Diseases Commons^™

Association Of Valvular Disease Progression Using Echocardiographic Findings In A Large U.S. Cohort, Abes A. Bautista Neughebauer, Amin Yehya, Raymond L. Benza, Deepak Talreja

Department of Medicine Faculty Publications

Background

The prevalence of valvular disease in the US is approximately 2.5%. Given that over 5 million Americans are affected, it is crucial to find those at higher risk of progression. The goal of this paper is to uncover which patients are more likely to have valvular disease progression using demographic factors, EKG and echocardiogram (ECHO) findings.

Methods

This paper utilized the EchoNext Database, which pairs 100,000 electrocardiograms and echocardiograms based on specific structural heart disease labels. Univariate and multivariate logistic regression were used to find risk factors for progression for aortic stenosis (AS), aortic regurgitation (AR), mitral regurgitation (MR), …

Unexpected Culprit Revealed After Mechanical Aspiration Thrombectomy: High Thrombus Burden Presenting With Junctional Rhythm Due To Occlusion Of Sinoatrial Node Artery, Originating From Left Circumflex Artery, Anush Agrawal, Dilesha D. Kumanayaka, Anusha Putta

Gulf Coast Division GME Research Day 2026

No abstract provided.

Unloading The Left Ventricle On Va Ecmo: Comparative Effectiveness Of Ecpella, Iabp, And Venting, Yves Najm Mrad, Snehalkumar Patel

Gulf Coast Division GME Research Day 2026

No abstract provided.

Direct Oral Anticoagulants Reduce Ct-Detected Subclinical Leaflet Thrombosis After Tavr, But Clinical Benefit Remains Uncertain: Systematic Review And Random-Effects Meta-Analysis Of Randomized Trials, Yves Najm Mrad, Snehalkumar Patel

Gulf Coast Division GME Research Day 2026

No abstract provided.

Dry Gangrene Following Av Fistula Ligation For Vascular Access-Induced Steal Syndrome: A Case Report, Marium Batool Abbas, Umema Ifran, Marelle Montanez

Gulf Coast Division GME Research Day 2026

No abstract provided.

Impact Of Heart Failure In Stroke Patients On Post-Discharge And In-Hospital Outcomes: A Retrospective Study, Igal Gorbut, Abdullah Sahyouni, Kevyn Niu, Robert J. Subbiondo, Olu Oyesanmi

West Florida Division GME Research Day 2026

No abstract provided.

Stroke Burden And Baysenian Machine Learning And Risk Modelling In Patient With Mitral Annular Calcification, Mustafa Tahir, Muhammad Abdullah, Chimbu Chinniah, Jaafar Hamdan, Michael D. Moore, Nagaraja D. Sharma, Olu Oyesanmi, Salman M. Muddassir

West Florida Division GME Research Day 2026

No abstract provided.

Ai Assisted Structural Heart Planning (Tavr/Teer): Faster Workflows, High Sizing Concordance, And Simulation Informed Strategy, Yves Najm Mrad, Ahmad Al-Taweel, Bahaeddin Shabaneh

Gulf Coast Division GME Research Day 2026

No abstract provided.

Automated Adjudication Of Cardiogenic Shock From Unstructured Clinical Notes Using An Open-Source Large Language Model, Devika Adusumilli, Luke Taylor, Claudius Mahr, Song Li

North Texas GME Research Forum 2026

Background Automated adjudication of cardiogenic shock (CS) from unstructured clinical documentation can facilitate clinical case finding and research trial/registry enrollment. While Large Language Models (LLMs) hold considerable promise, commercial cloud-based solutions raise data privacy and cost concerns. We assessed the performance of an open-source, locally run LLM for the adjudication of CS from unstructured progress notes.

Methods Patients from a 22-hospital healthcare system from 2021 to 2024 were identified using ICD-10 codes to form an enriched CS evaluation cohort with a ~1:1 case/non-case ratio. We selected gpt-oss-20b, an open-source LLM capable of running locally on a consumer-grade computer, and tested …

Anterior Mediastinal Mass With: Airway Compression, Svc Syndrome, And Cardiac Tamponade, Joseph Davis, Arunpreet Kahlon

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Kawasaki Disease In Disguise: Atypical Presentation In The 5-Month-Old Infant, Grace Mccorkle, Veronica Thompson, Carlos Ojeda, Meghan Rosenquist

South Atlantic Division GME Research Days 2026

No abstract provided.

A Question Of Imaging: Percutaneous Closure Of Ruptured Sinus Of Valsalva Aneurysm Presenting As Suspected Ventricular Septal Defect, Alexander Rhodes, Aswin Srinivasan, Mukhtar Al-Saadi, Amar Kalidas, Hafez Golzarian, Pranav Loyalka

Gulf Coast Division GME Research Day 2026

No abstract provided.

