- Mechanical Circulatory Support Devices
- Cardiac Arrest and Resuscitation
- Antiplatelet Therapy and Cardiovascular Diseases
- Coronary Interventions and Diagnostics
- Cardiac Structural Anomalies and Repair
- Acute Myocardial Infarction Research
- Social Media in Health Education
- Congenital Heart Disease Studies
- Heart Failure Treatment and Management
- Aortic Thrombus and Embolism
- Sarcoidosis and Beryllium Toxicity Research
- Health Literacy and Information Accessibility
- Cardiovascular Function and Risk Factors
- Hip and Femur Fractures
- Pathogenesis and Treatment of Hiccups
- Pulmonary Hypertension Research and Treatments
- Media Influence and Health
- Cardiac electrophysiology and arrhythmias
- Atrial Fibrillation Management and Outcomes
- Clostridium difficile and Clostridium perfringens research
- Venous Thromboembolism Diagnosis and Management
- Cardiac tumors and thrombi
- Aortic Disease and Treatment Approaches
- Coronary Artery Anomalies
- Gastrointestinal motility and disorders
MedStar Washington Hospital Center
2022-2025
MedStar Georgetown University Hospital
2022-2025
Georgetown University
2022-2025
St. George's University
2020
East Tennessee State University
2017
Alfred I. duPont Hospital for Children
2012
Refractory right ventricular failure has significant morbidity and mortality. Extracorporeal membrane oxygenation is indicated when medical interventions are deemed ineffective. However, it still being determined if one configuration better. We conducted a retrospective analysis of our institutional experience comparing the peripheral veno-pulmonary artery (V-PA) versus dual-lumen cannula with tip in pulmonary (C-PA). The cohort 24 patients (12 each group). There was no difference survival...
<h3>Objective</h3> To examine the prevalence of scoliosis in patients with Fontan circulation. <h3>Design</h3> Retrospective cohort (case-only), level IV study. <h3>Setting</h3> A comprehensive paediatric centre. <h3>Methods</h3> We examined radiographs 194 who underwent completion surgery between 1998 and 2011 at a median age 1.3 years. <h3>Main outcome measure</h3> collected data on last available radiograph when was diagnosed; we used first scoliosis. also measured magnitude direction...
Seasonal influenza is a respiratory illness caused by the virus. During 2017-2018 flu season, Centers for Disease Control and Prevention noted approximately 959,000 hospitalizations 79,400 deaths from influenza. We sought to evaluate educational quality of informational videos pertaining seasonal on popular social media forum, YouTube.Using keywords "seasonal influenza," all 28 January 5 February 2017 were included analyzed characteristics, source, content. The source was further classified...
Some patients with schizophrenia and psychotic illnesses have reduced pain perception, others decreased expression. The diagnosis of the acute abdomen can be delayed, its outcomes worse in psychiatric than non-psychiatric patients. We present a case perforated peptic ulcer (PPU) schizophrenic woman discuss how phenomenon insensitivity diagnostic overshadowing-a process which person mental illness receives inadequate treatment due to misattribution physical symptoms their illness-nearly...
A 61-year-old male presented with a history of ischemic cardiomyopathy requiring left ventricular assist device (LVAD) implantation 9 months prior to presentation. The patient was on aspirin and warfarin as part his LVAD management. had chest pain found have non-ST elevation myocardial infarction. Despite being warfarin, subtherapeutic international normalized ratio 1.6 measured admission. Lactate dehydrogenase 694 U/L (12-146) high-sensitivity troponin peaked at 47,093 ng/L. Left heart...
Although acute kidney injury (AKI) has been established as an independent risk factor for in-hospital mortality patients on veno-arterial (V-A) extracorporeal membranous oxygenation (ECMO), the impact of Kidney Disease Improving Global Outcomes (KDIGO) stages AKI yet to be elucidated a factor. We conducted retrospective analysis patient outcomes based KDIGO at single institution. The was cohort 179 patients; 66 without AKI, 19 with stage 1 18 2 and 76 3 AKI. Every 1-year increase in age...
A 61-year-old male presented with a history of ischemic cardiomyopathy requiring left ventricular assist device (LVAD) implantation 9 months prior to presentation. The patient was on aspirin and warfarin as part his LVAD management. had chest pain found have non-ST elevation myocardial infarction. Despite being warfarin, subtherapeutic international normalized ratio 1.6 measured admission. Lactate dehydrogenase 694 U/L (12-146) high-sensitivity troponin peaked at 47,093 ng/L. Left heart...
Preoperative transthoracic echocardiograms (TTE) before hip fracture repairs are controversial. This study aimed to quantify the frequency of ordering TTE, appropriateness testing based on current guidelines, and impact TTE in-hospital morbidity mortality outcomes.This retrospective chart review adult patients admitted with compared length stay (LOS), time surgery, mortality, postoperative complications between non-TTE groups. were risk stratified using Revised Cardiac Risk Index (RCRI)...
Introduction: Chronic kidney disease has been shown to be an independent risk factor in hospital mortality for patients on venoarterial extracorporeal membranous oxygenation (VA ECMO). The impact of the degree acute injury (AKI) as per Kidney Disease Improving Global Outcomes (KDIGO) criteria while are receiving VA ECMO patient outcomes yet elucidated. Methods: We performed a retrospective, single center study high-volume and cardiac surgery from January 2017 December 2021. collected...