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Full-Text Articles in Medicine and Health Sciences

Cardiac Dysfunction And Shock In Pediatric Patients With Covid-19., K. Joshi, D. Kaplan, A. Bakar, J. F. Jennings, D. A. Hayes, S. Mahajan, N. Misra, E. Mitchell, T. M. Sweberg, M. D. Taylor, C. A. Capone Jan 2020

Cardiac Dysfunction And Shock In Pediatric Patients With Covid-19., K. Joshi, D. Kaplan, A. Bakar, J. F. Jennings, D. A. Hayes, S. Mahajan, N. Misra, E. Mitchell, T. M. Sweberg, M. D. Taylor, C. A. Capone

Journal Articles

Coronavirus disease-2019 (COVID-19) has been reported to cause significant morbidity in adults, with reportedly a lesser impact on children. Cardiac dysfunction has only been described in adults thus far. We describe 3 cases of previously healthy children presenting with shock and COVID-19-related cardiac inflammation. (Level of Difficulty: Intermediate.).

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Central Nervous System Complications Associated With Sars-Cov-2 Infection: Integrative Concepts Of Pathophysiology And Case Reports, S. Najjar, A. Najjar, D. J. Chong, B. K. Pramanik, C. Kirsch, R. Kuzniecky, S. Pacia, S. Azhar Jan 2020

Central Nervous System Complications Associated With Sars-Cov-2 Infection: Integrative Concepts Of Pathophysiology And Case Reports, S. Najjar, A. Najjar, D. J. Chong, B. K. Pramanik, C. Kirsch, R. Kuzniecky, S. Pacia, S. Azhar

Journal Articles

No abstract provided.

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Cerebrovascular Complications Of Covid-19, J. M. Katz, R. B. Libman, J. J. Wang, P. Sanelli, C. G. Filippi, M. Gribko, S. V. Pacia, R. I. Kuzniecky, S. Najjar, S. Azhar Jan 2020

Cerebrovascular Complications Of Covid-19, J. M. Katz, R. B. Libman, J. J. Wang, P. Sanelli, C. G. Filippi, M. Gribko, S. V. Pacia, R. I. Kuzniecky, S. Najjar, S. Azhar

Journal Articles

No abstract provided.

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Covid-19 And Solid Organ Transplant Outcomes, V. Nair, N. Jandovitz, K. D. Jhaveri, E. Molmenti Jan 2020

Covid-19 And Solid Organ Transplant Outcomes, V. Nair, N. Jandovitz, K. D. Jhaveri, E. Molmenti

Journal Articles

No abstract provided.

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Covid-19 As A Possible Cause Of Functional Exhaustion Of Cd4 And Cd8 T-Cells And Persistent Cause Of Methicillin-Sensitive Staphylococcus Aureus Bacteremia., I. Choudhury, H. Han, K. Manthani, S. Gandhi, R. Dabhi Jan 2020

Covid-19 As A Possible Cause Of Functional Exhaustion Of Cd4 And Cd8 T-Cells And Persistent Cause Of Methicillin-Sensitive Staphylococcus Aureus Bacteremia., I. Choudhury, H. Han, K. Manthani, S. Gandhi, R. Dabhi

Journal Articles

We report a case of a 73-year-old male with a history of diabetes mellitus, osteomyelitis, methicillin-sensitive Staphylococcus aureus (MSSA) bacteremia who recently completed an extended intravenous course of cefazolin eight days back, and presented with MSSA bacteremia complicated by epidural abscess, endocarditis, and aortic root abscess. Meanwhile, the patient was tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) by reverse transcription-polymerase chain reaction (RT-PCR). Even with aggressive antibiotic treatment, the patient remained bacteremic and developed endocarditis with a worsening aortic root abscess. We suspect coronavirus disease 2019 (COVID-19) as a cause for the infectious paradox and will discuss …

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Covid-19 Clinical Research., J. Chi, D. Chitty, M. Lee, N. Hakim, S. Lakhani, L. Rajdev, X. Zhu, M. W. Saif Jan 2020

Covid-19 Clinical Research., J. Chi, D. Chitty, M. Lee, N. Hakim, S. Lakhani, L. Rajdev, X. Zhu, M. W. Saif

