Medical Specialties Commons^™

Impact Of Atrial Fibrillation On Outcomes In Patients Hospitalized With St-Segment Elevation Myocardial Infarction (Poster)., Lohit Garg Md, Sahil Agrawal Md, Manyoo Agarwal Md, Aakash Garg Md, Amitoj Singh, Nirmanmoh Bhatia, Mahek Shah Md, Brijesh Patel Md, Sudip Nanda Md, Facp, David A. Cox Md

Department of Medicine

No abstract provided.

Pleomorphic Fibroma., Huyenlan Dinh Do, Cynthia L. Bartus Md, Nektarios I. Lountzis Md, Stephen M. Purcell Do

Department of Medicine

No abstract provided.

Stop The Radiation! Decreasing Ct Scan Utilization In Pediatric Trauma Patients., Catherine Zimel, Taylor Iobst, Carly Crowder, Heather Geist, Keith A. Thatch Md, Marybeth Browne Md

Department of Surgery

No abstract provided.

Impact Of Atrial Fibrillation On Outcomes In Patients Hospitalized With St- Segment Elevation Myocardial Infarction., Lohit Garg Md, Sahil Agrawal Md, Manyoo Agarwal Md, Aakash Garg Md, Amitoj Singh, Nirmanmoh Bhatia, Mahek Shah Md, Brijesh Patel Md, Sudip Nanda Md, Facp, David A. Cox Md

Department of Medicine

Background: Atrial fibrillation (AF) is reported in 7-19% patients with acute ST- Segment Elevation Myocardial Infarction (STEMI). There is

a paucity of data on the impact of AF on outcomes in patients with acute STEMI.

Methods: We queried the National Inpatient Sample (NIS) database for years 2003- 2013 to identify all patients >=18 years of age

admitted with acute STEMI.

Results: Of the total 2,632,447 STEMI hospitalizations, AF was documented in 339,987 (12.9%) patients. At baseline, patients with

AF were older (mean 74 vs 63 years, p

Hypertension, renal failure, diabetes mellitus and congestive heart failure were all more prevalent …

An Over-The-Counter Treatment For Diarrhea Leading To Euphoria And Fatal Arrhythmia., Angela Magdaleno, Michael Sumner Do, Travis Magdaleno Md, Justin L. Guthier Do, Apurva Vyas Md

Department of Medicine

No abstract provided.

Loperamide-Induced Torsades De Pointes: A Case Series, Kenneth D. Katz Md, Robert D. Cannon Do, Matthew D. Cook Do, Alexandra Amaducci, Ryan Day, Joshua Enyart Do, Glenn Burket, Jennifer Janssen Ms, Karl E. Williams Md, Mph

Department of Emergency Medicine

Background: Loperamide (Imodium™) is an antidiarrheal opioid acting at the μ receptor agonist in high concentrations. Due to the US opioid epidemic, loperamide abuse and ensuing life-threatening toxicity have surfaced.

Hypothesis: The timing and duration of Torsades de Pointes (TdP) from loperamide toxicity is unpredictable and should be heeded with caution, even in asymptomatic patients and drug discontinuance.

Methods: Two patients presenting with life-threatening TdP requiring lengthy hospital admissions for confirmed loperamide toxicity are discussed. Patient data were retrieved from the hospital’s EMR system.

Loperamide-Induced Torsades De Pointes: A Case Series (Poster)., Kenneth D. Katz Md, Robert D. Cannon Do, Matthew D. Cook Do, Alexandra Amaducci, Ryan Day, Joshua Enyart Do, Glenn Burket, Jennifer Janssen Ms, Karl E. Williams Md, Mph

Department of Emergency Medicine

No abstract provided.

Reply To The Letter To The Editor, Anthony M. Vintzileos Md, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.

Every Child, Every Time: Universal Child Abuse Screening Increases Awareness And State Reporting (Poster)., Lauren Dudas Md, Gwenda L. Petrohoy, Debra Esernio-Jenssen Md, Cheryl Lansenderfer Bsn, Joseph J. Stirparo Md, Michele Dunstan, Marybeth Browne Md

Department of Surgery

No abstract provided.

An Introduction To Diversity., Jeffrey L. Sternlieb Phd, Williametta Bakasa Psy.D., Jeanne Divincenzo Psy.D.

Department of Family Medicine

No abstract provided.

Reverse Integration Project At Lehigh Valley Health Network, Barbara Gouzouasis Mba

Department of Family Medicine

No abstract provided.

Reply., Anthony M. Vintzileos Md, John C. Smulian Md, Mph

Department of Obstetrics & Gynecology

No abstract provided.

Gender Disparity In Clinical Trials: Research Professionals’ Perspective Regarding Their Own Female Patient's Barriers, V1, 2015, Anita Kurt Phd, Rn, Lauren Semler Ms, Matthew Meyers Bs, Samantha Myles Rn, Bernadette Glenn-Porter Bs, Tyler Adams Bs, Micaela Wilson Ba, Jeanne L. Jacoby Md, John C. Smulian Md, Mph

Department of Emergency Medicine

No abstract provided.

