Shortness Of Breath In A 39 Year Old: A Rare Case Of Heart Failure,
2025
HCA Healthcare
Shortness Of Breath In A 39 Year Old: A Rare Case Of Heart Failure, Mohammed Rashik, Olufunmilola Adeleye, Jason Thompson, Tasaduq Mir
North Texas Research Forum 2025
Currently, 2.6% of Americans suffer from heart failure. Common causes include coronary artery disease, chronic hypertension, arrhythmia, and myocardial infarction, often managed in clinical and hospital settings. A rare cause, however, is infiltrative cardiomyopathy, affecting just 0.04% of the U.S. population. This condition, often caused by amyloid buildup or sarcoidosis, is challenging to diagnose and typically requires a heart transplant due to its rapid progression. Thorough investigations into heart failure causes are crucial to identify this rare condition. A 39-year-old male with no significant medical history presented to the University of North Texas Health Science Center (UNTHSC) Family Medicine clinic …
Hearts Hidden Message: Right Ventricular Thrombus Reveals Esophageal Adenocarcinoma,
2025
HCA Healthcare
Hearts Hidden Message: Right Ventricular Thrombus Reveals Esophageal Adenocarcinoma, Devika Adusumilli, Seline Haci, Jafri Imran, Arman Vaghefi, Mehdi Khalafi, Ikponmwosa Iyamu, Sarvanan Balamuthusamy
North Texas Research Forum 2025
Introduction Right ventricular thrombi are uncommon, usually found with concurrent pulmonary emboli and associated with significant mortality. They often originate from deep vein thrombi but may also be due to primary intracardiac processes . A right ventricular thrombus can be an unexpected marker for underlying malignancies, including esophageal cancer. This occurs due to the hypercoagulable state often induced by malignancy. Here we report a presentation where the identification of a right ventricular thrombus led to the diagnosis of esophageal cancer. Case Presentation Our patient is a 57-year old male with no past medical history who experienced an episode of dizziness …
Use Of Va Ecmo In Patients With Acute Pulmonary Embolism Presenting With Obstructive Cardiogenic Shock Undergoing Mechanical Thrombectomy,
2025
HCA Healthcare
Use Of Va Ecmo In Patients With Acute Pulmonary Embolism Presenting With Obstructive Cardiogenic Shock Undergoing Mechanical Thrombectomy, Luke Taylor, Otoniel Espinoza, Omar O. Hernandez, Shannon Biggers, Shirin Miller, Srinivas Yallapragada, Amer Alaiti, Andrew Fredericks, Song Li, Claudius Mahr
North Texas Research Forum 2025
Background Patients with massive/sub-massive pulmonary embolism (PE) and right ventricular strain have a significant risk of hemodynamic collapse. VA ECMO support provides an excellent salvage option for patients with acute/unstable pulmonary embolism with obstructive cardiogenic shock undergoing mechanical thrombectomy. Using VA-ECMO for a “protective PE” procedure allows control of hemodynamics and enables interventionalists to perform the thrombectomy in a more controlled environment. Here, we present our experience. Methods A retrospective data analysis on consecutive VA ECMO patients with cardiogenic shock secondary to pulmonary embolism was abstracted from August 2022 to June 2024. Results Patient characteristics and outcomes are described in …
Women’S Health In Rural American Communities,
2025
Touro College of Osteopathic Medicine
Women’S Health In Rural American Communities, Leandra Moukoudi Ndoko, Stephanie Zeszutek Do, Renee Reijo Pera Phd
Touro College of Osteopathic Medicine (Great Falls) Publications and Research
Limited data have been published on the status of women’s health in rural areas, particularly pertaining to women of color and rural women in the United States. The aim of this review is to briefly describe the trends in women’s health in rural areas, the factors contributing to poor health outcomes and potential ways to focus improvements most effectively. To provide this overview, approximately 310 articles were screened by full text on the database PubMed. Of these, 27 articles are described in more detail in this piece. Data focus on women’s health in the United States and include information bulletin …
Is There An Association Between Living In A Rural Area And The Incidence Of Postoperative Complications Or Hospital Readmissions Following Left Ventricular Assist Device (Lvad) Implantation, Compared To Urban Lvad Recipients? A Systematic Review., Samrat Gollapudi, Abhiram Gollapudi, Sri Banala, Sheraj Singh, Kiran Tadi
Rowan-Virtua School of Osteopathic Medicine Departmental Research
BACKGROUND: Left ventricular assist devices (LVADs) are utilized as a therapeutic option for patients with end-stage heart failure. While LVAD implantation can enhance survival rates and quality of life, the procedure has its risks, and postoperative complications are common. This review aims to investigate whether there is an association between living in a rural area and the incidence of postoperative complications or hospital readmissions following LVAD implantation, compared to urban LVAD recipients.
