Cardiology Commons^™

What’S In The Lv? A Story Of Scad Leading To Anterior Apical Aneurysm With Left Ventricular Thrombus, Lekha Racharla Do, Zeel Patel Do, Tyler Boozel Do, Rahul Gupta Md, Sagar Vadhar Do, Akhil Kher Md, Ellina C. Feiner Md, Yasotha Rajeswaran Md, Daniel J. Makowski Do

Department of Medicine

No abstract provided.

Durability Of Left Bundle Branch Area Pacing – Long-Term Follow Up On A New Technique, Nikhil A. Mehta Md, Syed Rafay A. Sabzwari Md, Bilal Saqi Md, Rahul Gupta Md, Apurva Vyas Md, Jeffrey Gordon Md, Talha Nazir Md, Sergio Cossu Md, Ronald S. Freudenberger Md, Babak Bozorgnia Md

Department of Medicine

No abstract provided.

Development And Validation Of A Prediction Model For Stroke, Cardiac, And Mortality Risk After Non-Cardiac Surgery., Sang H Woo, Gregary D. Marhefka, Scott W. Cowan, Md, Lily Ackermann, Md

Department of Medicine Faculty Papers

Background: Commonly used cardiovascular risk calculators do not provide risk estimation of stroke, a major postoperative complication with high morbidity and mortality. We developed and validated an accurate cardiovascular risk prediction tool for stroke, major cardiac complications (myocardial infarction or cardiac arrest), and mortality after non-cardiac surgery.

Methods and Results: This retrospective cohort study included 1 165 750 surgical patients over a 4-year period (2007-2010) from the American College of Surgeons National Surgical Quality Improvement Program Database. A predictive model was developed with the following preoperative conditions: age, history of coronary artery disease, history of stroke, emergency surgery, preoperative serum …

Lessons To Be Learned: Case Reports And Complications, John Lawrence, Md, David L. Fischman

Division of Cardiology Faculty Papers

No abstract provided.

Ventricular Septal Aneurysm Mimicking Right Ventricular Outflow Tract Mass In A Patient With Ventricular Septal Defect., Nikhil A. Mehta Md, Syed Rafay Ali Sabzwari, Sara Godil Md, Ghulam Akbar Md, Raman Dusaj Md, Neeraj Shah

Cardiology Division

A 50-year-old man presented with an episode of chest pain. Cardiac magnetic resonance revealed the presence of a large ventricular septal aneurysm partially closing a perimembranous ventricular septal defect, prolapsing into the right ventricular outflow tract, and mimicking a mass. We illustrate the diagnostic approach and management of such ventricular septal aneurysms. (

Concurrent Primary Cardiac Tumors In A High Risk Patient Presenting With Tamponade, Joseph B. Zackary Md, Lauren Crowley Ba, Shawn M. Quinn Do, Timothy S. Misselbeck

Department of Emergency Medicine

No abstract provided.

Five-Year Analysis On The Outcomes Of Thoracic Aneurysm Surgery, Kaitlin Kelly, Thomas Perillo, Caitlin Hoeing, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

Outcomes Of Septal Myectomy On Patients With Hypertrophic Cardiomyopathy, Caitlin Hoeing, Kaitlyn Kelly, Thomas Perillo, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

Type A Aortic Dissection, 5-Year Operative Outcome Study, Thomas Perillo, Kaitlin Kelly, Caitlin Hoeing, James K. Wu Md

Research Scholars Poster Presentation

No abstract provided.

Concomitant Presentation With Cardioembolic Ischemic Stroke And Non St Elevation Myocardial Infarction In A Patient With New Onset Atrial Fibrillation, Amogh M. Joshi Do, Emilee E. Kurtz Do, Kourtney Erickson Do, Margaret R. Kluck Do, Benjamin Sanchez Md

Department of Medicine

Introduction: Although Atrial Fibrillation (AF) is a common cause of ischemic stroke, it rarely causes acute coronary syndromes (ACS). Cardioembolic events from AF cause considerable morbidity and mortality. Concomitant ischemic stroke and ACS remains an exceedingly rare event. We describe the case of a patient presenting with cardioembolic ischemic stroke and acute coronary syndrome.

Case Presentation: An 83 year old male with a prior history of heart failure with preserved ejection fraction, permanent pacemaker for complete heart block, and chronic kidney disease on hemodialysis presented with acute left sided facial and extremity weakness, gait ataxia and profound dysarthria. Physical examination …

Convergent Ablation For The Treatment Of Long Standing Persistent Atrial Fibrillation - A Single Center Experience, Syed Rafay Ali Sabzwari, Lohit Garg Md, Nikhil A. Mehta Md, James R. Kimber, Hiwot Ayele, James K. Wu Md, Babak Bozorgnia Md

Department of Medicine

Introduction: The treatment of long standing persistent atrial fibrillation (AF) is very challenging and conventional catheter ablation strategies have provided only modest success. They often require multiple procedures and anti-arrhythmics to maintain sinus rhythm. The convergent ablation procedure is a hybrid approach, involving a minimally invasive epicardial ablation combined with a traditional transvenous endocardial ablation.