Journal Articles

Introduction:While the global COVID-19 pandemic has challenged the entire humanity and health systems, it also triggered researchers to urgently perform clinical trials to assess the safety and efficacy of many agents and modalities to combat COVID-19. As of April 22, over 650 clinical studies have been registered both in USA and internationally. Results from these studies are also coming at a brisk pace in this unprecedented emergency. Areas covered:We searched the NCI website and Medline and summarize various national and international clinical trials and summarize few of the pivotal ones in this paper, including those specific to oncology population. Two …

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Covid-19 In Hospitalized Patients On Chronic Peritoneal Dialysis: A Case Series, M. Sachdeva, N. N. Uppal, J. S. Hirsch, J. H. Ng, D. Malieckal, S. Fishbane, K. D. Jhaveri Jan 2020

Covid-19 In Hospitalized Patients On Chronic Peritoneal Dialysis: A Case Series, M. Sachdeva, N. N. Uppal, J. S. Hirsch, J. H. Ng, D. Malieckal, S. Fishbane, K. D. Jhaveri

Journal Articles

No abstract provided.

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De Novo Anca-Associated Vasculitis With Glomerulonephritis In Covid-19., N. N. Uppal, N. Kello, H. H. Shah, Y. Khanin, I. R. De Oleo, E. Epstein, P. Sharma, C. P. Larsen, V. Bijol, K. D. Jhaveri Jan 2020

De Novo Anca-Associated Vasculitis With Glomerulonephritis In Covid-19., N. N. Uppal, N. Kello, H. H. Shah, Y. Khanin, I. R. De Oleo, E. Epstein, P. Sharma, C. P. Larsen, V. Bijol, K. D. Jhaveri

Journal Articles

No abstract provided.

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Development Of A New Multiplex Real-Time Rt-Pcr Assay For Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) Detection., W. Zhen, G. J. Berry Jan 2020

Development Of A New Multiplex Real-Time Rt-Pcr Assay For Severe Acute Respiratory Syndrome Coronavirus 2 (Sars-Cov-2) Detection., W. Zhen, G. J. Berry

Journal Articles

This research describes the development of a new multiplex real-time RT-PCR test for detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with primers designed to amplify a 108 bp target on the spike surface glycoprotein (S gene) and a hydrolysis TaqMan probe designed to specifically detect SARS-CoV-2. The limit of detection (LOD) and clinical performance of this new assay were evaluated. A LOD study with inactivated virus exhibited performance equal to the modified CDC assay, with a final LOD of 1301 ± 13 genome equivalents/mL for the Northwell Health Laboratories laboratory-developed test (NWHL LDT) versus 1249 ± 14 genome …

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Covid-19 Presenting As Acute Hepatitis, P. Wander, M. Epstein, D. Bernstein Jan 2020

Covid-19 Presenting As Acute Hepatitis, P. Wander, M. Epstein, D. Bernstein

Journal Articles

No abstract provided.

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Knowledge, Attitudes, And Interactions With Chaplains And Nursing Northwell Health Outcomes: A Survey Study, T. Liberman, A. Kozikowski, M. Carney, M. Kline, A. Axelrud, A. Ofer, M. Rossetti, R. Pekmezaris Jan 2020

Knowledge, Attitudes, And Interactions With Chaplains And Nursing Northwell Health Outcomes: A Survey Study, T. Liberman, A. Kozikowski, M. Carney, M. Kline, A. Axelrud, A. Ofer, M. Rossetti, R. Pekmezaris

Journal Articles

© 2020, Springer Science+Business Media, LLC, part of Springer Nature. We conducted a cross-sectional survey of nursing Northwell Health (n = 51) in an academic hospital finding a significant inverse relationship between the frequency of chaplaincy interaction and perceived stress (r = − 0.27, p = 0.05). We also found a significant positive relationship between rated importance of having a chaplain at the hospital and secondary trauma (r = 0.30, p = 0.03). There was a significant positive relationship between religiosity and rated importance for having a chaplain (r = 0.30, p = 0.03) and rated helpfulness of chaplains (r …

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Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration., D. Chang, P. Patel, S. Persky, J. Ng, A. Kaell Jan 2020