METHODS: A comprehensive literature review examined studies that compared postoperative outcomes between rural and urban LVAD recipients. Data on adverse events, hospitalizations, and mortality rates were extracted, focusing …
Coexisting Type A And B Aortic Dissection With Extension To Carotid Arteries Resulting In Acute Ischemic Stroke,
2025
HCA Healthcare
Coexisting Type A And B Aortic Dissection With Extension To Carotid Arteries Resulting In Acute Ischemic Stroke, Dung Nguyen, Jilpa Shah, Amnah Andrabi
North Texas Research Forum 2025
Coexisting Type A and B aortic dissection with extension to carotid arteries resulting in acute ischemic stroke Abstract Background: Acute aortic dissection (AAD) is a rare cause of ischemic stroke. Additionally, it is even rarer to have a combined type A and type B aortic dissection. ADD is a high-mortality disease that can lead to immediate decompensation and can be masked by stroke-like symptoms, which can result in delayed or missed diagnosis. We report a patient with acute ischemic stroke (AIS) with subsequent combined type A and type B aortic dissection. Case Report: A 47-year-old man was admitted to the …
Atypical Presentation Of Moyamoya Disease Presenting With Severe Headache: A Case Report,
2025
HCA Healthcare
Atypical Presentation Of Moyamoya Disease Presenting With Severe Headache: A Case Report, Nilay Bhatt, Tirth Vyas
Gulf Coast Division GME Research Day 2025
No abstract provided.
Micra-Scopic Hero: Rare Unroofed Cornoary Sinus Complicating Pacemaker Placement,
2025
HCA Healthcare
Micra-Scopic Hero: Rare Unroofed Cornoary Sinus Complicating Pacemaker Placement, Suhas Tatapudi, E Castillo, Jeby Kalathoor, Zuhair Ali, Hytham Rashid, R Cargioli
Gulf Coast Division GME Research Day 2025
No abstract provided.
Enhancing Patient-Centered Efficiency: Reducing Cardiology Clinic No-Shows Using Technology, Pre-Visit Planning & Patient Resources,
2025
University of Texas at Arlington
Enhancing Patient-Centered Efficiency: Reducing Cardiology Clinic No-Shows Using Technology, Pre-Visit Planning & Patient Resources, Pat Shirey
Doctor of Nursing Practice (DNP) Scholarly Projects - Archive
Background: Cardiovascular disease (CVD) affects 48% of U.S. adults, requiring regular cardiology visits to manage risk factors and the early detection of complications (American Heart Association, 2019). No-shows disrupt continuity of care, worsen health outcomes (Choi et al., 2020), and decrease clinic efficiency (Goossens et al., 2022). A North Texas cardiology clinic reported a 31.9% overall no-show rate and a 42.1% no-show rate for new patients, costing $1.3 million annually.
Purpose: This quality improvement project aimed to reduce no-show rates through a patient-centered cardiology appointment bundle to improve continuity, patient outcomes, and efficiency.
Methods: This eight-week project utilized the Plan-Do-Study-Act …
Out Of Left Field Lv Thrombus: Incidental Finding In Patient Presenting With Abdominal Pain,
2025
HCA Healthcare
Out Of Left Field Lv Thrombus: Incidental Finding In Patient Presenting With Abdominal Pain, Chak Lam Yeung, Shivani Gandi, Shakir Al-Ezzi, Nicole Huang, Adhikari Pragyan
North Texas Research Forum 2025
Introduction: Left Ventricular thrombus (LVT) is one of the most feared complications post myocardial infarction due to the high incidence of embolization. LVT typically form after myocardial infarction and the presence of low ejection fraction (EF), both of which contribute to Virchow’s triad for thrombus formation. LVT are less common in the absence of these risk factors or pre-existing cardiovascular disease. This case report explores the incidental discovery of LVT in a patient, without any known cardiovascular disease, who presented for treatment of acute pancreatitis. Case Presentation: 42-year-old male with past medical history of alcohol use disorder and recurrent pancreatitis …
Not Your Typical Chest Pain: Anomalous Rca,
2025
HCA Healthcare
Not Your Typical Chest Pain: Anomalous Rca, Suhas Tatapudi, Nomair Ashraf, E Castillo, Jeby Kalathoor, Hytham Rashid, Ibrahim Yazji, M Daniel
Gulf Coast Division GME Research Day 2025
No abstract provided.
