Cardiology Commons^™

An Algorithm For Managing Qt Prolongation In Coronavirus Disease 2019 (Covid-19) Patients Treated With Either Chloroquine Or Hydroxychloroquine In Conjunction With Azithromycin: Possible Benefits Of Intravenous Lidocaine, R. L. Mitra, S. A. Greenstein, L. M. Epstein

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 …

Hypermetabolism In Critically Ill Patients With Covid-19 And The Effects Of Hypothermia: A Case Series, Pj Yu, H Cassiere, K Bocchieri, S Derosa, S Yar, A Hartman

Journal Articles

No abstract provided.

The Paradox Of Stemi Regionalization: Widened Disparities Despite Some Benefits, R. O. Roswell, R. Brown, S. Richardson

Journal Articles

No abstract provided.

Increased Inpatient Mortality For Cardiovascular Patients During The First Covid-19 Epidemic In New York, S. Richardson, J. S. Hirsch, M. Narasimhan, J M. Crawford, T Mcginn, K W. Davidson, V. Singh

Journal Articles

No abstract provided.

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 …

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 …

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. Choi, M. K. Chung, G. Conte, L. M. Epstein, H. Rhythm, +14 Additional Authors

Journal Articles

Coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), started in the city of Wuhan late in 2019. Within a few months, the disease spread toward all parts of the world and was declared a pandemic on March 11, 2020. The current health care dilemma worldwide is how to sustain the capacity for quality services not only for those suffering from COVID-19 but also for non-COVID-19 patients, all while protecting physicians, nurses, and other allied health care workers.

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.

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: [email protected]. 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.

Covid-19 In Recent Heart Transplant Recipients: Clinicopathologic Features And Early Outcomes, B. Lima, G. Gibson, S Vullaganti, K. Malhame, S Maybaum, St Hussain, S Shah, Dt Majure, F Wallach, K Jang, V Bijol, Mj Esposito, Ak Williamson, Rm Thomas, Ta Bhuiya, Ha Fernandez, Gr Stevens

Journal Articles

No abstract provided.

Management Of Acute Myocardial Infarction During The Covid-19 Pandemic., E Mahmud, Hl Dauerman, Fg Welt, Jc Messenger, Sv Rao, C Grines, A Mattu, R Jauhar, P Meraj, Td Henry, +3 Additional Authors

Journal Articles

No abstract provided.

Management Of Elective Aortic Valve Replacement Over The Long Term In The Era Of Covid-19, C Basman, Ca Kliger, L Pirelli, Sj Scheinerman

Journal Articles

No abstract provided.

Cardiac Structural Changes After Transcatheter Aortic Valve Replacement: Systematic Review And Meta-Analysis Of Cardiovascular Magnetic Resonance Studies, G. Mehdipoor, S. Chen, S. Chatterjee, P. Torkian, O. Ben-Yehuda, M. B. Leon, G. W. Stone, M. R. Prince

Journal Articles

© 2020 The Author(s). Background: Transcatheter aortic valve replacement (TAVR) is increasingly used to treat patients with severe aortic stenosis (AS). Cardiovascular magnetic resonance imaging (CMR) provides reliable and reproducible estimates for assessment of cardiac structure and function after TAVR. The goal of this study was to conduct a systematic review and meta-analysis of the literature to assess left ventricular (LV) volumes, mass and function by CMR after TAVR. Methods: Using Meta-analysis of Observational Studies in Epidemiology (MOOSE) guidelines, we searched PubMed and Embase for studies reporting CMR findings before and at least 1 month after TAVR. Main factors of …

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 …

Safety Of Magnetic Resonance Imaging Scanning In Patients With Cardiac Resynchronization Therapy–Defibrillators Incorporating Quadripolar Left Ventricular Leads, C. A. Rinaldi, P. J. Vitoff, D. G. Nair, R. Bernstein, S. E. Mountantonakis, A. Rapacciuolo, N. Carter, H. F. Tse, U. B. Green

Journal Articles

© 2020 The Authors Background: Magnetic resonance imaging (MRI) scanning of magnetic resonance (MR)-conditional cardiac implantable cardioverter-defibrillators (ICDs) can be performed safely following specific protocols. MRI safety with cardiac resynchronization therapy–defibrillators (CRT-Ds) incorporating quadripolar left ventricular (LV) leads is less clear. Objective: The purpose of this study was to evaluate the safety and effectiveness of ICDs and CRT-D systems with quadripolar LV leads after an MRI scan. Methods: The ENABLE MRI Study included 230 subjects implanted with a Boston Scientific ImageReady ICD (n = 39) or CRT-D (n = 191) incorporating quadripolar LV leads undergoing nondiagnostic 1.5-T MRI scans (lumbar …

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.

The Use Of Innominate Artery Cannulation For Antegrade Cerebral Perfusion In Aortic Dissection, E. C. Payabyab, J. M. Hemli, A. Mattia, A. Kremers, S. K. Vatsia, S. J. Scheinerman, E. A. Mihelis, A. R. Hartman, D. R. Brinster

Journal Articles

No abstract provided.