Hypothesis: Convergent ablation is an overall safe and effective procedure for the treatment of long standing persistent AF.

Methods: From February 2015 to September 2017, 30 patient (20 males) with long standing persistent AF underwent convergent ablation at a large tertiary care center. Rest of …

A Paramedic Staffed Prehospital Program May Reduce Hospital Readmissions For Heart Failure, Bruce Feldman Do, Christopher J. Greb Nrp, Orlando E. Rivera Rn, Mahek Shah Md, Jennifer Nesfeder, Deborah W. Sundlof Do, Nael Hawwa Md, Alma N. Ohl Crnp, Tara K. Henry-Morrow Emt-P, Jeanne L. Jacoby Md

Department of Emergency Medicine

No abstract provided.

Radiation Induced Symptomatic Critical Left Main Lesion And Symptomatic Aortic Stenosis In An Inoperable Candidate: Role Of Percutaneous Intervention, Fnu Vikram Md, Ghulam Akbar Md, Mohammed Ameen Md, Roshni N. Patel, Lohit Garg Md, Deborah W. Sundlof Do, Nainesh C. Patel Md

Department of Medicine

No abstract provided.

Trends And Predictors Of Implantable Cardioverted Defibrillator In Patients With Cardiac Arrest, Lohit Garg Md, Syed Rafay Ali Sabzwari Md, Aakash Garg Md, Manyoo Agarwal Md, Sahil Agrawal Md, Sima Y. Hodavance Md, Raman Dusaj Md, Nainesh C. Patel Md, Jeffrey Gordon Md

Department of Medicine

No abstract provided.

Massive Hemoptysis In The Setting Of Acute Mitral Regurgitation, Joseph Moran Do, George Prousi Md, Ross Biggs Do, Nirupama Kakumanu Md, Fccp

Department of Medicine

No abstract provided.

Large Coronary Arteries Mean No Chance Of A Heart Attack, Right? An Acute Myocardial Infarction In The Setting Of Holding Anticoagulation For A Routine Colonoscopy, Nathan Brewster Do, Jennifer Nesfeder, Ryan Murphy Do, Brian J. Holahan, Syed Rafay Ali Sabzwari

Department of Medicine

Coronary artery ectasia (CAE) is an uncommon pathology, which is sometimes incidentally found on left heart catheterization (LHC). CAE is occasionally treated with systemic anticoagulation to prevent thrombosis or progression of the clot in the coronary arteries. We present a 63-year-old male with known CAE on warfarin who presented to the hospital with myocardial infarction after a routine colonoscopy for which anticoagulation was held. His myocardial infarction was attributed to a likely coronary thromboembolic event. This case highlights the need for consideration of bridging anticoagulation therapy before and after procedures in patients with CAE to prevent adverse coronary events.

Treating Postpartum Refractory Long Qt Syndrome With Cervical Ganglion Sympathectomy, Nikhil A. Mehta Mbbs, Mario Caruso Do, Syed Rafay Ali Sabzwari Md, Lohit Garg Md, Jeffrey Gordon Md, Talha Nazir Md

Department of Medicine

No abstract provided.

Sudden Cardiac Death Associated With Malignant Mitral Valve Prolapse, Damon Mcenroe Md, Fnu Vikram Md, Kailyn Mann Do, Lohit Garg Md, Syed Rafay Ali Sabzwari, Nael Hawwa Md

Department of Medicine

No abstract provided.

Atresia Of The Coronary Sinus Ostium With Anomalous Drainage Into Innominate Vein: Implications For Crt, Syed Rafay Ali Sabzwari Md, Lohit Garg Md, Nikhil A. Mehta Md, Hiwot Ayele Md, Nghia Hoang Md

Department of Medicine

No abstract provided.

A Rare Case Of Minocycline Induced Eosinophilic Myocarditis, Tarick Sheikh Md, Anam Malik Md, Paul Secheresiu Do, James R. Kimber Do, Hiwot Ayele Md, Lekha Racharla Do

Department of Medicine

No abstract provided.

Isolated Bicuspid Pulmonic Valve: “Forgotten Valve” And A Rare Anomaly, Ghulam Akbar Md, Fnu Vikram Md, Lohit Garg Md, Larry E. Jacobs Md, Matthew W. Martinez Md

Department of Medicine

No abstract provided.

Traumatic Tricuspid Regurgitation: When To Operate, Ghulam Akbar Md, Lohit Garg Md, Syed Rafay Ali Sabzwari, Fnu Vikram Md, Raman Dusaj Md

Department of Medicine

No abstract provided.

Outcomes Of Catheter Ablation For Atrial Fibrillation In Patients With Hypertrophic Cardiomyopathy, Lohit Garg Md, Syed Rafay Ali Sabzwari Md, Ghulam Akbar Md, Hiwot Ayele Md, Sahil Agrawal Md, Manyoo Agarwal Md, Jeffrey Gordon, Raman Dusaj Md, Talha Nazir Md, Babak Bozorgnia Md, Matthew W. Martinez Md

Department of Medicine

No abstract provided.