Granulomatosis With Polyangiitis Presenting As An Anterior Mediastinal Mass: A Rare Manifestation,
2025
HCA Healthcare
Granulomatosis With Polyangiitis Presenting As An Anterior Mediastinal Mass: A Rare Manifestation, Maya Khasho, Christopher L. Bray, Miguel E. Rodriguez
North Florida Division GME Research Day 2025
No abstract provided.
Tricuspid Valve Repair For A Chronically Migrated Venous Stent,
2025
HCA Healthcare
Tricuspid Valve Repair For A Chronically Migrated Venous Stent, John W. Jackson, Mary Rachel Nute, Jeffrey D. Mcneil
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
Cannabis Induced 2nd Degree Av Block,
2025
HCA Healthcare
Cannabis Induced 2nd Degree Av Block, Shivani Gandhi, Vineeth Lekkala, Muhammad Suleman, Anvitha Manduva
North Texas Research Forum 2025
Cannabis use, both medical and non-medical, has seen a marked increase following the growing trend of legalization. While the immediate effects of cannabis on mental and physiological states are well-documented, its potential impact on the cardiovascular system remains an area of growing concern. Cannabis-induced arrhythmias, particularly atrioventricular (AV) block, are rare but potentially life-threatening events that can present in young, otherwise healthy individuals (Heckle et al., 2018). This case highlights the importance of recognizing cannabis as a potential contributing factor in the development of AV block.
Comparison Of Transcarotid Artery Revascularization & Carotid Endarterectomy For Atherosclerotic Carotid Artery Disease,
2025
HCA Healthcare
Comparison Of Transcarotid Artery Revascularization & Carotid Endarterectomy For Atherosclerotic Carotid Artery Disease, Adel Hanandeh, Victor Cabrera Bou, Gerard De Castro, Giancarlo Cires, Julio Calderin, Richard Deane, Frederick Fisher
North Florida Division GME Research Day 2025
No abstract provided.
Upper Extremity Deep Venous Thrombosis,
2025
HCA Healthcare
Upper Extremity Deep Venous Thrombosis, Adrian S. Reta, Michaela Mckissack
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
A Case Of Severe Synodic Stenosis In A Patient With Granalomatosis With Polyangitis Requiring Tracheostomy,
2025
HCA Healthcare
A Case Of Severe Synodic Stenosis In A Patient With Granalomatosis With Polyangitis Requiring Tracheostomy, Yousuf Sherwani, Mohan Sengodan
North Texas Research Forum 2025
Granulomatosis with polyangiitis (GPA) is characterized by vasculitis of small and medium sized blood vessels and granulomatous lesions of the upper respiratory tract. A rare condition associated with GPA, subglottic stenosis, presents in about 20% of cases on inpatient GPA. Symptoms such as stridor, hoarseness, dyspnea and dysphagia are hall marks of subglottic stenosis. Here we present the case of a male patient with life threatening subglottic stenosis that required tracheostomy.
Humoral Influences On The Heart: A Case Of Overt Hypothyroidism And Dilated Cardiomyopathy With Acute Heart Failure,
2025
HCA Healthcare
Humoral Influences On The Heart: A Case Of Overt Hypothyroidism And Dilated Cardiomyopathy With Acute Heart Failure, Shana-Kay Lambert-Johnson, Rui Zhang, Brian Yu, Tasaduq Mir
North Texas Research Forum 2025
BACKGROUND/INTRODUCTION: Dilated cardiomyopathy (DCM) affects approximately 7 in 100,000 adults annually, with a mortality rate of 50%. It is typically idiopathic, progressive, and irreversible. However, in the context of hypothyroidism, DCM can be reversible. Hypothyroid-induced DCM with coexisting systolic dysfunction is a rare occurrence. This case report presents an exceptional instance of this phenomenon, highlighting the critical role of thyroid hormone replacement in improving patient outcomes. CASE PRESENTATION: A 48-year-old female with a medical history of hypothyroidism (post-thyroidectomy) was transferred for higher-level care due to new-onset heart failure. Over the past five months, she experienced worsening dyspnea on exertion, fatigue, …
Unbreak My Heart: Improving The Cardiac Rehabilitation Referral Rate,
2025
HCA Healthcare
Unbreak My Heart: Improving The Cardiac Rehabilitation Referral Rate, Akash Patel, Samer Khalil, Iman Squires, Abed Naser, Eric Vargas, Manuel Carrazana, Olga Karasik
North Florida Division GME Research Day 2025
No abstract provided.
Endovascular Repair With A Vbx Device Covered Stent In A Patient With Leriche Syndrome,
2025
HCA Healthcare
Endovascular Repair With A Vbx Device Covered Stent In A Patient With Leriche Syndrome, Angelo Piazza, Micheline Tantchou
Central & West Texas and San Antonio GME Research Day 2025
No abstract provided.