Havoc In The Gut: Ipilimumab-Induced Prolonged Steroid Dependent Autoimmune Gastroenterocolitis., Abdul Aleem Md, Anam Malik Md, Eric Nellis Md, Hiral N. Shah Md

Department of Medicine

No abstract provided.

Your Guide To Immunotherapy, Lehigh Valley Health Network, Accc Association Of Community Cancer Centers

Lehigh Valley Topper Cancer Institute

No abstract provided.

Tct-732 Relationship Between Stent Diameter, Platelet Reactivity, And Adverse Events After Pci: Analysis From The Adapt-Des Study., Björn Redfors, Philippe Généreux Md, Bernhard Witzenbichler Md, Ajay J. Kirtane Md, Thomas Mcandrew, Bruce R. Brodie Md, Michael J. Rinaldi Md, Timothy D. Henry Md, David A. Cox Md, Ernest L. Mazzaferri Md, Ori B. Yehuda, Roxana Mehran Md, Gregg W. Stone Md

Department of Medicine

Background

Small vessel diameter and residual high platelet reactivity (HPR) have both been associated with adverse events after PCI. We sought to determine whether a specific interaction exists between HPR and stent diameter in regard to outcomes after PCI.

Methods

We stratified pts in the prospective ADAPT-DES registry who underwent successful single-lesion PCI with DES according to whether or not they received only small diameter stents (diameter ≤2.5 mm). Pts receiving ≤2.5 mm stents were compared to pts receiving a stent with a diameter >2.5 mm using propensity score (PS) adjusted Cox proportional hazards regression. HPR was defined as P2Y12 …

Tct-733 Association Between Hypertension, Platelet Reactivity, And The Risk Of Adverse Events After Pci: Analysis From The Adapt-Des Study, Björn Redfors, Xin Huang, Bernhard Witzenbichler Md, Shmuel Chen, Yangbo Liu, Bruce R. Brodie Md, Michael J. Rinaldi Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Roxana Mehran Md, Ajay J. Kirtane Md, Ori B. Yehuda, Gregg W. Stone Md

Department of Medicine

No abstract provided.

Induction Of Labor In Women Of Advanced Maternal Age., Joanne Quiñones Md, Msce, Grazelda Kwakye-Ackah, Abbey Burger, Gregory Kainz, Guillermo De La Vega Md

Department of Obstetrics & Gynecology

No abstract provided.

Development Of A Health Care Systems Curriculum., Zachary Pruitt, Rahul Mhaskar, Bryan G. Kane Md, Robert D. Barraco Md, Mph, Deborah J Dewaay, Alexander M. Rosenau Do, Kristin A. Bresnan Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

Background: There is currently no gold standard for delivery of systems-based practice in medical education, and it is challenging to incorporate into medical education. Health systems competence requires physicians to understand patient care within the broader health care system and is vital to improving the quality of care clinicians provide. We describe a health systems curriculum that utilizes problem-based learning across 4 years of systems-based practice medical education at a single institution.

Methods: This case study describes the application of a problem-based learning approach to system-based practice medical education. A series of behavioral statements, called entrustable professional activities, was created …

Long Term Survival Rate Of Tavr With And Without Dialysis., Taryn Samet Md, Sydney Pickering, Timothy S. Misselbeck, Raymond L. Singer Md, Mmm, James K. Wu Md

Department of Surgery

No abstract provided.

Sports Cardiology: Core Curriculum For Providing Cardiovascular Care To Competitive Athletes And Highly Active People., Aaron L. Baggish Md, Robert W. Battle Md, James G. Beckerman Md, Alfred A. Bove Md, Phd, Rachel J. Lampert Md, Benjamin D. Levine Md, Mark S. Link Md, Matthew W. Martinez Md, Silvana M. Molossi Md, Phd, Jack Salerno Md, Meagan M. Wasfy Md, Rory B. Weiner Md, Michael S. Emery Md

Department of Medicine

The last few decades have seen substantial growth in the populations of competitive athletes and highly active people (CAHAP). Although vigorous physical exercise is an effective way to reduce the risk of cardiovascular (CV) disease, CAHAP remain susceptible to inherited and acquired CV disease, and may be most at risk for adverse CV outcomes during intense physical activity. Traditionally, multidisciplinary teams comprising athletic trainers, physical therapists, primary care sports medicine physicians, and orthopedic surgeons have provided clinical care for CAHAP. However, there is increasing recognition that a care team including qualified CV specialists optimizes care delivery for CAHAP. In recognition …

Tct-546 Performance Of The Dual Antiplatelet Therapy (Dapt) Score In The Adapt-Des Study., Sorin J. Brener, Ajay J. Kirtane Md, Michael J. Rinaldi Md, Bernhard Witzenbichler Md, Franz-Josef Neumann Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest Mazzaferri Md, Bruce R. Brodie Md, Roxana Mehran Md, Thomas Mcandrew, Gregg W. Stone Md

Department of Medicine

Background

The optimal duration of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) remains in dispute, particularly after 12 months. The DAPT Score was developed from the DAPT trial to identify pts who may benefit the most from extended therapy. We sought to assess the performance of the DAPT risk score in the all-comers Assessment of Dual AntiPlatelet Therapy with Drug-Eluting Stents (ADAPT-DES) registry, and to test the utility of additional predictors of events on its performance.