Atrial Myxoma Presenting With Palpitations: A Case Report, George Prousi Md, Joseph Moran Do, Ross Biggs Do

Department of Medicine

Abstract

Atrial myxomas are a rare phenomenon and although benign, primary neoplasms of the heart can be burdensome depending on their location. Clinical symptoms are caused through a variety of mechanisms including conduction disturbances, obstruction, and valvular interference. Size and symptom development are strongly correlated and can almost always be detected by the use of echocardiography, magnetic resonance imaging or computed tomography. This is a case of a 62-year-old female with no significant past medical history presented to our facility with complaints of palpitations and associated dizziness for three months.

Introduction

Atrial myxomas are the most common benign primary neoplasm …

Development Of A Cardio-Oncology Program In A Community Hospital, Deborah W. Sundlof Do, Brijesh D. Patel Md, Kelly C. Schadler Msn, Crnp, Ross G. Biggs Do, Cheri A. Silverstein Fadlon Md, Mscr, Paul S. Corotto Md, Sameer Tolay Md, Ahmed J. Nadeem Do, Ranju Gupta Md, Nadeem V. Ahmad Md

Department of Medicine

No abstract provided.

Chemo-Coronaries: A Rare Form Of Coronary Vasospasm Following 5-Fu Infusion, George Prousi Md, Joseph Moran Do, Ross Biggs Do, John Mannisi Md

Department of Medicine

No abstract provided.

Platelet Reactivity And Risk Of Ischemic Stroke After Coronary Drug-Eluting Stent Implantation: From The Adapt-Des Study., Gennaro Giustino, Björn Redfors, Ajay J Kirtane, Roxana Mehran, George D Dangas, Bernhard Witzenbichler, Franz-Josef Neumann, Giora Weisz, Philippe Généreux, Akiko Maehara, Thomas Mcandrew, Serdar Farhan, Michael J Rinaldi, D Christopher Metzger, David A. Cox Md, Peter L Duffy, Ernest L Mazzaferri, Bruce R Brodie, Thomas D Stuckey, Paul Gurbel, Ori Ben-Yehuda, Gregg W Stone

Department of Medicine

OBJECTIVES: The authors sought to investigate the association between P2Y

BACKGROUND: The association between platelet reactivity on clopidogrel and the risk for ischemic cerebrovascular events remains unclear.

METHODS: Incidence, predictors, and prognostic impact of IS were evaluated among patients enrolled in the multicenter, prospective ADAPT-DES (Assessment of Dual AntiPlatelet Therapy With Drug Eluting Stents) study. By protocol, patients were maintained on aspirin for 2 years and clopidogrel for at least 1 year. Baseline platelet reactivity on clopidogrel and aspirin were assessed by means of VerifyNow point-of-care assay after successful DES implantation.

RESULTS: Among 8,582 patients enrolled, 68 (0.8%) had an …

The Disappearing Murmur: Systolic Anterior Motion Of The Mitral Valve Leaflet In A Non-Hypertrophic Cardiomyopathy Patient, Syed Rafay Ali Sabzwari, James R. Kimber, Hiwot Ayele, Nimra Khan, Tarick Sheikh, Ghulam Akbar Md, Bruce Feldman Do

Department of Medicine

Systolic anterior motion (SAM) of the mitral valve is a well-known phenomenon associated with left ventricular outflow tract obstruction and hemodynamic compromise. This finding may occur in patients with or without hypertrophic cardiomyopathy. In this report, a patient with no prior medical history presented to the hospital with left-sided chest pain and high-risk echocardiogram (ECG) findings. Left heart catheterization with coronary angiography was negative for coronary artery disease. His initial examination was significant for a systolic murmur due to the underlying SAM, as demonstrated by transthoracic echocardiogram. During his hospitalization, he developed acute heart failure syndrome as a result of …

A Case Of Flash Pulmonary Edema Caused By Iliac Artery Stenosis, Grace Chong Do, Joseph Moran Do, Fnu Vikram Md, Benjamin Sanchez Md

Department of Medicine

No abstract provided.

Ten Lifestyle Modification Approaches To Treat Atrial Fibrillation, Syed Rafay Ali Sabzwari, Lohit Garg Md, Dhanunjaya Lakkireddy, John Day

Department of Medicine

Atrial fibrillation (AF) is the most common arrhythmia affecting three million people in the United States (US). Across different races in the US, the incidence of other races was comparable to that of Caucasian population. This points towards the importance of certain lifestyle modifications that can help prevent and treat this disorder. This article discusses 10 such factors. Smoking has been linked to AF, with almost 36% risk reduction if quit. Hypertension has 56% increased risk of atrial fibrillation in which the role of lifestyle changes is well known. Similarly, alcohol-induced atrial fibrillation has 10% increased risk of atrial fibrillation. …