Cardiology Commons^™

North American Covid-19 St-Segment-Elevation Myocardial Infarction (Nacmi) Registry: Rationale, Design, And Implications: Rationale And Design Of Nacmi Registry, P Dehghani, Lj Davidson, Cl Grines, K Nayak, J Saw, P Kaul, A Bagai, R Garberich, P Meraj, Td Henry, +9 Additional Authors

Journal Articles

No abstract provided.

Spontaneous Coronavirus Disease 2019 (Covid-19)-Associated Luminal Aortic Thrombus, C Mullan, C Powierza, Pe Miller, A Geirsson, P Vallabhajosyula, R Assi

Journal Articles

No abstract provided.

Aortic Arch Thrombus And Pulmonary Embolism In A Covid-19 Patient, P. Gandotra, A. Supariwala, S. Selim, G. Garra, L. Gruberg

Journal Articles

© 2020 Elsevier Inc. Background: Coronavirus disease 2019 (COVID-19) is associated with endothelial inflammation and a hypercoagulable state resulting in both venous and arterial thromboembolic complications. We present a case of COVID-19-associated aortic thrombus in an otherwise healthy patient. Case Report: A 53-year-old woman with no past medical history presented with a 10-day history of dyspnea, fever, and cough. Her pulse oximetry on room air was 84%. She tested positive for severe acute respiratory syndrome coronavirus 2 infection, and chest radiography revealed moderate patchy bilateral airspace opacities. Serology markers for cytokine storm were significantly elevated, with a serum D-dimer level …

Bradyarrhythmias In Patients With Covid-19: Marker Of Poor Prognosis?, J. S. Chinitz, R. Goyal, M. Harding, G. Veseli, L. Gruberg, R. Jadonath, P. Maccaro, P. Gandotra, L. Ong, L. M. Epstein

Journal Articles

No abstract provided.

Cardiac Catheterization Laboratory Volume Changes During Covid-19—Findings From A Cardiovascular Fellows Consortium, S. Kadavath, J. Mohan, S. Ashraf, A. Kassier, D. Hawwass, N. Madan, N. Salehi, M. Bernardo, M. C. Kim, M. C. Alraies, +13 Additional Authors

Journal Articles

No abstract provided.

Guidance For Rebooting Electrophysiology Through The Covid-19 Pandemic From The Heart Rhythm Society And The American Heart Association Electrocardiography And Arrhythmias Committee Of The Council On Clinical Cardiology: Endorsed By The American College Of Cardiology, D. R. Lakkireddy, M. K. Chung, T. F. Deering, R. Gopinathannair, C. M. Albert, L. M. Epstein, C. V. Harding, J. L. Hurwitz, C. C. Jeffery, A. M. Russo, +9 Additional Authors

Journal Articles

© 2020 The Heart Rhythm Society, the American Heart Association, Inc., and the American College of Cardiology Foundation Coronavirus disease 2019 (COVID-19) has presented substantial challenges to patient care and impacted health care delivery, including cardiac electrophysiology practice throughout the globe. Based upon the undetermined course and regional variability of the pandemic, there is uncertainty as to how and when to resume and deliver electrophysiology services for arrhythmia patients. This joint document from representatives of the Heart Rhythm Society, American Heart Association, and American College of Cardiology seeks to provide guidance for clinicians and institutions reestablishing safe electrophysiological care. To …

Institutional Preparedness Strategies For Heart Failure, Durable Left Ventricular Assist Device, And Heart Transplant Patients During The Coronavirus Disease 2019 (Covid-19) Pandemic, A. Bansal, D. Goldstein, S. Schettle, S. Pepitone, B. Lima, D. T. Pham, J. Cowger, A. Schubert, S. P. Pinney

Journal Articles

No abstract provided.

