A5011071901- Transplantation: Methods and Outcomes
- Cardiac Structural Anomalies and Repair
- Mechanical Circulatory Support Devices
- Cardiac Arrhythmias and Treatments
- Cardiovascular Function and Risk Factors
- Medical Imaging and Pathology Studies
- Viral Infections and Immunology Research
- COVID-19 Clinical Research Studies
- Cardiac tumors and thrombi
- Vasculitis and related conditions
- Renal Transplantation Outcomes and Treatments
- Cardiomyopathy and Myosin Studies
- Cardiac electrophysiology and arrhythmias
- Pulmonary Hypertension Research and Treatments
- Long-Term Effects of COVID-19
- Cardiac Imaging and Diagnostics
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Cardiovascular Health and Disease Prevention
- Cardiac pacing and defibrillation studies
- Cardiac Arrest and Resuscitation
- Venous Thromboembolism Diagnosis and Management
- Blood Pressure and Hypertension Studies
- Brain Metastases and Treatment
- Whipple's Disease and Interleukins
- Acute Ischemic Stroke Management
Virginia Commonwealth University
2023-2025
Hartford Financial Services (United States)
2020-2024
Hartford Hospital
2020-2024
University of Connecticut
2020-2022
UConn Health
2020-2021
Hospital of the University of Pennsylvania
2019-2021
University of Hartford
2020-2021
Carle Foundation Hospital
2021
University of the Free State
2020
The Wright Center for Graduate Medical Education
2020
To examine if older age (>70 years) should be a relative contraindication for heart transplantation, we evaluated the characteristics and outcomes of patients with ≥70 years listed transplantation; whether post-transplantation survival was inferior to younger counterparts.Retrospective cohort analysis.The scientific registry transplant recipients (SRTR).Adults (≥18 transplantation in SRTR between 2000 2018.Heart transplantation.Characteristics were compared adults <70 years. We waitlist...
Coronavirus disease of 2019 (COVID-19) is a caused by the novel coronavirus SARS-CoV-2, which characterized multitude clinical abnormalities, including hypercoagulability. Although thrombosis commonly observed in sepsis, hypercoagulable state associated with COVID-19 much more dramatic and may not be related to either severity or D-dimer levels. It due prothrombotic induced itself. We report three cases arterial significant clot burden requiring urgent medical surgical intervention. now...
Pulse wave velocity (PWV) is blood pressure (BP) dependent, leading to the development of BP-corrected metrics cardio-ankle vascular index (CAVI) and CAVI0. We aimed assess risk prediction by heart-to-ankle PWV (haPWV), CAVI, CAVI0 in a US population.We included 154 subjects (94.8% male; 47.7% African American) with without heart failure (HF). Left right haPWV, were measured VaSera 1500N device. prospectively followed participants for mean 2.56 years composite endpoint death or HF-related...
Statin-associated myopathy comprises of a spectrum conditions ranging from benign myalgias to statin-induced immune-mediated necrotizing myopathy. Statin-induced is an autoimmune condition wherein there destruction normal skeletal muscular architecture that can be severely debilitating if not recognized promptly. Given its rarity, management challenge. We present one such case was managed with aggressive immunosuppression.
Worsening symptoms and fluid overload are the hallmarks of heart failure (HF) decompensation, removal is central to improvement. Despite high-dose loop diuretics, patients with decompensated HF may develop suboptimal diuresis/diuretic resistance. Sequential nephron blockade a combination thiazide/thiazide-like diuretics be insufficient, resulting in poor outcomes. We present case wherein urine output improved significantly acetazolamide. Although diuretic capacity acetazolamide weak on its...
Effect of pre-transplant amiodarone use on post-heart transplant (HT) survival is not well established. We therefore sought to examine the effect post-HT survival.We stratified adults who underwent HT between January 2000 and August 2018 in Scientific Registry Transplant Recipients according used recipient donor characteristics calculate propensity scores. then overlap score weighting construct Cox proportional hazards regression models (adjusted for Index Mortality Prediction After Cardiac...
Left ventricular assist device (LVAD) is used in end-stage heart failure that refractory to medical treatment. However, there a paucity of data looking at the rates sepsis and severe (SSS). Therefore, this study was conceived with purpose analyzing SSS burden outcomes associated LVAD implantation. The national inpatient sample database queried from 2010 2014 using ICD-9 procedure code for use among patients 18 years or older 2359 were identified. During five-year period, average incidence...
Immunoglobulin A vasculitis (IgA vasculitis) is a small-vessel usually triggered by bacterial or viral infections, antibiotics, and vaccinations. Although it disease of the pediatric population, can occur in adults as well. We present case IgA that was underlying infective endocarditis (IE). IE rare fatal cause requires timely diagnosis management to prevent catastrophic outcomes. Our patient treated with antibiotics for IE, which led resolution vasculitis.
We investigated the association of preimplant left ventricular end-diastolic diameter (LVEDD) with outcomes after HeartMate 3 (HM3) assist device (LVAD) implantation. Patients from European Registry for Mechanical Circulatory Support (EUROMACS) registry who underwent HM3 implantation August 2014 to February 2023 (n = 834) were analyzed according preoperative LVEDD: less than or equal 65 251), 65–80 441), and greater 80 mm 142). The mean age was 54.4 ± 12.4 years, body surface area (BSA) 2.0...
Wasserman, Evan; Gadela, Naga Vaishnavi; Alexander, Swetha; Perosevic, Nikola Author Information
With the implementation of new heart transplant (HT) allocation system, patients requiring biventricular support systems have highest priority, a shorter waitlist time, and higher frequency HT. However, short-term long-term outcomes such are often disputed. Hence, we examined these who underwent HT before change in scheme. Additionally, compared post-HT extracorporeal membrane oxygenation (ECMO) with other nondischargeable (BiVAD) supported patients. We identified adult ECMO or BiVAD...
Background: Arterial stiffness as measured by carotid-femoral pulse wave velocity (PWV) has been shown to predict cardiovascular events [1].However, PWV is blood pressure (BP) dependent [2,3] leading the development of cardio-ankle vascular index (CAVI) a more pressure-independent [4] that also shows predictive ability in Asian populations [5].Recently, CAVI was further refined into 0 [6], removing residual acute dependence [7].The present study aims assess risk prediction and US population.
Thyrotoxic periodic paralysis (TPP) is characterized by a classic triad of muscle paralysis, hypokalemia, and hyperthyroidism. The underlying thyroid disorder often very subtle making it challenging to recognize TPP. It completely reversible condition if diagnosed early; however, associated with fatal outcomes delayed.
Gadela, Naga Vaishnavi; Wasserman, Evan; Gonuguntla, Karthik; Perosevic, Nikola Author Information