Medicine and Health Sciences Commons^™

Percutaneous Coronary Intervention Using Second Generation Drug-Eluting Stents Vs Coronary Artery Bypass Graft In Left Main Coronary Artery And Multivessel Coronary Artery Disease, Eric Kim

Capstone Showcase

Many of the studies that are used in reference to the clinical decision making between PCI vs CABG use BMS or first-generation DES as a comparison. With the advancement of stent technology, second-generation DES have emerged with improved efficacy and overall outcome rates compared to BMS and first-generation DES. Some of the newer studies such as EXCEL1-2 , demonstrated noninferiority of second-generation DES to CABG but there are limited studies that support this conclusion. Currently, the studies remain divided in the impact of newer-generation PCIs, and 10-year follow up studies may be required to further validate noninferiority before it can …

A Case Of Protein Losing Enteropathy After Fontan Operation, Gina Kim

Capstone Showcase

Protein Losing Enteropathy (PLE) is a condition in which an excessive amount of proteins are lost through the gastrointestinal tract leading to hypoproteinemia and manifesting as edema, ascites, and diarrhea. While in most cases PLE is a treatable disorder with good outcomes, the morbidity and mortality of the disorder is significantly elevated in patients with a history of Fontan surgery–an operation used to palliate patients born with a single ventricle by rerouting venous blood return directly to pulmonary circulation. After failure of first-line therapeutics of diuretics and steroids, this case study explores the successful treatment of a 5-year-old patient with …

The Use Of Continuous Positive Airway Pressure In Patients With Obstructive Sleep Apnea To Decrease The Risk And Progression Of Cardiovascular Disease, Haley Duncan

Capstone Showcase

Introduction: Cardiovascular disease is one of the most prevalent illnesses worldwide and the leading cause of death in the United States. Obstructive sleep apnea (OSA) has been found to be a risk factor correlated to cardiovascular disease and events. Treatment for OSA includes the use of continuous positive airway pressure (CPAP), but patients are often non-compliant due to discomfort. Therefore, the following clinical question arises: [P] In an adult patient (35-75 years old) diagnosed with OSA, [I] does the use of CPAP [C: compared to patients with OSA who do not use CPAP] [O]decrease the risk and/or progression of cardiovascular …

Management Of Refractory Ventricular Fibrillation With Double Sequential Defibrillation, Kaitlyn A. Brown

Capstone Showcase

Patients experiencing cardiac arrest are treated according to ACLS protocols, however current protocols lack recommendations for the treatment of refractory Ventricular Fibrillation which persists after more than 3 cycles of CPR and defibrillation. One potential intervention for these cases that is being researched is the use of simultaneous or sequential activation of two defibrillators. This literature review analyzed the results of several studies to determine if double sequential defibrillation (DSD) is a viable treatment to achieve return of spontaneous circulation (ROSC) and improved patient survival. The results of the studies were mixed with some showing positive outcomes, and others showing …

Effect Of Vegan Diet On Cardiovascular Health, Rachel Schottenfeld

Capstone Showcase

Abstract

Introduction: Cardiovascular disease (CVD) is the leading cause of death globally, and in the United States, regardless of socioeconomic strata. Current diet guidelines in the US endorse the consumption of animal products, but research show retrospective, prospective and cross-sectional studies that a vegan diet is more effective at reducing BP, cholesterol, blood sugar levels, and body mass index (BMI) as compared to a non-vegan diet. This paper will focus on the benefits of a vegan diet (I) in reducing CVD risk (O) in adults (P) as compared to a non-vegan diet (C). It is the hope that increased focus …

The Efficacy Of Thoratec Implantable Ventricular Assist Devices Compared To Syncardia Total Artificial Hearts As Bridge-To-Transplantation Therapy In Adults With Biventricular Heart Failure, Alexandria Davenport

Capstone Showcase

Abstract

Introduction: Systolic heart failure is a chronic condition in which there is a decrease in the heart’s ability to pump blood to the body. While there are several treatments for the symptoms of heart failure, the only curative treatment for most causes of chronic heart failure is a heart transplant. Due to the limited number of heart donors, 72.2% of patients in need of a heart transplant in 2017 spent up to 2 years waiting for a transplant. Mechanical circulatory support has been used to increase patient survival to transplantation. In the past, these machines were external devices that …

In Adult Patients 60+ Y.O. With Aaa, Would (F)Evar Lead To Least Amount Of Post-Operative Complications Than Traditional Osr?, Sandra Yoo

Capstone Showcase

INTRODUCTION: An abdominal aortic aneurysm (AAA) is a permanent ballooning of the abdominal aorta greater than 3cm in diameter. A small AAA is often asymptomatic. However, as time passes the risk of rupture increases as the diameter of the aneurysm widens. This can ultimately lead to massive internal bleeding and fatality. Surgery is the most common course of treatment for AAA. Most patients will undergo traditional open surgery, but this is often associated with prolonged in-hospital recovery and is contraindicated in an aging population that have a higher prevalence of comorbidities. With this in thought, some clinicians have been turning …