Outcomes In Patients With Severe Covid-19 Disease Treated With Tocilizumab: A Case-Controlled Study, G. Rojas-Marte, M. Khalid, O. Mukhtar, A. T. Hashmi, M. A. Waheed, S. Ehrlich, A. Aslam, S. Siddiqui, C. Agarwal, J. Shani, +8 Additional Authors

Journal Articles

© The Author(s) 2020. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For permissions, please email: journals.permissions@oup.com. BACKGROUND: COVID-19 is an ongoing threat to society. Patients who develop the most severe forms of the disease have high mortality. The interleukin-6 inhibitor tocilizumab has the potential to improve outcomes in these patients by preventing the development of cytokine release storm. AIMS: To evaluate the outcomes of patients with severe COVID-19 disease treated with the interleukin-6 inhibitor tocilizumab. METHODS: We conducted a retrospective, case-control, single-center study in patients with severe to critical COVID-19 disease treated …

Response: From Cardiology To Covid The Impact Of A Pandemic On Fellowship Training, J. T. Kuvin

Journal Articles

No abstract provided.

Use Of A Smartwatch For Assessment Of The Qt Interval In Outpatients With Coronavirus Disease 2019., J. S. Chinitz, R. Goyal, D. C. Morales, M. Harding, S. Selim, L. M. Epstein

Journal Articles

The coronavirus disease 2019 (COVID-19) pandemic has necessitated rapid implementation of innovative strategies to manage patients remotely to help reduce the risk of community and nosocomial transmission. This case demonstrates the use of an Apple Watch (Apple, Cupertino, CA, USA) to monitor for arrhythmias and QT prolongation in a patient with COVID-19 during home isolation.

Usefulness Of Elevated Troponin To Predict Death In Patients With Covid-19 And Myocardial Injury., D. T. Majure, L. Gruberg, S. G. Saba, C. Kvasnovsky, J. S. Hirsch, R. Jauhar, Northwell Health Covid-19 Research Consortium

Journal Articles

Elevations in troponin levels have been shown to predict mortality in patients with coronavirus disease 2019 (COVID-19). The role of inflammation in myocardial injury remains unclear. We sought to determine the association of elevated troponin with mortality in a large, ethnically diverse population of patients hospitalized with COVID-19, and to determine the association of elevated inflammatory markers with increased troponin levels. We reviewed all patients admitted at our health system with COVID-19 from March 1 to April 27, 2020, who had a troponin assessment within 48 hours of admission. We used logistic regression to calculate odds ratios (ORs) for mortality …

We May Develop Medications Effective Against Covid-19, But Can We Distribute Them Equitably?, D. J. Kersten, A. N. Makaryus

Journal Articles

No abstract provided.

Impact Of Covid-19 Pandemic On Stemi Care: An Expanded Analysis From The United States., S. Garcia, L. Stanberry, C. Schmidt, S. Sharkey, M. Megaly, M. S. Albaghdadi, P. M. Meraj, R. Garberich, H. Khalili, T. D. Henry, +20 Additional Authors

Journal Articles

OBJECTIVE: To evaluate the impact of COVID-19 pandemic migitation measures on of ST-elevation myocardial infarction (STEMI) care.

BACKGROUND: We previously reported a 38% decline in cardiac catheterization activations during the early phase of the COVID-19 pandemic mitigation measures. This study extends our early observations using a larger sample of STEMI programs representative of different US regions with the inclusion of more contemporary data.

METHODS: Data from 18 hospitals or healthcare systems in the US from January 2019 to April 2020 were collecting including number activations for STEMI, the number of activations leading to angiography and primary percutaneous coronary intervention (PPCI), …

Management Of Covid-19 Myopericarditis With Reversal Of Cardiac Dysfunction After Blunting Of Cytokine Storm: A Case Report., A. Li, Y. Garcia-Bengochea, R. Stechel, B. M. Azari

