Internal Medicine Commons^™

Systemic Storm: Multi-Organ Septic Emboli In Acute Aortic Valve Endocarditis, Jilpa Shah, Akshaj Pole, Amnah Andrabi

North Texas GME Research Forum 2024

According to the Infectious Disease Society of America (IDSA), Infective endocarditis (IE) is an infection of the endocardial surface of the native valve, prosthetic heart valve, or an implanted cardiac device such as a permanent pacemaker or a defibrillator. IE is a rare fatal disease with an incidence rate of 3 to 10 cases per 100,000 people, predominantly in males over the age of 50 years in developed countries. Septic emboli are a serious sequelae of infective endocarditis with commonly affecting brain, spleen, kidneys, and lung. Usually, initial management includes tapered long term antibiotics with surgical evaluation for possible valve …

Clinical Outcomes And 30-Day Readmission After Infective Endocarditis Complicated By Pericardial Effusion, Nameer Ascandar, Charles Boadu, Nancy Osadiaye-Ebomoyi, Haidar Hajeh

West Florida Division GME Research Day 2024

No abstract provided.

Midodrine Use And Mortality In Heart Failure With Reduced Ejection Fraction, Jason Findlay, William Bugni

West Florida Division GME Research Day 2024

No abstract provided.

Saftey Of Doac Treatment In Splanchnic Vein Thrombosis, Allen Swanson, Trevi Mancilla, Hemantha Walaliyadda, Joshua White, Jonathan Sidlow

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Recurrent Non-Sustained Ventricular Tachycardias In A Patient With Suspicion Of Transthyretin Amyloid Cardiomyopathy: A Case Report, Chinar Singh, Meng Xie, Poonam Choudhry, Asif Jawaid

East Florida Division GME Research Day 2024

Objective: This case study aims to highlight the mechanisms, clinical presentation, diagnostic strategies, and management approach utilized for recurrent non-sustained ventricular tachycardias in a patient with suspected cardiac amyloidosis.

Background: Amyloidosis is a group of disorders characterized by the abnormal deposition of amyloid proteins in tissues and organs throughout the body. These proteins aggregate into insoluble fibrils that disrupt normal cellular function, leading to a range of clinical manifestations depending on the affected organs. Cardiac amyloidosis is characterized by the deposition of amyloid fibrils specifically in the myocardial tissue, leading to restrictive cardiomyopathy, progressive heart failure and arrhythmias. Ventricular tachycardia …

Successful Implementation Of Pulmonary Embolism Response Team At Oak Hill Hospital, Shaikh Afaq, Michael Cox, Jaafar Hamdan, Hayder Abidali

West Florida Division GME Research Day 2024

No abstract provided.

Digoxin Toxicity In The Setting Of Alcohol Intoxication, A Case Report, Manuel A. Jimenez, Eliann Reinhardt, Bryan Curry

East Florida Division GME Research Day 2024

No abstract provided.

Large C. Albicans Vegetation On A Native Tricuspid Valve, Mark Kluever, Neha Patel, Rami Akel

West Florida Division GME Research Day 2024

No abstract provided.

Improving The Screening For Abdominal Aortic Aneurysm At Grand Prairie Internal Medicine Clinic ​, Riddhi H. Patel, Danielle Ford

North Texas GME Research Forum 2024

Introduction: An abdominal aortic aneurysm (AAA) is typically defined as aortic enlargement with a diameter of 3.0 cm or larger. The prevalence of AAA has declined over the past 2 decades among screened men 65 years or older in various European countries. The current prevalence of AAA in the United States is unclear because of the low uptake of screening. This QI project will involve MCA residents and Grand Prairie clinic attending to incorporate screening for abdominal aortic aneurysm guidelines used by USPSTF and attempt to encourage all our established and new patients who fit into the criteria for …

Un-Break My Heart: Improving The Cardiac Rehabilitation Referral Rate, Samer Khalil, Iman Squires, Abed Naser, Akash Patel, Eric Vargas, Manuel Carrazana, Olga Karasik

North Florida Division GME Research Day 2024

No abstract provided.

Efficacy And Safety Of Doac's Vs Warfarin For The Treatment Of Chronic Portal Venous Thrombosis In Patients With Liver Cirrhosis, Gary Batra, Anil Harrison, Saivarshith Peddireddy

North Florida Division GME Research Day 2024

No abstract provided.

Cardiovascular Disease Risks In Patients With Celiac Disease: Retrospective Study Using The National Inpatient Sample, Rabab Elsadek, Zeeshan Ismail, Raghav Bassi, Anuoluwa Oyetoran, Andrew Abraham, Suzanne Zentko

North Florida Division GME Research Day 2024

No abstract provided.

Controversies In Care: A Complex Case Of Infective Endocarditis In Bicuspid Aortic Valve, Cassandra Knott, Erik Aranda-Michel, Sreenidhi Chintalapani, Mary Achim, Bryce Rhodehouse

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Cardiac Neuroendocrine Function: A New Opportunity For Targeted Chronic Therapies, Jacob Keesee, Rami Khouzam

South Atlantic Division GME Research Day 2024

No abstract provided.

Case Report: A 48-Year-Old Woman With Acute Carotid Artery Dissection Extension From Type A Dissection S/P Repair Managed Non-Operatively, Kassandra S. Carter, Aimee Alexander, Andre D'Souza, Joseph Garrido

TriStar Division GME Research Day 2024

No abstract provided.

Cerebrovascular Accident Complicating Pulmonary Tb: A Rare Co-Existence, Tesnim Hamdan, Iryna Witt, Nameer Ascandar, Srija Reddy

West Florida Division GME Research Day 2024

No abstract provided.