Management Of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated By Coil Migration., D. Chang, P. Patel, S. Persky, J. Ng, A. Kaell

Journal Articles

Rupture of visceral artery aneurysms or visceral artery pseudoaneurysms is an unusual cause of upper gastrointestinal bleeding. Although most visceral artery aneurysms and visceral artery pseudoaneurysms occur in the splenic artery or hepatic artery, they can rarely occur in the gastroduodenal artery. These are at high risk for rupture, with a 40%-70% mortality. We report a case of recurrent upper gastrointestinal bleeding due to gastroduodenal artery pseudoaneurysm despite endoscopic treatment and endovascular embolization complicated by coil migration into the duodenum.

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A Case Of Vancomycin-Induced Immune Thrombocytopenia., K. N. Macdougall, S. Parylo, A. Sokoloff Jan 2020

A Case Of Vancomycin-Induced Immune Thrombocytopenia., K. N. Macdougall, S. Parylo, A. Sokoloff

Journal Articles

Vancomycin-induced immune thrombocytopenia (ITP) is a rare, potentially life-threatening complication from an antibiotic frequently used in medical practice. We report a case of an 81-year-old male with recent removal of an infected right knee prosthesis and insertion of an articulating antibiotic spacer, presenting from rehabilitation for severe thrombocytopenia (1 X 103/µL). The patient's thrombocytopenia was initially falsely attributed to rifampin-induced ITP, a much more common cause of drug-induced thrombocytopenia. Only later, after a second precipitous drop in platelet count, vancomycin was correctly identified as the culprit. The patient's serum was tested for drug-dependent platelet antibodies with and without vancomycin. A …

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A Case Of Listeria Monocytogenes Meningitis Complicated By Hydrocephalus And Intraventricular Hemorrhage: A Review Of Treatment Options And Outcomes, S. Gerstein, P. Gautam-Goyal, S. Goyal Jan 2020

A Case Of Listeria Monocytogenes Meningitis Complicated By Hydrocephalus And Intraventricular Hemorrhage: A Review Of Treatment Options And Outcomes, S. Gerstein, P. Gautam-Goyal, S. Goyal

Journal Articles

© 2020 The Authors Listeria monocytogenes is a gram-positive bacillus known to cause various human infections including central nervous system infections. The most common central nervous system manifestations are meningitis and rhomboencephalitis, however rare complications including hydrocephalus and intracerebral hemorrhage can occur and are associated with increased mortality and incidence of lasting neurologic sequelae. The mortality ranges from 17 % to greater than 30 % in patients with neurological involvement [1–3]. Various case reports have studied the differing treatment approaches and outcomes of patients who experienced these complications, and there is still no consensus on optimal treatment approaches. In this …

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Hypercalcemia In A Patient Diagnosed With A Vasoactive Intestinal Peptide Tumor., B. Ataallah, B. S. Buttar, G. Kulina, A. Kaell Jan 2020

Hypercalcemia In A Patient Diagnosed With A Vasoactive Intestinal Peptide Tumor., B. Ataallah, B. S. Buttar, G. Kulina, A. Kaell

Journal Articles

Hypercalcemia is a clinical problem that is commonly seen in both the inpatient and outpatient settings. Overall, most common causes of hypercalcemia include hyperparathyroidism and malignancy. Our case report is the presentation of hypercalcemia in a patient eventually diagnosed with a vasoactive intestinal peptide tumor, a type of neuroendocrine tumor, without associated hyperparathyroidism.

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New Paradigms Of Extended Thromboprophylaxis In Medically Ill Patients, K. Macdougall, A. C. Spyropoulos Jan 2020

New Paradigms Of Extended Thromboprophylaxis In Medically Ill Patients, K. Macdougall, A. C. Spyropoulos

Journal Articles

No abstract provided.

