
- Intracerebral and Subarachnoid Hemorrhage Research
- Congenital Heart Disease Studies
- Congenital Diaphragmatic Hernia Studies
- Cardiovascular Disease and Adiposity
- Cardiovascular Conditions and Treatments
- Acute Ischemic Stroke Management
- Sarcoidosis and Beryllium Toxicity Research
- Agriculture, Plant Science, Crop Management
- Inflammatory Myopathies and Dermatomyositis
- Infectious Encephalopathies and Encephalitis
Nationwide Children's Hospital
2020-2025
Broward Health Medical Center
2014-2024
Broward Health
2014-2024
The Ohio State University
2020-2023
Florida Atlantic University
2023
Nova Southeastern University
2023
University of Miami
2023
Columbia University Irving Medical Center
2023
MetroHealth Medical Center
2017-2021
Campbell Collaboration
2021
Hospitalization of moderately preterm infants may be prolonged while waiting for apnea prematurity to resolve after discontinuing caffeine. To evaluate whether extending caffeine treatment reduces the duration hospitalization. From February 2019 December 2022, this randomized clinical trial in 29 US hospitals enrolled born at 33 weeks' gestation who 35 postmenstrual age were receiving with plans discontinue it plus full feeds (≥120 mL/kg/d). Follow-up was completed on March 20, 2023. Infants...
Introduction: In previous studies, the prognostic value of T wave alternans (TWA) was similar to that programmed ventricular stimulation (PVS). However, presently it is unclear if TWA and PVS identify same patients or provide complementary risk stratification information. addition, effects left ejection fraction (LVEF) on are unknown. The aim this study determine combined assessment TWA, LVEF, improves arrhythmia stratification. Methods Results: This a prospective 144 with coronary artery...
Exercise vs Pacing for TWA Measurement. Introduction: T wave alternans (TWA) is a heart rate‐dependent marker of vulnerability to ventricular arrhythmias. Atrial pacing and exercise both are used as provocative stimuli elicit TWA. However, the prognostic value two testing methods has not been compared. The aim this prospective study was compare measured during bicycle atrial in large cohort high‐risk patients with ischemic disease left dysfunction. Methods Results: This 251 coronary artery...
Background: The study objective was to evaluate the relationship between first hip ultrasound (HUS) result and developmental dysplasia of (DDH) diagnosis in preterm infants. Additionally, we report types treatment for infants diagnosed with DDH. Method: This is a retrospective chart review born 01/01/2009 12/31/2018 at < 37 weeks gestation who had HUS year life. Positive predictive value (PPV), negative (NPV), sensitivity, specificity abnormal normal results were calculated. Results: From...
T Wave Alternans and QRS Duration. Introduction: wave alternans (TWA) is a promising new noninvasive marker of arrhythmia vulnerability that quantifies beat‐to‐beat changes in ventricular repolarization. Secondary repolarization abnormalities are common subjects with wide complexes. However, the relationship between TWA prolongation has not been evaluated. The goal this study was to determine if influences prevalence or prognostic value TWA. Methods Results: consisted 108 consecutive...
Abstract Background Persistent atrial fibrillation (AF) is associated with high recurrence rates of AF and atypical flutters or tachycardia (AFT) postablation. Laser balloon (LB) ablation the pulmonary vein (PV) ostia has similar efficacy as radiofrequency wide area circumferential (RF‐WACA); however, an approach LB (LB‐WACA) may further improve success rates. Objective To evaluate freedom from tachyarrhythmia (AFT/AF) postablation using RF‐WACA versus LB‐WACA in persistent patients. Methods...
Persistent pulmonary hypertension of the newborn, or PPHN, represents a challenging condition associated with high morbidity and mortality. Management is complicated by complex pathophysiology limited neonatal specific evidence-based literature, leading to lack universal contemporary clinical guidelines for care these patients. To address this need provide consistent high-quality population in our intensive unit, we sought develop comprehensive guideline acute stabilization management...
This study examines the hypothesis that infant-driven oral feeding leads to earlier achievement of and reduces length hospital stay compared with provider-driven in premature infants METHODS: We used a retrospective chart review compare 2 groups born at ≤35 weeks gestation. The control group (CG) received Provider-Driven Oral Feeding model intervention (IG) Infant-Driven model. Postmenstrual age (PMA) upon achieving full feeding, PMA first discharge weight, were between groups.There are 208...
Objective: To evaluate the impact of infant-polysomnography studies performed in NICU on management and outcomes. Study design:Retrospective study to collect demographics data between Jan 2010 Dec 2014.Results: 110 premature neonates had polysomnography at 36.9 ± 2.5 weeks post menstrual age.Almost all were read as abnormal 95% studied infants discharged home a cardiorespiratory monitor.20% subjects apnea >20 s, 18% 15-20 s 50% 10-15 s. 24.5% caffeine, 28% metoclopramide 24% antacids.There...
To compare differences in the management of neonatal patent ductus arteriosus between neonatologists and paediatric cardiologists, physicians throughout South-West were contacted. In treatment-refractory cases, considered ligation less frequently than cardiologists (0% versus 40%; p<0.05) held haemodynamic effects more important for decisions [median: 5 (range 2-5) median: 4 2-5); p<0.05]. Furthermore, 81% felt current guidelines insufficient.
We report a full-term male neonate found to have undiagnosed syngnathia requiring extensive resuscitation at birth followed by urgent tracheostomy. conducted systematic literature review study the presentation, methods, and outcomes of neonates with congenital syngnathia. Of 174 cases reported date, 91 had initial data available. Extensive was required in 16 these infants (18%). This ranged from nasal intubation emergent These are potentially higher risk deliveries for which methods addition...
This article evaluates the risk (defined here as incidence per 1,000 infants) of developmental dysplasia hip (DDH) in premature infants undergoing ultrasound (HUS) for breech presentation only compared with other indications.
Effect of an Active Can on Atrial DFTs. Introduction: defibrillation can be achieved with standard implantable cardioverter defibrillator leads, which has led to the development combined atrial and ventricular devices. For defibrillation, use active pectoral electrode (active can) in shocking pathway markedly reduces thresholds (DFTs). However, effect is unknown. Methods Results: This study was a prospective, randomized, paired comparison two shock configurations DFTs 33 patients. The lead...