Medicine and Health Sciences Commons^™

Dust Off Huffing: Emerging As A New And Cheap Form Of Abuse And A Cause Of Different Types Of Arrhythmias With Transient Multiorgan Failure, Deepika Jain Md, Raman Dusaj Md

Department of Medicine

No abstract provided.

Prognostic Significance Of Tissue Oxygen Saturation Using Near Infrared Spectroscopy In Patients Undergoing Therapeutic Hypothermia After Cardiac Arrest, Adrian C. Bell Do, Ataul Qureshi Md, Stephen Awuor Md, Sanjeev U. Nair Md, Agei Enoh Md, Daniel J. Makowski Do, Charity Curtis Mph, Nainesh Patel Md, Facc, Bruce Feldman Do, Facc

Department of Medicine

No abstract provided.

The Utilization Of High Flow Oxygen To Administer Inhaled Pulmonary Vasodilators In Post-Operative Left Ventricular Assist Patient Population To Facilitate Extubation, Kenneth Miller Med, Rrt-Accs, Ae-C;, Timothy S. Misselbeck, Barbara A. Ebert Crnp, Robert Allman Rrt, Linda Cornman Bs, Rrt-Nps, Rrt-Accs, Ae-C

Patient Care Services / Nursing

No abstract provided.

Tct-64 Incidence, Predictors, And Impact Of Post-Discharge Bleeding Compared To Myocardial Infarction After Percutaneous Coronary Intervention, Philippe Généreux Md, Gennaro Giustino Md, Bernhard Witzenbichler Md, Giora Weisz Md, Thomas D. Stuckey Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Mayank Yadav, Ajay J. Kirtane Md, Claire Litherland Ms, Roxana Mehran Md, Gregg W. Stone Md

Department of Medicine

No abstract provided.

Risk Factors Affecting Surgical Outcomes In Patients Undergoing Hypothermic Circulatory Arrest During Aortic Surgeries: A 10-Year Study, Bree Ann Young, James K. Wu, Martin E. Matsumura Md, Sanjay M. Mehta Md, Theodore G. Phillips Md, Michael F. Szwerc Md, Gary W. Szydlowski Md, Raymond L. Singer Md

Raymond L Singer MD

No abstract provided.

An Uncommon Complication During Trans-Aortic Valve Replacement, Sanjeev Nair Md, Yassir Nawaz Md, Nainesh C. Patel Md, David A. Cox Md, William Combs Md, Raymond L. Singer Md, J Patrick Kleaveland Md

Raymond L Singer MD

No abstract provided.

Trans-Catheter Aortic Valve Replacement: The Future Is Here, Raymond Singer, J Kleaveland

Raymond L Singer MD

No abstract provided.

On Second Thought: Complex Heart Surgery And The Need For A Second Opinion, Raymond Singer

Raymond L Singer MD

No abstract provided.

Treatment Of Acute Aortic Dissection At A Community Hospital: A 10 Year Review Of Outcomes., Timothy Misselbeck Md, Stephen Deturk, Matthew Wilson, Theodore Phillips Md, Michael Szwerc Md, Sanjay Mehta Md, Gary Szydlowski Md, Raymond Singer Md, James Wu Md

Raymond L Singer MD

No abstract provided.

Outcome Of Traumatic Aortic Rupture: A 14-Year Experience, Matthew Wilson, James K. Wu, Sanjay M. Mehta Md, Theodore G. Phillips Md, Raymond L. Singer Md, Michael F. Szwerc Md, Gary W. Szydlowski Md

Raymond L Singer MD

No abstract provided.

Risk Factors Affecting Outcomes In Patients Undergoing Hypothermic Circulatory Arrest During Aortic Surgeries, Bree Ann Young, James K. Wu Md, Martin E. Matsumura Md, Tim S. Misselbeck Md, Sanjay M. Mehta Md, Theodore G. Phillips Md, Michael F. Szwerc Md, Gary W. Szydlowski Md, Raymond L. Singer Md

Raymond L Singer MD

No abstract provided.

Incidence And Predictors Of Permanent Pacemaker Implantation After Valve Surgery – A Single Center Experience, Justin L. Guthier Do, Bilal Ayub Md, Yassir Nawaz Md, Hassam Saif Md, Robert F. Malacoff Md, Facc, Michael J. Weiss Mph, Theodore G. Phillips Md, James K. Wu Md, Raymond L. Singer Md, Sanjay M. Mehta Md, Gary W. Szydlowski Md, Ronald S. Freudenberger Md

Raymond L Singer MD

No abstract provided.

Incidence, Predictors And Impact Of Post-Discharge Bleeding After Percutaneous Coronary Intervention., Philippe Généreux Md, Gennaro Giustino Md, Bernhard Witzenbichler Md, Giora Weisz Md, Thomas D. Stuckey Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest Mazzaferri Md, Mayank Yadav, Dominic P. Francese Mph, Tullio Palmerini, Ajay J. Kirtane Md, Claire Litherland Ms, Roxana Mehran Md, Gregg W. Stone Md

Department of Medicine

BACKGROUND: The incidence, predictors, and prognostic impact of post-discharge bleeding (PDB) after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation are unclear.