Journal Articles

Background:Coronavirus disease 2019 (COVID-19) is a syndrome that has been associated with multiple cardiac complications including myopericarditis. The pathophysiology and treatment for myopericarditis in the setting of COVID-19 infection is still under investigation. Case summary:We present a case of a 60-year-old male admitted for dyspnoea due to COVID-19. He developed new ST-segment elevation, elevated cardiac enzymes, severe left ventricular dysfunction, and high inflammatory markers in the setting of haemodynamic and respiratory collapse from the viral illness. He was diagnosed with COVID-19-induced myopericarditis. He showed rapid clinical improvement with a rapid wean off pressure support, resolution of electrocardiogram (ECG) findings, and …

Diagnostic And Treatment Utility Of Echocardiography In The Management Of The Cardiac Patient, A. Khalili, J. Drummond, N. Ramjattan, R. Zeltser, A. N. Makaryus

Journal Articles

© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. BACKGROUND Echocardiograms are an incredibly useful diagnostic tool due to their lack of harmful radiation, the relative ease and speed with which they can be performed, and their almost ubiquitous availability. Unfortunately, the advantages that support the use of echocardiography can also lead to the overuse of this technology. We sought to evaluate the physician perceived impact echocardiography has on patient management. AIM To evaluate the physician perceived impact echocardiography has on patient management. METHODS Surveys were distributed to the ordering physician for echocardiograms performed at our …

Preoperative Nuclear Stress Testing In The Very Old Patient Population, A. N. Makaryus, J. N. Makaryus, J. A. Diamond

Journal Articles

© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. BACKGROUND Elderly patients awaiting moderate to high-risk surgery may undergo nuclear stress testing (NST) in order to evaluate their cardiovascular risk. The prognostic utility of such testing in the very elderly (≥ 85 years) has yet to be fully evaluated. Octogenarians and nonogenarians frequently have a number of concurrent conditions including a high rate of coronary disease, and therefore the prognostic value of NST for their preoperative risk assessment has been questioned. Our evaluation assesses the ability of nuclear stress testing to predict peri-operative cardiac outcomes in …

Hrs/Ehra/Aphrs/Lahrs/Acc/Aha Worldwide Practice Update For Telehealth And Arrhythmia Monitoring During And After A Pandemic, N. Varma, N. F. Marrouche, L. Aguinaga, C. M. Albert, E. Arbelo, J. I. Choi, M. K. Chung, G. Conte, L. M. Epstein, P. D. Varosy, +13 Additional Authors

Journal Articles

No abstract provided.

Impact Of Cardiologist Intervention On Guideline-Directed Use Of Statin Therapy, M. Cassagnol, O. Hai, S. A. Sherali, K. D'Angelo, D. Bass, R. Zeltser, A. N. Makaryus

Journal Articles

© The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. BACKGROUND Statins have an important and well-established role in the prevention of atherosclerotic cardiovascular disease (ASCVD). However, several studies have reported widespread underuse of statins in various practice settings and populations. Review of relevant literature reveals opportunities for improvement in the implementation of guideline-directed statin therapy (GDST). AIM To examine the impact of cardiologist intervention on the use of GDST in the ambulatory setting. METHODS Patients with at least one encounter at the adult Internal Medicine Clinic (IMC) and/or Cardiology Clinic (CC), who had an available serum …

Interrupting Microaggressions In Health Care Settings: A Guide For Teaching Medical Students, R. G. Acholonu, T. E. Cook, R. O. Roswell, R. E. Greene

Journal Articles

© 2020 Acholonu et al. Introduction: Microaggressions are connected to broader conceptualizations of the impact of implicit bias and systems of inequity. The body of evidence supporting the need for more-open discussions in medical education about race, racism, and their impact on health disparities continues to grow. Some have advocated for the importance of bringing anti-racist pedagogy into medical education curricula, which involves explicitly attempting to move beyond people's comfort zones and acknowledging that discomfort can be a catalyst for growth. To discuss the intent and impact of microaggressions in health care settings and how we might go about responding …

Fatty Metaplasia Within A Chronic Myocardial Infarction: Multimodality Correlation Between Echocardiography And Computed Tomography., A. Ganguly, M. Lapa, S. G. Saba

Journal Articles

No abstract provided.