Cardiovascular Diseases Commons^™

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, …

Transcatheter Aortic Valve Replacement For Moderate Aortic Stenosis In Heart Failure With Reduced Ejection Fraction: A Randomized Comparison With Guideline-Directed Medical Therapy, Yves Najm Mrad, Ahmad Al-Taweel, Bahaeddin Shabaneh

Gulf Coast Division GME Research Day 2026

No abstract provided.

Acute-On-Chronic Right Pulmonary Artery Thrombus With Systemic–Pulmonary Collateral Fistulas And Post-Thrombectomy Distal Rca Occlusion Due To Pfo, Joseph Davis, Jesse Bolton, Sridhar Sampath Kumar, Sundeep Viswanathan

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

A Mixed Cause Of Heart Failure, Brandon West, Austin Meyer, Kenya Lindstrom, Jason Hall, Jennifer Griffith

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

Don’T Blame The Heart When On Steroids: A Rare Case Of Glucocorticoid Dependant Childhood Asthma Causing Non-Ischemic Dilated Cardiomyopathy, Greeshma Molugu, Srinivasan Rajaganapathy, Machaiah Madhrira, Karthik Anand

North Texas GME Research Forum 2026

Background: Steroids are known to have various cardiac side effects, such as hypertension, left ventricular hypertrophy, myocardial infarction, and sudden cardiac death. They are also known to cause rare but potentially life-threatening cardiomyopathy. The mechanisms behind steroid-induced cardiomyopathy are multifactorial, potentially involving direct or indirect myocardial toxicity, such as tissue fibrosis, apoptosis, and alterations in cardiac remodeling pathways via the renin-angiotensin-aldosterone system. Cardiomyopathy is known to occur with anabolic steroid use, but the literature on glucocorticoid-induced cardiomyopathy is scant. We present a rare case of glucocorticoid-induced dilated cardiomyopathy(DCM) in a patient with a history of refractory asthma who was treated …

A Rare Case Of Successful Resolution Of Bifurcation Stenosis Using Double Kissing Crush Stenting Technique, Greeshma Molugu, Tony Alacron, Karthik Anand, Machaiah Madhrira

North Texas GME Research Forum 2026

Introduction: Bifurcation lesions are associated with greater procedural complexity and consequently are at higher risk for stent restenosis. Bifurcation lesions are still technically challenging even in the era of modern stents. High incidence of restenosis both in the main vesseI and side branch Iimits the Iong-term prognosis. We present a rare case of successful resolution of bifurcation stenosis in a patient by using the double kissing (DK) crush stenting technique.

Case Description: A 52-year-old male patient with a past medical history of hypertension presented to the hospital for elective left heart catheterization as a part of an evaluation for a …

Arrhythmogenic Covid-19 Myocarditis Presenting As Out-Of-Hospital Ventricular Fibrillation Arrest With Preserved Ejection Fraction, Mohamed Ahmed, Elinor Barsh, Dmitriy Scherbak

Continental and Mountain Divisions GME Resarch Day 2026

No abstract provided.

A Rare Case Of Left Ventricular Free Wall Rupture Following Mechanical Circulatory Support In Stemi, Jyotirmaya Jain, Hasnan Ijaz, Heriberto Cantu, Mohamad Mubder, Thomas Alexander

Gulf Coast Division GME Research Day 2026

No abstract provided.

Complications Of Temporary Mechanical Circulatory Support: Device-Specific Risk Profiles & Meta-Analytic Estimates, Yves Najm Mrad, Ahmad Al-Taweel, Bahaeddin Shabaneh

Gulf Coast Division GME Research Day 2026

No abstract provided.

Baseline Sympathetic Nervous System Activity And Blood Pressure Response To Renal Denervation: A Systematic Review And Meta-Analysis, Prithvi Basu Roy, Syed Ali Raza Abidi, Louis Orlando

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.

Left Atrial Appendage Occlusion Vs. Oral Anticoagulation For Atrial Fibrillation In End-Stage Kidney Disease, Mohammed Ashwaq Hussain Shaik, S Paramkusam, Sk Majety, Lps Preetha, T Gupta, V Potluri

MidAmerica Division GME Healthcare Symposium 2026

No abstract provided.