Medicine and Health Sciences Commons^™

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

Raymond L Singer MD

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. …

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 …

Mifepristone Utilization In Cushing’S From Large Bilateral Adrenal Adenoma Prior To Surgery, Vasudev Magaji, Sarah Park, Katie Mastoris, Maura Bucciarelli, Scott Beman

Vasudev G Magaji MD, MS

Utilization of mifepristone was described to mitigate hypercortisolism from bilateral adrenal Cushing’s syndrome. A 47-year-old female on abdominal pain evaluation with CT was found to have a 5.4 × 1.7 × 4.9 cm right adrenal nodule and a 4.3 × 2.9 × 3.3 cm left adrenal nodule with calcification on CT scan with each having density of -3 Housefield units. She had hypercortisolism with testing revealing high urine free cortisol, unsuppressed cortisol on 1 mg and 8 mg overnight dexamethasone suppression testing, high 11 pm salivary cortisol × 2 along with elevated random cortisol and undetectable ACTH. Her DHEA-S, plasma …

Use Of An Electronic Medical Record (Emr) To Identify Glycemic Intensification Strategies In Type 2 Diabetes., Mary T Korytkowski, Maria Brooks, Manuel Lombardero, Dilhari Dealmeida, Justin Kanter, Vasudev Magaji, Trevor Orchard, Linda Siminerio

Vasudev G Magaji MD, MS

Current treatment guidelines for type 2 diabetes (T2D) recommend individualized intensification of therapy for glycated hemoglobin (A1C) ≥ 7% in most patients. The purpose of this investigation was to explore the ability of an electronic medical record (EMR) to identify glycemic intensification strategies among T2D patients receiving pharmacologic therapy. Patient records between 2005 and 2011 with documentation of A1C and active prescriptions for any diabetes medications were queried to identify potential candidates for intensification based on A1C ≥ 7% while on 1-2 oral diabetes medications (ODM). Patients with follow-up A1C values within 1 year of index A1C were grouped according …

1,25-Dihydroxyvitamin D-Mediated Hypercalcemia In A Patient With Maligancy Without Lymphoma, Katie Mastoris, Sarah Park, Vasudev Magaji

Vasudev G Magaji MD, MS

No abstract provided.

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.

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.

Therapeutic Medical Hypothermia--A Multispecialty Approach, Sudip Nanda, Nainesh Patel, Surya Bhatt, Claranne Mathiesen, John Castaldo, Shree Sharma, Santo Longo

Nainesh C Patel MD

No abstract provided.

Thrombocytosis And Coronary Occlusion, Amit Nanavati, Nainesh Patel, James Burke

Nainesh C Patel MD

No abstract provided.

Long Term Stemi Outcome Data Acquisition, Tina Ruhf, Orlando Rivera, Nainesh Patel, Bruce Feldman, J Kleaveland, Mercedes Rios-Scott, Kevin Whalen, Susan Bernhard, David Cox

Nainesh C Patel MD

No abstract provided.

Sex Differences In Cardiac Arrest Survivors Who Receive Therapeutic Hypothermia, Marna Greenberg, Amy Ahnert, Nainesh Patel, Courtney Bennett, Nicole Elliott, Mark Lundquist, Andrew Miller, Ellina Feiner, Anita Kurt, Bernadette Gl-Porter, Mercedes Rios-Scott, David Burmeister

Nainesh C Patel MD

OBJECTIVE: Sex differences have not been well defined for patients undergoing therapeutic hypothermia (TH). We aimed to determine sex differences in mortality and Cerebral Performance Category (CPC) scores at discharge among those receiving TH. METHODS: This retrospective cohort study used data abstracted from an "ICE alert" database, an institutional protocol expediting mild TH for postarrest patients. Quality assurance variables (such as age, time to TH, CPC scores, and mortality) were reviewed and compared by sex. χ(2) Test and Wilcoxon rank sum test were used. Stepwise logistic regression was used to assess the association between mortality and sex, while controlling for …

Bradyarrhythmias, Michael Pistoria, Nainesh Patel

Nainesh C Patel MD

No abstract provided.

Interrupted Aortic Arch In The Adult, Amit Nanavati, Matthew Martinez, Nainesh Patel

Nainesh C Patel MD

No abstract provided.

Endovascular Repair Of Ruptured Pseudoaneurysm Of Left Internal Mammary Graft Following Redo Aortic Valve Replacement And Coronary Artery Bypass Grafting., Sanjeev Nair, Nainesh Patel, David Cox

Nainesh C Patel MD

No abstract provided.

Therapeutic Hypothermia In Cardiac Arrest, Nainesh Patel, Sudip Nanda, Barbara Unger, Michael Mooney

Nainesh C Patel MD

No abstract provided.

Neurological And Cardiovascular Outcomes After Cardiac Arrest At Six Regional Interventional Cardiology Centers In The United States 2007-2011, David Seder, Nainesh Patel, J Mcpherson, P Mcmullen, K Kern, B Unger, J Browning, Sudip Nanda, M Hacobian, M Kelley, N Nielsen, M Mooney

Nainesh C Patel MD

No abstract provided.

Geriatric Experience Following Cardiac Arrest At Six Interventional Cardiology Centers In The United States 2007-2011, David Seder, Nainesh Patel, John Mcpherson, Paul Mcmullen, Karl Kern, Barbara Unger, J Browning, Sudip Nanda, Melkon Hacobian, Michael Kelley, Niklas Nielsen, Michael Mooney

Nainesh C Patel MD

No abstract provided.

Admissions To A Trauma Service From Nursing Facilities, Catherine Glew, Robert Barraco

Robert D Barraco MD, MPH

No abstract provided.

Corrective Midfoot Osteotomies., John Stapleton, Lawrence Didomenico, Thomas Zgonis

John J Stapleton DPM, FACFAS

No abstract provided.

Developing A Culturally Competent Health Network: A Planning Framework And Guide, Eric Gertner, Judith Sabino, Erica Mahady, Lynn Deitrick, Jarret Patton, Mary Grim, James Geiger, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Understanding The Role Of Promotora In A Latino Diabetes Education Program, Lynn Deitrick, Hannah Paxton, Alicia Rivera, Eric Gertner, Nyann Biery, Abby Letcher, Lissette Lahoz, Edgar Maldonado, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Cultural Competency: Across Cultures Between Physicians And Patients, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

A Culture Of One. Every Healthcare Encounter Is A Cultural Encounter, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Prioritizing Partners Across The Continuum, Mary Maly, Susan Lawrence, Marie Jordan, W Davies, Michael Weiss, Lynn Deitrick, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Striving For Cultural Competence In An Hiv Program: The Transformative Impact Of A Microsystem In A Larger Health Network, Judith N Sabino, Timothy Friel, Lynn Deitrick, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.