Extending The Treatment Window For Intravenous Thrombolysis In Acute Ischemic Stroke: An Updated Systematic Review And Meta-Analysis, Ali Moradi, Soheil Rahmati, Mohammadresza Alinegadfard, Yasaman Zarinfar, Amir Moradi, Amir Ghabousian, Kimia Najafi, Fady Iskander, Toshiki Kuno, Preethi Ramchand

West Florida Division GME Research Day 2026

No abstract provided.

Contemporary Outcomes Of Transcatheter Aortic Valve Replacement In Bicuspid Anatomy And Younger Patients, Yves Najm Mrad, Ahmad Al-Taweel, Bahaeddin Shabaneh

Gulf Coast Division GME Research Day 2026

No abstract provided.

Troponinemia: A Silent Signal Unmasking Pulmonary Embolism Severity, Aida Sarita Gonzalez, Nishant K. Nerella, Joseph Maslak, Marion Capahi

West Florida Division GME Research Day 2026

No abstract provided.

Advanced Reperfusion Therapies For Intermediate-Risk Pulmonary Embolism: A Systematic Review And Network Meta-Analysis, Ajith Vivek, Sarah Mohamed, Klaudio Alla, Sushant Sunkaraneni, Michael Denney, Vikram Shah, Fagunkumar Modi

West Florida Division GME Research Day 2026

No abstract provided.

Oral Anticoagulation Alone Vs. Combination Therapy In Atrial Fibrillation With Stable Coronary Artery Disease: A Meta-Analysis Of Randomized Trials, Muhammad Abdullah, Mustafa Bin Tahir, Natalya Ahsan, Michael Moore, Nagaraja Sharma, Salman Muddassir

West Florida Division GME Research Day 2026

No abstract provided.

Eustachian Valve Endocarditis: A Potential Complication Of Non-Prescribed Weight-Loss Injections, Tara Al-Qutbi, Trent Percy, Grant Read, Marek Solomianko, Brandon Quintana, Henry C. Ukwu, Ali Abdul Jabbar

West Florida Division GME Research Day 2026

No abstract provided.

Percutaneous Closure Of A Persistent Left Atrial Appendage Leak After Surgical Ligation: A Novel Use Of The Amplatzer Vascular Plug Ii (Avp2), Kareem Elgendi, Henry Ukwu, Hany Youssef, David Abraham, Robert Sheppard, Ali Abdul-Jabbar

West Florida Division GME Research Day 2026

No abstract provided.

Moyamoya Disease - A Systematic Review, Mark Francis, Johnny Johnson

West Florida Division GME Research Day 2026

No abstract provided.

Triple-Vessel Conundrum: A Stemi Case Involving Extensive Occlusion Of All Three Major Epicardial Coronary Arteries Complicated By Cardiogenic Shock, Ubaldo Gonzalez, Ziran Yang, Masi Javeed, Guillermo Gomez, Bir Singh, Najam Javeed

West Florida Division GME Research Day 2026

No abstract provided.

Microbial Spectrum Of Leadless Pacemaker Infections, Abdullah Sahyouni, Kamola Danier, Sophia Pryor, Saanvi Dhala, Anya Joshi, Jasmin Pruthi, Pranav Chepyala, Bobby Malik, Christian Zellner, Yizhi Lin

West Florida Division GME Research Day 2026

No abstract provided.

Acute Myocardial Infarction In A Patient With Concurrent Atherosclerotic Disease And Significant Myocardial Bridging, Jason Stanberry, Ankith Motkar, Daniela Salazar, Ahmed Tarbay, Kumaraswamy Nutalapati, Sabry Omar

West Florida Division GME Research Day 2026

No abstract provided.

Evaluation Of Transthoracic Echocardiography Use In Low-Risk Syncope Patients Utilizing The Canadian Syncope Risk Score: A Qi Analysis, Muhammad Anzar Ullah, Ali Hassan, Ryan Fernandez, Yousuf Qureshi, Areeb Zafar, Farhan Hiya, Huzaifa Hakim, Mohamad Saad, Trushil Patel

West Florida Division GME Research Day 2026

No abstract provided.

Qi Project: Improving Utilization Of Cardiac Monitoring On Inpatients Based On Aha Guidelines, Muhammad Humais, Jorim Parmar, Shakir Al-Ezzi, Florence Murray, David Maldonado, Mohan Sengodan

North Texas GME Research Forum 2026

No abstract provided.