OBJECTIVES: This study sought to characterize the determinants and consequences of PDB after PCI.

METHODS: The prospective ADAPT-DES (Assessment of Dual Antiplatelet Therapy With Drug-Eluting Stents) study was used to determine the incidence and predictors of clinically relevant bleeding events occurring within 2 years after hospital discharge. The effect of PDB on subsequent 2-year all-cause mortality was estimated by time-adjusted Cox proportional hazards regression.

RESULTS: Among 8,582 "all-comers" who underwent successful PCI with DES in the ADAPT-DES …

The Utilization Of Independent Lung Ventilation Via High Frequency Percussive Ventilation (Hfpv) During Extracorporeal Membrane Oxygenation (Ecmo), Kenneth Miller Med, Msrt, Rrt-Accs, Nps, Ae-C, Faarc, Rita Pechulis Md, Fccp, James K. Wu, Chad Traub Rrt-Accs, Dorothea T. Watson Do

James K. Wu, M.D.

No abstract provided.

Septal Myectomy In Obstructive Hypertrophic Cardiomyopathy High Risk Patients, Heather Geist, Matthew W. Martinez Md, James K. Wu Md

James K. Wu, M.D.

No abstract provided.

Incidence And Predictors Of Permanent Pacemaker Implantation After Valve Surgery – A Single Center Experience, Justin L. Guthier Do, Bilal Ayub Md, Yassir Nawaz Md, Hassam Saif Md, Robert F. Malacoff Md, Facc, Michael J. Weiss Mph, Theodore G. Phillips Md, James K. Wu Md, Raymond L. Singer Md, Sanjay M. Mehta Md, Gary W. Szydlowski Md, Ronald S. Freudenberger Md

James K. Wu, M.D.

No abstract provided.

Outcomes Of Comatose Cardiac Arrest Survivors With And Without St-Segment Elevation Myocardial Infarction: Importance Of Coronary Angiography., Karl B Kern, Kapildeo Lotun, Nainesh Patel, Michael R Mooney, Ryan D Hollenbeck, John A Mcpherson, Paul W Mcmullan, Barbara Unger, Chiu-Hsieh Hsu, David B Seder

Nainesh C Patel MD

OBJECTIVES: The aim of this study was to compare outcomes and coronary angiographic findings in post-cardiac arrest patients with and without ST-segment elevation myocardial infarction (STEMI). BACKGROUND: The 2013 STEMI guidelines recommend performing immediate angiography in resuscitated patients whose initial electrocardiogram shows STEMI. The optimal approach for those without STEMI post-cardiac arrest is less clear. METHODS: A retrospective evaluation of a post-cardiac arrest registry was performed. RESULTS: The database consisted of 746 comatose post-cardiac arrest patients including 198 with STEMI (26.5%) and 548 without STEMI (73.5%). Overall survival was greater in those with STEMI compared with those without (55.1% vs. …

Medical Hypothermia Post Cardiac Arrest, Nainesh Patel, John Castaldo, Ronald Freudenberger, Sudip Nanda

Nainesh C Patel MD

No abstract provided.

Septal Myectomy In Obstructive Hypertrophic Cardiomyopathy High Risk Patients, Heather Geist, Matthew W. Martinez Md, James K. Wu Md

Matthew W Martinez MD

No abstract provided.

Rapid Door-To-Balloon Time (≤ 30 Minutes) In The Treatment Of Acute St-Elevation Myocardial Infarction (Stemi) Is Associated With Reduced Length Of Hospital Stay And Improved Clinical Outcomes, Yassir Nawaz Md, Ataul Qureshi Md, Navin K. Subrayappa Md, Orlando E. Rivera Rn, Bruce Feldman Do, Nainesh C. Patel Md

Bruce A. Feldman DO

No abstract provided.

Risk Of Heart Failure And Death After Prolonged Smoking Cessation: Role Of Amount And Duration Of Prior Smoking., Amiya A Ahmed, Kanan Patel, Margaret A Nyaku, Raya E Kheirbek, Vera Bittner, Gregg C Fonarow, Gerasimos S Filippatos, Charity J Morgan, Inmaculada Aban, Marjan Mujib, Ravi Desai, Richard M Allman, Michel White, Prakash Deedwania, George Howard, Robert O Bonow, Ross D Fletcher, Wilbert S Aronow, Ali Ahmed

Ravi V Desai MD

BACKGROUND: -According to the 2004 Surgeon General's Report on Health Consequences of Smoking, after >15 years of abstinence, the cardiovascular risk of former smokers becomes similar to that of never-smokers. Whether this health benefit of smoking cessation varies by amount and duration of prior smoking remains unclear.