Methods

Patients free from ischemic or hemorrhagic events after 1 year of DAPT after successful DES implantation were analyzed. The DAPT score …

Mixed Methods Health Policy Analysis Of Cancer Survivorship Within Primary Care: Insights And Perspectives For Improving Care, Autumn Kieber-Emmons Md, Mph, William L. Miller Md, Ma, Benjamin F. Crabtree Phd

Department of Family Medicine

No abstract provided.

Successful Weight Loss: A Positive Deviance Study Of Low-Income African American Women, Elaine Banerjee Md, Mph

Department of Family Medicine

No abstract provided.

Increasing Colorectal Cancer Screening Among Hispanic Primary Care Patients: Re-Aim Analysis, Beth Careyva M.D., Melanie B. Johnson Mpa, Randa Silfri Rd, Melissa Dicarlo Mph, Ms, Kyle Shaak Bs, Alicia Rivera, Liselly Diaz, Andrea Barsevick, Rosa Anderson-Deortiz, Evelyn T. Gonzalez Ma, Amy Leader Drph, Mph, Anett Petrich Rn, Msn, Anna Quinn Mph, Ryt, Brian Stello Md, Ronald E. Myers Phd

Department of Family Medicine

No abstract provided.

Cardiac Consequences Of The Heroin Epidemic: Loperamide Causing Torsades De Pointes, Justin L. Guthier Do, Apurva Vyas Md

Department of Medicine

No abstract provided.

Tct-353 Underweight Status, Platelet Reactivity, And 2-Year Clinical Outcomes In Patients Undergoing Pci With Des: An Adapt-Des Study Analysis., Puja B. Parikh Md, Ajay J. Kirtane Md, Giora Weisz Md, Thomas D. Stuckey Md, M Ozgu Ozan Ms, Bernhard Witzenbichler Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Bruce R. Brodie Md, Ernest Mazzaferri Md, Roxana Mehran Md, Gregg W. Stone Md

Department of Medicine

Background

The relationships between underweight status, platelet reactivity, and clinical outcomes after PCI with DES are not well understood.

Methods

ADAPT-DES was a prospective, multicenter study of 8582 pts treated with aspirin and clopidogrel in whom routine measurement of P2Y12 reaction units (PRU) by VerifyNow testing was performed following successful DES implantation. Pts were classified according to the following body mass index (BMI) groups: Underweight (BMI/m2), normal weight (20 kg/m2 ≤ BMI/m2), overweight (25 kg/m2 ≤ BMI/m2), and obese (BMI ≥30 kg/m2).

Results

Underweight pts were more often female, smokers, had higher rates of peripheral arterial disease and renal insufficiency, …

Tct-352 Proportion Of Ischemic Risk After Pci Mediated By High Platelet Reactivity On Clopidogrel: Analysis From The Adapt-Des Study., Björn Redfors, Ori Ben-Yehuda Md, Sheng-Hsuan Lin, Ariel Furer, Ajay J. Kirtane Md, Bernhard Witzenbichler Md, Giora Weisz Md, Thomas D. Stuckey Md, Akiko Maehara Md, Philippe Généreux Md, Gennaro Giustino Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Girma M. Ayele, Roxana Mehran Md, Gary Mintz, Gregg W. Stone Md

Department of Medicine

No abstract provided.

Tct-237 Outcomes After Successful Pci Of Severely Calcified Lesions Using Rotational Atherectomy, Cutting Balloon, Or Balloon Angioplasty Only Before Second-Generation Drug-Eluting Stent Implantation., Björn Redfors, Philippe Généreux Md, Akiko Maehara Md, Ajay J. Kirtane Md, Rushad Dordi, Bernhard Witzenbichler Md, Giora Weisz Md, Thomas D. Stuckey Md, Michael J. Rinaldi Md, Franz-Josef Neumann Md, D Christopher Metzger Md, Timothy D. Henry Md, David A. Cox Md, Peter L. Duffy Md, Ernest L. Mazzaferri Md, Claire Litherland Ms, Roxana Mehran Md, Gary Mintz, Gregg W. Stone Md

Department of Medicine

No abstract provided.

Prevalence Of Homelessness Or At-Risk For Homelessness In The Ed Setting, Marna R. Greenberg Do, Mph, Facep, Brett Feldman Pa-C, Osman Z. Abbasi Do, Joshua Enyart Do, Yasir Abunamous Ba, Timothy Batchelor, Emily L. Bennett Bs, Cristina G. Calogero Bs, Kareem S. Elsayed, Rachel F. Ledyard Bs, Mikdat Ulas Bs, Alexis M. Begliomini Ba, Zachary J. Ezrow Bs, Timothy J. Friel Md

Department of Emergency Medicine

No abstract provided.