Case Of Enterococcus Faecalis Infective Endocarditis 6-Weeks Following Post-Partum Hemorrhage, Zohaib Nadeem, Mason Goforth, Yasasvi Sabbineni, Sadia Zahid, Yugandhra Devarapalli, Javed Akram, Veeranna Vibhuti

North Texas GME Research Forum 2026

Peri-partum infective endocarditis (IE) is a rare but serious condition with high maternal and fetal morbidity and mortality. IE is exceedingly uncommon in young healthy patients, especially without any known risk factors such as intravenous (IV) drug use, congenital heart disease, or rheumatic heart disease. IE is estimated to complicate 0.00002% of in-hospital deliveries. Similar to the general population, staphylococcal and streptococcal species remain the most common pathogens in obstetric patients. Enterococcal species make up less than 10% of IE cases in pregnant women. Very few cases of enterococcal IE in the post-partum period are reported in the literature. We …

Cocaine Kicks Mitral Valve In The Pap- A Rare Case Of Papillary Muscle Rupture Secondary To Cocaine-Induced Ischemia Mimicking A Tumor Vs Vegetation, Greeshma Molugu, Seline Haci, Mehdi Khalafi, Amir Z. Malik, Machaiah Madhrira

North Texas GME Research Forum 2026

Background: Cocaine is known to have many cardiotoxic effects, specifically secondary to increased sympathetic output from the increased catecholamines, calcium modulation, and increased platelet aggregation. This can cumulatively cause suppression of myocardial contractility and decreased coronary blood flow, resulting in arrhythmias, myocardial ischemia, or even infarction. Papillary muscle rupture, already a rare complication of myocardial infarction (MI), is exceedingly rarely associated with cocaine toxicity in the absence of MI. Also, acute mitral regurgitation(MR) due to papillary muscle rupture from cocaine-induced ischemia remains exceedingly rare. We present a second-ever reported case of papillary muscle rupture secondary to cocaine-induced ischemia in the …

Challenges Of Thrombectomy In Submassive Pulmonary Embolism With Patent Foramen Ovale, Sana Khan, Syed Ahmed, Muhammad T. Siddique, Edic Stephanian

North Texas GME Research Forum 2026

BACKGROUND/ INTRODUCTION: Submassive, or intermediate-risk, pulmonary embolism (PE) is defined by preserved systemic blood pressure with evidence of right ventricular (RV) strain. The presence of a patent foramen ovale (PFO) in this setting significantly increases the risk of hypoxemia, paradoxical embolization, and procedural complications during catheter-based interventions. Mechanical thrombectomy has become an important treatment option for selected patients with intermediate- to high-risk PE; however, experience in patients with concomitant large PFOs remains limited.

CASE PRESENTATION: A 78-year-old woman presented with acute dyspnea, hypoxemia, and chest pain and was found to have a saddle PE with severe RV dilation and biomarker …

Antibody-Mediated Allograft Rejection 23 Years After Heart Transplant, Jorim Parmar, Boney Lapsiwala, Devika Adusumilli, Sienna Luk, Nguyen Dung, Song Li, Kamala Tamirisa

North Texas GME Research Forum 2026

INTRODUCTION: Orthotopic heart transplantation (OHT) remains the gold standard treatment for patients with advanced heart failure refractory to optimal medical and device-based therapies. Despite advances in perioperative management, immunosuppressive regimens, and long-term surveillance protocols, graft rejection remains a major determinant of post-transplant morbidity and mortality [1]. We report a case, representing one of the longest documented intervals in literature, of suspected antibody-mediated rejection (AMR) occurring 23 years after heart transplantation in which conventional endomyocardial biopsy (EMB) could not be successfully performed. This case highlights the diagnostic uncertainty associated with very late AMR and underscores the potential role of clinical presentation, …

An Unusual Culprit Behind A Massive Pulmonary Embolism: Atypical May-Thurner Syndrome From Iliac Artery Aneurysm, Boney Lapsiwala, Jiaming Xue, Mayank Singh, Sai Krishan Reddy Dronadula, Sadia Zahid, Mian Yousef

North Texas GME Research Forum 2026

Background: Venous thromboembolism (VTE) is a major cause of global morbidity and mortality. May-Thurner syndrome (MTS) is an iliofemoral venous compression syndrome caused by extrinsic compression of the left common iliac vein (LCIV), classically by the right common iliac artery at the level of the fifth lumbar vertebra. Although the estimated anatomic prevalence ranges from 18-49%, only 2-5% of cases are diagnosed during evaluation for lower-extremity deep vein thrombosis (DVT). Clinical manifestations range from asymptomatic venous compression to unilateral leg swelling, venous insufficiency, and acute iliofemoral DVT, with pulmonary embolism (PE) reported infrequently.

Case presentation: A 75-year-old man with hypertension, …