Intermediate Oncologic Outcomes After Uniportal Video-Assisted Thoracoscopic Thymectomy For Early-Stage Thymoma, S. S. Pupovac, J. Newman, P. C. Lee, M. Alexis, J. Jurado, K. Hyman, L. Glassman, D. Zeltsman

Journal Articles

No abstract provided.

The Validity Of Infrared Coagulator, And Bioglue With Antibiotics To Assist Surgical Treatment Of Infective Endocarditis?, G. Pettersson, S. Unai, S. Gordon, S. T. Hussain, E. Eriksson

Journal Articles

No abstract provided.

Evaluating The Validity Of Risk Scoring In Predicting Pacemaker Rates Following Transcatheter Aortic Valve Replacement, A. M. Spring, M. A. Catalano, V. Prasad, B. Rutkin, E. Koss, A. Hartman, P. J. Yu

Journal Articles

Copyright © 2020 Alexander M. Spring et al. Introduction: Requirement of permanent pacemaker (PPM) implantation is a known and common postoperative consequence of transcatheter aortic valve replacement (TAVR). The Emory risk score has been recently developed to help risk stratify the need for PPM insertion in patients undergoing TAVR with SAPIEN 3 valves. Our aim was to assess the validity of this risk score in our patient population, as well as its applicability to patients receiving self-expanding valves. Methods: We conducted a retrospective review of 479 TAVR patients without preoperative pacemakers from November 2016 through December 2018. Preoperative risk factors …

Hypermetabolism And Coronavirus Disease 2019, P. Yu, H. Cassiere, S. Derosa, K. Bocchieri, S. Yar, A. Hartman

Journal Articles

No abstract provided.

Quality Of Life Outcomes In Tracheobronchomalacia Surgery, J Mcginn, B Herbert, A Maloney, B Patton, R Lazzaro

Journal Articles

No abstract provided.

Heparin-Induced Thrombocytopenia In Patients Readmitted After Open Cardiac Surgical Procedures: A Case Series, M A. Catalano, V Prasad, A M. Spring, H Cassiere, T Y. Chang, A Hartman, Pj Yu

Journal Articles

No abstract provided.

The Role Of Mitochondrial Pyruvate Carrier 1 (Mpc1) In Heart Failure And Its Implications For Cardiac Recovery, Obadiah Issachar Kirk

Mahurin Honors College Capstone Experience/Thesis Projects

Heart failure (HF) is a complex syndrome with high mortality rates around the world. HF also has diverse etiology as many things contribute such as hypertension, obesity, coronary artery disease, inflammation, and cardiac arrhythmias. Studies have shown that unloading of a failing heart with a left ventricular assist device (LVAD) can lead to cardiac recovery in a subpopulation of individuals with advanced HF. RNA-sequencing and protein expression analysis of myocardial tissue from HF patients who underwent the LVAD implant and heart transplant indicated that subpopulation of HF patients who responded to LVAD unloading had significantly lower levels of mitochondrial pyruvate …

Cardiovascular: Outcomes And Innovations Report, Maine Medical Center

Annual Reports

2020 Annual Report

Evaluating Cardiac Anatomy As A Predictor For Success After Pulmonary Vein Isolation For The Treatment Of Atrial Fibrillation, Paul Richter, Evan Rochlis, Ethan Halpern

Phase 1

Introduction: Atrial Fibrillation is a condition characterized by the production of ectopic beats by the heart. One common treatment for Atrial Fibrillation is catheter guided pulmonary vein isolation (PVI), however this treatment is only effective in around 60-70% of the population. Our research hopes to elucidate a link between cardiac anatomy and successful treatment of A-fib by pulmonary vein isolation.

Methods: The medical records for 78 consecutive patients who underwent PVI for atrial fibrillation at Jefferson from July 2013 to March 2016 were gathered. Included in these charts were ECG-gated cardiac CT angiogram and two-year follow up history. Different variables …

State-Level Cpr Education Legislation Associated With Higher Survival After Out-Of-Hospital Cardiac Arrest In Older Adults, Megan Barnes, David G. Buckler, Tyler D. Alexander, Marissa Lang, Alexis Zebrowski, Douglas J. Wiebe, Benjamin S. Abella, Brendan G. Carr

Phase 1

Introduction: State-level legislation requiring CPR education prior to high school graduation is associated with an increased likelihood of community-level CPR training. CPR Legislation has also been shown to be associated with increased bystander CPR. We hypothesized that states with CPR Legislation would be associated with higher survival following out-of-hospital cardiac arrest (OHCA).

Methods: Utilizing 2014 Medicare Claims data for emergency department visits and inpatient stays, we identified OHCA via ICD-9-CM code. CPR Legislation data was collected through online statute review. Exposure to CPR Legislation was assessed using the patient state of residence. All disposition categories were considered survival to discharge …