METHODS AND RESULTS: -Of the 4482 adults ≥65 years without prevalent heart failure (HF) in the Cardiovascular Health Study (CHS), 2556 were never-smokers, 629 current smokers, and 1297 former smokers with >15 years of cessation, of whom 312 were heavy smokers (highest quartile; ≥32 pack-years). Age-sex-race-adjusted hazard ratios (aHR) and 95% confidence intervals …

Outcomes Of Comatose Cardiac Arrest Survivors With And Without St-Segment Elevation Myocardial Infarction: Importance Of Coronary Angiography., Karl B. Kern Md, Kapildeo Lotun, Nainesh C. Patel Md, Michael R. Mooney Md, Ryan D. Hollenbeck Md, John A. Mcpherson Md, Paul W. Mcmullan Md, Barbara Unger Rn, Chiu-Hsieh Hsu, David B. Seder Md

Department of Medicine

OBJECTIVES: The aim of this study was to compare outcomes and coronary angiographic findings in post-cardiac arrest patients with and without ST-segment elevation myocardial infarction (STEMI).

BACKGROUND: The 2013 STEMI guidelines recommend performing immediate angiography in resuscitated patients whose initial electrocardiogram shows STEMI. The optimal approach for those without STEMI post-cardiac arrest is less clear.

METHODS: A retrospective evaluation of a post-cardiac arrest registry was performed.

RESULTS: The database consisted of 746 comatose post-cardiac arrest patients including 198 with STEMI (26.5%) and 548 without STEMI (73.5%). Overall survival was greater in those with STEMI compared with those without (55.1% vs. …

2015 Scai/Acc/Hfsa/Sts Clinical Expert Consensus Statement On The Use Of Percutaneous Mechanical Circulatory Support Devices In Cardiovascular Care: Endorsed By The American Heart Assocation, The Cardiological Society Of India, And Sociedad Latino Americana De Cardiologia Intervencion; Affirmation Of Value By The Canadian Association Of Interventional Cardiology-Association Canadienne De Cardiologie D'Intervention., Charanjit S Rihal, Srihari S Naidu, Michael M Givertz, Wilson Y Szeto, James A. Burke Md, Phd, Navin K Kapur, Morton Kern, Kirk N Garratt, James A Goldstein, Vivian Dimas, Thomas Tu

Cardiology Division

Although historically the intra-aortic balloon pump has been the only mechanical circulatory support device available to clinicians, a number of new devices have become commercially available and have entered clinical practice. These include axial flow pumps, such as Impella(®); left atrial to femoral artery bypass pumps, specifically the TandemHeart; and new devices for institution of extracorporeal membrane oxygenation. These devices differ significantly in their hemodynamic effects, insertion, monitoring, and clinical applicability. This document reviews the physiologic impact on the circulation of these devices and their use in specific clinical situations. These situations include patients undergoing high-risk percutaneous coronary intervention, those …

Mi Alert St-Segment Elevation Myocardial Infarction (Stemi) Real Time Data Feedback: A Patient Quality Of Care Initiative, Orlando Rivera, Nainesh Patel, Bruce Feldman

Nainesh C Patel MD

No abstract provided.

Atrial Fibrillation--Advances In Drug Therapy, Sudip Nanda, Sultan Siddique, Matthew Martinez, Shree Sharma, Nainesh Patel, Santo Longo

Nainesh C Patel MD

No abstract provided.

Cardiopulmonary Resuscitation Prescription Program: A Pilot Randomized Comparator Trial, Marna Greenberg, Gavin Barr, Valerie Rupp, Nainesh Patel, Kevin Weaver, Kimberly Hamilton, James Reed

Nainesh C Patel MD

No abstract provided.

One Year Outcomes Of A Pre-Hospital Myocardial Infarction Alert 3 Process, Gerald Coleman Do, Andrew C. Miller Do, David Richardson Md, David A. Cox Md, Nainesh Patel Md, J Patrick Kleaveland Md, Bruce Feldman Do, Ron Freudenberger Md, Richard S. Mackenzie Md

Nainesh C Patel, MD

No abstract provided.

Nainesh C Patel MD

No abstract provided.

Early Cardiac Catheterization Is Associated With Improved Survival In Comatose Survivors Of Cardiac Arrest Without Stemi, Ryan Hollenbeck, John Mcpherson, Michael Mooney, Barbara Unger, Nainesh Patel, Paul Mcmullan, Chiu-Hsieh Hsu, David Seder, Karl Kern

Nainesh C Patel MD

AIM: To determine if early cardiac catheterization (CC) is associated with improved survival in comatose patients who are resuscitated after cardiac arrest when electrocardiographic evidence of ST-elevation myocardial infarction (STEMI) is absent.

METHODS: We conducted a retrospective observational study of a prospective cohort of 754 consecutive comatose patients treated with therapeutic hypothermia (TH) following cardiac arrest.

RESULTS: A total of 269 (35.7%) patients had cardiac arrest due to a ventricular arrhythmia without STEMI and were treated with TH. Of these, 122 (45.4%) received CC while comatose (early CC). Acute coronary occlusion was discovered in 26.6% of patients treated with early …

Cardiopulmonary Resuscitation Prescription Program: A Prospective Randomized Pilot Study, Marna Greenberg, Gavin Barr, Valerie Rupp, Nainesh Patel, Kevin Weaver, Kimberly Hamilton, James Reed

Nainesh C Patel MD

No abstract provided.