A5077988377- Congenital Heart Disease Studies
- Coronary Artery Anomalies
- Pulmonary Hypertension Research and Treatments
- Mechanical Circulatory Support Devices
- Cardiac Arrhythmias and Treatments
- Obstructive Sleep Apnea Research
- Cardiovascular Conditions and Treatments
- Cardiac Structural Anomalies and Repair
- Cardiovascular and Diving-Related Complications
- Cardiac Valve Diseases and Treatments
- Cardiovascular Issues in Pregnancy
- Atrial Fibrillation Management and Outcomes
- Infective Endocarditis Diagnosis and Management
- Neuroscience of respiration and sleep
- Cardiac Imaging and Diagnostics
- Diversity and Career in Medicine
- Central Venous Catheters and Hemodialysis
- Neonatal Respiratory Health Research
- Ultrasound in Clinical Applications
- Medical Education and Admissions
- Media Influence and Health
- Sex and Gender in Healthcare
- Renal function and acid-base balance
- Infant Nutrition and Health
- Misinformation and Its Impacts
Children's Hospital at Montefiore
2013-2024
Albert Einstein College of Medicine
2009-2024
Montefiore Medical Center
2010-2022
New York University
2021
Boston Children's Hospital
2006-2012
Harvard University
2006
University of Waikato
2005
For the vast majority of cases, it is highly unlikely that all individuals a population will be encountered during study. Furthermore, constant fraction over times, locations, or species to compared. Hence, simple counts usually not good indices size. We recommend detection probabilities (the probability including an individual in count) estimated and incorporated into inference procedures. However, most techniques for estimating require moderate sample sizes, which may achievable when...
To assess the independent relationships of obesity and obstructive sleep apnea (OSA) with hypertension/elevated blood pressure (EBP) in adolescent patients.A retrospective cohort analysis was performed on 501 patients (age 13-21 years) three separate measurements within 6 months polysomnography. EBP defined as average systolic (SBP) ≤120 mm Hg; body mass index Z-score ≤1.65; OSA apnea-hypopnea <1. Pearson correlations multivariable analyses were to effects SBP.Of (mean age 16 ± 2 years), 246...
Surveillance endomyocardial biopsy (EMB) with right heart catheterization (RHC) is the standard of care for assessment post cardiac transplantation rejection. This procedure has traditionally relied upon fluoroscopy, which exposes both patient and staff to risks ionizing radiation. These may be particular concern in transplant who must undergo many such procedures lifelong. We present data on a new "ALARA - As Low Reasonably Achievable" protocol reduce radiation exposure during performance...
The improved survival of very low-birth-weight (<1,500 g) infants justifies more aggressive attempts to treat underlying congenital heart disease than in the past.We retrospectively reviewed all catheterizations performed at our institution between January 1, 1990 and June 2004 weighing <1,500 g. We a 3:1 case-control study. Comparisons were randomly selected from group patients catheterized within 6 months cases 2-3 kg. All catheterization data, angiograms, hospital charts reviewed.Eighteen...
The use of the HeartMate 3 (HM3) left ventricular assist device (LVAD) is expanding. Despite being associated with lower rates adverse events and increased survival, outflow graft obstruction (OGO) has been reported in patients HM3. incidence best management this serious complication remain unclear.We describe six cases HM3 OGO occurring five our institutional cohort. Four underwent computed tomography angiography two percutaneous was directly performed to confirm diagnosis. In four cases,...
Evidence from medicine and other fields has shown that gender diversity results in better decision making outcomes. The incoming workforce of congenital heart specialists (especially pediatric cardiology) appears to be more balanced, but past studies have many inequities. Gender‐associated differences leadership positions, opportunities presented for academic advancement, recognition contributions the field persist. In addition, compensation packages remain disparate if evaluated based on...
Aluminum phosphide (AlP) is an insecticide and rodenticide that produces phosphine gas when exposed to moisture. Exposure AIP has been described as through inhalation ingestion routes typically either accidental or a suicidal attempt. The result potential multiorgan toxicity involving the heart, kidneys, lungs, liver, with overall mortality related exposure reported from 30% 77%. initial symptoms are nonspecific can include epigastric pain, vomiting, diarrhea, dizziness, dyspnea. Patients...
<b>Objective</b> Bronchopulmonary dysplasia (BPD) increases the risk for developing pulmonary hypertension (PH). However, factors associated with BPD-associated PH remain unclear. Our primary aim was to determine perinatal development of in infants BPD. <b>Study Design</b> We retrospectively reviewed medical records 303 born at ≤ 28 weeks' gestation. Infants were categorized as having no, mild, moderate, or severe diagnosed by echocardiogram. Data analyzed using Fisher exact test, two-sample...
The Adult Congenital and Pediatric Cardiology (ACPC) Section of the American College sought to develop quality indicators/metrics for ambulatory pediatric cardiology practice. objective this study was report creation metrics patients with Kawasaki disease. Over a period 5 months, 12 cardiologists developed 24 based on most relevant statements, guidelines, research studies pertaining Of metrics, 8 deemed important, feasible, valid were sent ACPC consideration. Seven approved using RAND method...
Our objective was to determine the prevalence of elevated right ventricular pressure (RVP) as a surrogate marker for pulmonary hypertension in children with obstructive sleep apnea syndrome (OSAS) undergoing echocardiography.This retrospective chart review ages 2-21 years diagnosed OSAS by an overnight polysomnogram who underwent cardiac echocardiogram screen within 6 months tertiary inner-city pediatric hospital. The primary outcome RVP defined estimated ≥ 25 mm Hg above atrial or septal...
Right ventricular to pulmonary artery conduit tear after balloon dilation is a recognized potential complication, which can, in theory, be treated with covered stent. We describe use of the Melody™ valve as so‐called “covered” stent for containment bleeding from RV‐PA tear. © 2013 Wiley Periodicals, Inc.
Objective The purpose of this study is to describe the outcomes cardiac catheterizations performed by pediatric interventional cardiologists in an adult catheterization laboratory on patients with congenital heart disease (CHD). Background With improved survival rates, number adults CHD increases ∼5%/year; population often requires catheterization. Methods From January 2005 December 2009, two groups were identified, group (>21 years) and adolescent (13–21 years), who had staff. Results...
•Congenital heart disease may be first diagnosed during pregnancy.•PDA with significant left-to-right shunting can cause peripartum cardiac decompensation.•Multidisciplinary management of congenital in pregnancy is recommended.
Orienting the left atrial disc of an septal defect (ASD) closure device parallel to septum is important, particularly in cases ASD with deficient retroaortic rim. Standard vascular sheaths can make this challenging. We report use electrophysiologic sheath, SL2™ St. Jude Vascular sheath (St. Medical, Paul, MN) for ASD.All patients undergoing between July 2010 and February 2011 at The Children's Hospital Montefiore which SL2 was used were reviewed.Nine underwent transcatheter or PFO (1/9)...
Abstract We present the case of a 4-month-old, former 23-week premature baby who underwent patent ductus arteriosus device closure in cardiac catheterisation lab with an Amplatzer Piccolo™ at 12 weeks life. This was complicated by late migration into aorta resulting severe obstruction and requiring surgical intervention.