Takotsubo Cardiomyopathy Associations And Risk Factors, Erik Aranda-Michel, Cassandra Knott, Andrew Fisher, S Blake Wachter

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

A Rare Case Of Rapidly Progressive Glomerulonephritis During Chronic Immunosuppression With Mycophenolate, Elizabeth O. Uba, Ryan Knight, Trevi Mancilla, Tarek Barbar

Continental, MidAmerica, & Mountain Divisions GME Research Day 2024

No abstract provided.

Kinematic Fluoroscopy For Pacemaker Lead Placement, Marek Solomianko, Luke Thompson, Marshall Marcus

West Florida Division GME Research Day 2024

No abstract provided.

Outcomes Of Endovascular Revascularization Therapy In Patients With Critical Limb Ischemia Admitted On The Weekend, Nameer Ascandar, Bobby Malik, Fru Che, Amatul Khan

West Florida Division GME Research Day 2024

No abstract provided.

Post Operative Atrial Fibrillation After Coronary Artery Bypass Grafting In Octogenarians: A Systematic Review, M Eliann Reinhardt, Manuel Jimenez, Priya Mohan, Bernardo Reyes

East Florida Division GME Research Day 2024

No abstract provided.

Overcoming The Storm With Impella, Daniel J. Avila Castillo, Alexander Rhodes, Hamza Naveed, Danyal Syed, Syed Danyal Raza, Zuhair Ali, Sivatej Sarva

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Congenital Atrial Septal Defect Presenting With Tamponade Physiology And An Associated Viral Illness, Angel G. Juarez, Gabriela Jhon, Rami N. Khouzam, Randall Goodroe, Russell F. Stahl, Mohamed Faris

South Atlantic Division GME Research Day 2024

No abstract provided.

Mcs Assisted High Risk Multi-Vessel Percutaneous Intervention In Cardiogenic Shock Patient With Lv Thrombus, Amanpreet Kaur, Akhil Gade, Srinivasan Rajaganapathy, Ruben Abreu, Victor Delprincipe

North Texas GME Research Forum 2024

Background: Acute coronary syndrome patients presenting with Cardiogenic shock carry a very high mortality risk >70% without appropriate intervention in a timely fashion. Here we present a patient requiring an axial pump mechanical circulatory support despite having an apical thrombus. Case report: 55-year-old male with past medical history of type 2 diabetes mellitus and medication noncompliance was transferred from outside facility for high risk ACS with EKG showing ST segment elevation in inferior and anterolateral leads. Lab showed hsTroponin more than 125K, BG 556, HCO3 17, and Beta hydroxybutyrate of 41.87 indicating DKA. Emergent coronary angiography showed mid LAD artery …

Predicting Endothelium-Dependent Diastolic Function (Fmd)And Its Correlation With The Degree Of Coronary Artery Disease (Cad) And Plaque Vulnerability For Cardiovascular Events, Guangming Zhang, Jing Yang, Hanghang Xing, Hongning Yin, Guoqing Gu

Faculty, Staff and Student Publications

OBJECTIVE: This study aims to investigate the correlation between vascular endothelium-dependent diastolic function (FMD) and the degree of coronary artery disease (CAD), plaque vulnerability, and its predictive value for cardiovascular events.

METHODS: Initially, patients (n=100) who were admitted from January 2020 to January 2021 and intended to undergo percutaneous coronary intervention (PCI) were selected. Further, FMD in all patients was determined before the procedure and divided into a high-FMD group (≥4.2%) and a low-FMD group (

RESULTS: No significant differences were observed concerning general information, number of coronary arteries-associated branches, lesion type, involvement of the left main stem (LM), the …

Spontaneous Superior And Inferior Pancreaticouduodenal Artery Pseudoaneurysms In The Setting Of A Retoroperitoneal Hematoma Surrounding The Pancreatic Head, Asad Rehman, Jordan Torres, Salman Islam, Bushra Bangash, Lakshmi Tatineni, Aneesha Shaju

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Artificial Intelligence Response To Common Medication Concerns With Heart Failure Gdmt In Outpatient Setting, Dominique Pean, Laaraeb Nadeem, Suhas Kandimalla, Brotee Rahman

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Intracrnial Hemorrhage And Ecg Changes, Negar Niknam, Eric N. Riha, Bushra Bangash, Parshvi Patel, Skantha K. Manjunath, Gnananandh Jayaraman, Ramesh Kesavan, Siva T. Sarva

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

A Case Of Heyde Syndrome: Management And Anti-Coagulation, Muhammad Siddiqi, Hamza Naveed, Ashley Charales, Marloe Prince Jr.

Gulf Coast Division GME Research Symposium 2024

No abstract provided.

Trends In Cardiovascular Disease-Related Mortality In Texas, Muhammad Shariq Usman, Adeena Jamil, Zainali Chunawala, Mahboob Alam, Vijay Nambi, Layla A Abushamat, Arunima Misra, Salim S Virani, Christie M Ballantyne, George E Taffet, Khurram Nasir, Sachin Goel, Sadeer Al-Kindi, Javed Butler, Abdul Mannan Khan Minhas

Faculty, Staff and Students Publications

BACKGROUND: Cardiovascular disease (CVD) is associated with high mortality in the United States, but the burden of CVD mortality is unevenly distributed between demographic and geographic subgroups, with poor characterization of state-specific trends. In this study, the disparities in CVD-related mortality trends in Texas and the United States from 1999 to 2019 were assessed.

METHODS: Trends in CVD-related mortality were evaluated through analysis of the Multiple Causes of Death Files from the National Center for Health Statistics. Crude and age-adjusted mortality rates (AAMRs) per 100,000 population with associated annual percentage changes were determined. Joinpoint regression was used to assess trends …