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Novel Approaches To Arteriovenous Access Creation, Maturation, Suitability, And Durability For Dialysis, M. V. Devita, S. K. Khine, H. Shivarov Jan 2020

Novel Approaches To Arteriovenous Access Creation, Maturation, Suitability, And Durability For Dialysis, M. V. Devita, S. K. Khine, H. Shivarov

Journal Articles

© 2020 Since the arteriovenous fistula (AVF) was first conceived over 50 years ago, the goal to create a vascular conduit with predictable and reproducible maturation and durability continues to elude caregivers. Recently, however, advances in the understanding of vascular biology and new technologies now provides us with some optimism; we are moving toward a viable solution. A quickly maturing, sustainable, and durable arteriovenous access may soon be attainable. This review will discuss these advances. There are novel approaches to AVF creation and devices to enhance maturation, advances in arteriovenous graft material(s), and devices to safely prolong the use of …

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Scientific And Standardization Committee Communication: Clinical Guidance On The Diagnosis, Prevention And Treatment Of Venous Thromboembolism In Hospitalized Patients With Covid-19., A. C. Spyropoulos, J. H. Levy, W. Ageno, J. M. Connors, B. J. Hunt, T. Iba, M. Levi, C. M. Samama, D. Giannis, +2 Additional Authors Jan 2020

Scientific And Standardization Committee Communication: Clinical Guidance On The Diagnosis, Prevention And Treatment Of Venous Thromboembolism In Hospitalized Patients With Covid-19., A. C. Spyropoulos, J. H. Levy, W. Ageno, J. M. Connors, B. J. Hunt, T. Iba, M. Levi, C. M. Samama, D. Giannis, +2 Additional Authors

Journal Articles

The novel coronavirus disease of 2019 (COVID-19) pandemic, as declared by the World Health Organization, is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV2). Cardiovascular disease and, in particular, venous thromboembolism (VTE) has emerged as an important consideration in the management of hospitalized patients with COVID-19. The diagnosis of VTE using standardized objective testing is problematic in these patients, given the risk of infecting non-COVID-19 hospitalized patients and hospital personnel, coupled with the usual challenges of performing diagnostic testing in critically-ill patients. Early reports suggest a high incidence of VTE in hospitalized COVID-19 patients, particularly those with severe …

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Management Of Iron-Deficiency Anemia On Inpatients And Appropriate Discharge And Follow-Up., K. Patel, Z. Memon, R. Mazurkiewicz Jan 2020

Management Of Iron-Deficiency Anemia On Inpatients And Appropriate Discharge And Follow-Up., K. Patel, Z. Memon, R. Mazurkiewicz

Journal Articles

Background:The aims of the study were to identify appropriate supplementation of iron for inpatients and to identify factors involved in appropriate discharge documentation and follow-up. Methods:This was a retrospective analysis of 103 patients at a community hospital in New York City. Results:A total of 57 (57/103, 55.3%) patients were admitted due to symptomatic anemia. Twenty (20/103, 19.4%) of those with iron-deficiency anemia had either esophagogastroduodenoscopy or colonoscopy. Gastroenterologist or hematologist was consulted for 45/103 (43.7%). Inpatient iron supplementation was given for 62/103 (60.2%) of patients; and 43/103 (41.7%) had blood transfusion. Upon discharge, 50/103 (48.5%) had appropriate documentation of iron-deficiency …

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A Roadmap To Reopening A Neurosurgical Practice In The Age Of Covid-19, Rs D'Amico, G Baum, Y Serulle, D Silva, Ml Smith, Ra Wallack, Ja Ellis, M Levine, R Oritz, Ja Boockvar, Dj Langer Jan 2020

A Roadmap To Reopening A Neurosurgical Practice In The Age Of Covid-19, Rs D'Amico, G Baum, Y Serulle, D Silva, Ml Smith, Ra Wallack, Ja Ellis, M Levine, R Oritz, Ja Boockvar, Dj Langer

Journal Articles

No abstract provided.

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Clinical Evaluation Of Three Sample-To-Answer Platforms For The Detection Of Sars-Cov-2, W Zhen, E Smith, R Manji, D Schron, Gj Berry Jan 2020

Clinical Evaluation Of Three Sample-To-Answer Platforms For The Detection Of Sars-Cov-2, W Zhen, E Smith, R Manji, D Schron, Gj Berry

Journal Articles

No abstract provided.

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Comparison Of Four Molecular In Vitro Diagnostic Assays For The Detection Of Sars-Cov-2 In Nasopharyngeal Specimens., W Zhen, R Manji, E Smith, Gj Berry Jan 2020

Comparison Of Four Molecular In Vitro Diagnostic Assays For The Detection Of Sars-Cov-2 In Nasopharyngeal Specimens., W Zhen, R Manji, E Smith, Gj Berry

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No abstract provided.

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Pretreatment Nutritional Status And Response To Checkpoint Inhibitors In Lung Cancer., C. Lee, C. E. Devoe, X. Zhu, J. S. Fishbein, N. Seetharamu Jan 2020

Pretreatment Nutritional Status And Response To Checkpoint Inhibitors In Lung Cancer., C. Lee, C. E. Devoe, X. Zhu, J. S. Fishbein, N. Seetharamu

Journal Articles

Background:Checkpoint inhibitors are integral to non-small-cell lung cancer treatment. Existing data suggests that nutritional status may play a role in antitumor immunity. Materials & methods:This retrospective study of 106 non-small-cell lung cancer patients who started checkpoint inhibitors between 2014 and 2017 at our institution assessed relationship of nutritional parameters to overall survival (OS) and progression-free survival. Results:Mean age was 68.7 ± 9.2 years and 59.4% patients were male. On multivariate analysis for OS, hypoalbuminemia and significant weight loss were prognostic at p-values of 0.0005 and 0.0052, respectively. We noted a parabolic association between age and OS (p = 0.026, 0.0025). …

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Management Of Upper Gi Bleeding In Patients With Covid-19 Pneumonia, K. Cavaliere, C. Levine, P. Wander, D. V. Sejpal, A. J. Trindade Jan 2020

Management Of Upper Gi Bleeding In Patients With Covid-19 Pneumonia, K. Cavaliere, C. Levine, P. Wander, D. V. Sejpal, A. J. Trindade

Journal Articles

No abstract provided.

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Polycystic Liver With Cardiac Compression Leading To Atrial Fibrillation: Case Report And Review Of The Literature., A. Elfiky, C. T. El Imad, B. Karam, S. M. Mulrooney Jan 2020

Polycystic Liver With Cardiac Compression Leading To Atrial Fibrillation: Case Report And Review Of The Literature., A. Elfiky, C. T. El Imad, B. Karam, S. M. Mulrooney

Journal Articles

Polycystic liver disease (PCLD) is a rare condition that most often occurs in patients with polycystic kidney disease and less commonly as an isolated liver disease. Complications include cyst rupture, infection, hemorrhage, and compression of surrounding organs by large cysts. We present the case of a patient with a history of PCLD who presented to our hospital with palpitations and was found to have atrial fibrillation. Imaging and echocardiograph revealed a dominant large cyst compressing the right atrium. Other etiologies including thyroid disease, ischemic heart disease, and electrolytes abnormalities were excluded. The patient refused surgical intervention and was conservatively treated …

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Eikenella Corrodens And Streptococcus Anginosus Co-Infection Causing Skull Base Osteomyelitis And Internal Carotid Artery Lesion, K. Patel, C. Park, Z. Memon, N. Ilyas Jan 2020

Eikenella Corrodens And Streptococcus Anginosus Co-Infection Causing Skull Base Osteomyelitis And Internal Carotid Artery Lesion, K. Patel, C. Park, Z. Memon, N. Ilyas

Journal Articles

© 2020 The Author(s) A 35-year-old male presented with headaches and fevers. MRI of his head showed skull-based infection of the clivus extended to the right internal carotid artery. Blood and sinus cultures were positive for Eikenella corrodens and Streptococcus anginosus. He had intravenous antibiotics and sinus washout. The patient had full neurological recovery following this.

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Over-The-Scope Clip To The Rescue! A Novel Tool For Refractory Acute Nonvariceal Upper Gastrointestinal Hemorrhage, S. Amarnath, H. Khan, J. Philipose, J. Abergel Jan 2020

Over-The-Scope Clip To The Rescue! A Novel Tool For Refractory Acute Nonvariceal Upper Gastrointestinal Hemorrhage, S. Amarnath, H. Khan, J. Philipose, J. Abergel

Journal Articles

© 2020 © 2020 The Author(s). Published by S. Karger AG, Basel. Nonvariceal upper gastrointestinal hemorrhage (NVUGIH) is more prevalent than lower gastrointestinal hemorrhage and carries a high risk of mortality in the elderly, especially those with significant cardiovascular comorbidities. Traditional endoscopic methods, such as through-the-scope clips, electrocautery, and epinephrine injection, are frequently used to control these bleeds; however, they carry a 10% risk of rebleeding, and this itself carries a mortality risk of 36%. The larger over-the-scope clips (OTSC) that were initially used for the closure of fistulas and perforations are now gradually being implemented to manage NVUGIH. To …

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The Effect Of Chloroquine, Hydroxychloroquine And Azithromycin On The Corrected Qt Interval In Patients With Sars-Cov-2 Infection, M. Saleh, J. Gabriels, D. Chang, B. S. Kim, A. Mansoor, E. Mahmood, P. Makker, H. Ismail, B. Goldner, J. Willner, S. Beldner, R. Mitra, R. John, J. Chinitz, N. Skipitaris, S. Mountantonakis, L. M. Epstein Jan 2020

The Effect Of Chloroquine, Hydroxychloroquine And Azithromycin On The Corrected Qt Interval In Patients With Sars-Cov-2 Infection, M. Saleh, J. Gabriels, D. Chang, B. S. Kim, A. Mansoor, E. Mahmood, P. Makker, H. Ismail, B. Goldner, J. Willner, S. Beldner, R. Mitra, R. John, J. Chinitz, N. Skipitaris, S. Mountantonakis, L. M. Epstein

Journal Articles

Background - The novel SARs-CoV-2 coronavirus is responsible for the global COVID-19 pandemic. Small studies have shown a potential benefit of chloroquine/hydroxychloroquine ± azithromycin for the treatment of COVID-19. Use of these medications alone, or in combination, can lead to a prolongation of the QT interval, possibly increasing the risk of Torsade de pointes (TdP) and sudden cardiac death. Methods - Hospitalized patients treated with chloroquine/hydroxychloroquine ± azithromycin from March 1st through the 23rd at three hospitals within the Northwell Health system were included in this prospective, observational study. Serial assessments of the QT interval were performed. The primary outcome …

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Impact Of The Covid-19 Pandemic On Interventional Cardiology Fellowship Training In The New York Metropolitan Area: A Perspective From The United States Epicenter, T. Gupta, T. M. Nazif, T. P. Vahl, H. Ahmad, A. E. Bortnick, R. Jauhar, R. Kandov, M. Kim, A. Lee, S. Kodali, +11 Additional Authors Jan 2020

Impact Of The Covid-19 Pandemic On Interventional Cardiology Fellowship Training In The New York Metropolitan Area: A Perspective From The United States Epicenter, T. Gupta, T. M. Nazif, T. P. Vahl, H. Ahmad, A. E. Bortnick, R. Jauhar, R. Kandov, M. Kim, A. Lee, S. Kodali, +11 Additional Authors

Journal Articles

© 2020 Wiley Periodicals, Inc. Background: The healthcare burden posed by the coronavirus disease 2019 (COVID-19) pandemic in the New York Metropolitan area has necessitated the postponement of elective procedures resulting in a marked reduction in cardiac catheterization laboratory (CCL) volumes with a potential to impact interventional cardiology (IC) fellowship training. Methods: We conducted a web-based survey sent electronically to 21 Accreditation Council for Graduate Medical Education accredited IC fellowship program directors (PDs) and their respective fellows. Results: Fourteen programs (67%) responded to the survey and all acknowledged a significant decrease in CCL procedural volumes. More than half of the …

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Management Of Acute Myocardial Infarction During The Covid-19 Pandemic., E. Mahmud, H. L. Dauerman, F. G. Welt, J. C. Messenger, S. V. Rao, C. Grines, A. Mattu, R. Jauhar, P. Meraj, T. D. Henry, +3 Additional Authors Jan 2020

Management Of Acute Myocardial Infarction During The Covid-19 Pandemic., E. Mahmud, H. L. Dauerman, F. G. Welt, J. C. Messenger, S. V. Rao, C. Grines, A. Mattu, R. Jauhar, P. Meraj, T. D. Henry, +3 Additional Authors

Journal Articles

The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in …

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