Impact Of Covid-19 Pandemic On Stemi Care: An Expanded Analysis From The United States.,
2020
Zucker School of Medicine at Hofstra/Northwell
Impact Of Covid-19 Pandemic On Stemi Care: An Expanded Analysis From The United States., S. Garcia, L. Stanberry, C. Schmidt, S. Sharkey, M. Megaly, M. S. Albaghdadi, P. M. Meraj, R. Garberich, H. Khalili, T. D. Henry, +20 Additional Authors
Journal Articles
OBJECTIVE: To evaluate the impact of COVID-19 pandemic migitation measures on of ST-elevation myocardial infarction (STEMI) care.
BACKGROUND: We previously reported a 38% decline in cardiac catheterization activations during the early phase of the COVID-19 pandemic mitigation measures. This study extends our early observations using a larger sample of STEMI programs representative of different US regions with the inclusion of more contemporary data.
METHODS: Data from 18 hospitals or healthcare systems in the US from January 2019 to April 2020 were collecting including number activations for STEMI, the number of activations leading to angiography and primary percutaneous coronary intervention (PPCI), …
Aortic Arch Thrombus And Pulmonary Embolism In A Covid-19 Patient,
2020
Zucker School of Medicine at Hofstra/Northwell
Aortic Arch Thrombus And Pulmonary Embolism In A Covid-19 Patient, P. Gandotra, A. Supariwala, S. Selim, G. Garra, L. Gruberg
Journal Articles
© 2020 Elsevier Inc. Background: Coronavirus disease 2019 (COVID-19) is associated with endothelial inflammation and a hypercoagulable state resulting in both venous and arterial thromboembolic complications. We present a case of COVID-19-associated aortic thrombus in an otherwise healthy patient. Case Report: A 53-year-old woman with no past medical history presented with a 10-day history of dyspnea, fever, and cough. Her pulse oximetry on room air was 84%. She tested positive for severe acute respiratory syndrome coronavirus 2 infection, and chest radiography revealed moderate patchy bilateral airspace opacities. Serology markers for cytokine storm were significantly elevated, with a serum D-dimer level …
Bradyarrhythmias In Patients With Covid-19: Marker Of Poor Prognosis?,
2020
Zucker School of Medicine at Hofstra/Northwell
Bradyarrhythmias In Patients With Covid-19: Marker Of Poor Prognosis?, J. S. Chinitz, R. Goyal, M. Harding, G. Veseli, L. Gruberg, R. Jadonath, P. Maccaro, P. Gandotra, L. Ong, L. M. Epstein
Journal Articles
No abstract provided.
The Effect Of Chloroquine, Hydroxychloroquine And Azithromycin On The Corrected Qt Interval In Patients With Sars-Cov-2 Infection,
2020
Northwell Health
The Effect Of Chloroquine, Hydroxychloroquine And Azithromycin On The Corrected Qt Interval In Patients With Sars-Cov-2 Infection, M. Saleh, J. Gabriels, D. Chang, B. S. Kim, A. Mansoor, E. Mahmood, P. Makker, H. Ismail, B. Goldner, J. Willner, S. Beldner, R. Mitra, R. John, J. Chinitz, N. Skipitaris, S. Mountantonakis, L. M. Epstein
Journal Articles
Background - The novel SARs-CoV-2 coronavirus is responsible for the global COVID-19 pandemic. Small studies have shown a potential benefit of chloroquine/hydroxychloroquine ± azithromycin for the treatment of COVID-19. Use of these medications alone, or in combination, can lead to a prolongation of the QT interval, possibly increasing the risk of Torsade de pointes (TdP) and sudden cardiac death. Methods - Hospitalized patients treated with chloroquine/hydroxychloroquine ± azithromycin from March 1st through the 23rd at three hospitals within the Northwell Health system were included in this prospective, observational study. Serial assessments of the QT interval were performed. The primary outcome …
Impact Of The Covid-19 Pandemic On Interventional Cardiology Fellowship Training In The New York Metropolitan Area: A Perspective From The United States Epicenter,
2020
Zucker School of Medicine at Hofstra/Northwell
Impact Of The Covid-19 Pandemic On Interventional Cardiology Fellowship Training In The New York Metropolitan Area: A Perspective From The United States Epicenter, T. Gupta, T. M. Nazif, T. P. Vahl, H. Ahmad, A. E. Bortnick, R. Jauhar, R. Kandov, M. Kim, A. Lee, S. Kodali, +11 Additional Authors
Journal Articles
© 2020 Wiley Periodicals, Inc. Background: The healthcare burden posed by the coronavirus disease 2019 (COVID-19) pandemic in the New York Metropolitan area has necessitated the postponement of elective procedures resulting in a marked reduction in cardiac catheterization laboratory (CCL) volumes with a potential to impact interventional cardiology (IC) fellowship training. Methods: We conducted a web-based survey sent electronically to 21 Accreditation Council for Graduate Medical Education accredited IC fellowship program directors (PDs) and their respective fellows. Results: Fourteen programs (67%) responded to the survey and all acknowledged a significant decrease in CCL procedural volumes. More than half of the …
Management Of Acute Myocardial Infarction During The Covid-19 Pandemic.,
2020
Zucker School of Medicine at Hofstra/Northwell
Management Of Acute Myocardial Infarction During The Covid-19 Pandemic., E. Mahmud, H. L. Dauerman, F. G. Welt, J. C. Messenger, S. V. Rao, C. Grines, A. Mattu, R. Jauhar, P. Meraj, T. D. Henry, +3 Additional Authors
Journal Articles
The worldwide pandemic caused by the novel acute respiratory syndrome coronavirus 2 (SARS-CoV2) has resulted in a new and lethal disease termed coronavirus disease 2019 (COVID-19). Although there is an association between cardiovascular disease and COVID-19, the majority of patients who need cardiovascular care for the management of ischemic heart disease may not be infected with COVID-19. The objective of this document is to provide recommendations for a systematic approach for the care of patients with an acute myocardial infarction (AMI) during the COVID-19 pandemic. There is a recognition of two major challenges in providing recommendations for AMI care in …
Covid-19 Infection Unmasking Brugada Syndrome,
2020
Northwell Health
Covid-19 Infection Unmasking Brugada Syndrome, D. Chang, M. Saleh, Y. Garcia-Bengo, E. Choi, L. Epstein, J. Willner
Journal Articles
No abstract provided.
Feasibility Of Radiofrequency Catheter Ablation In A Patient With Deep Brain Stimulators,
2020
Northwell Health
Feasibility Of Radiofrequency Catheter Ablation In A Patient With Deep Brain Stimulators, M. Grabie, J. Gabriels, K. Xiang, C. S. Elayi, J. N. Makaryus, J. N. Catanzaro
Journal Articles
No abstract provided.
Author's Reply—Is It Really Covid-19?,
2020
Northwell Health
Author's Reply—Is It Really Covid-19?, D. Chang, L. M. Epstein
Journal Articles
No abstract provided.
The Covid-19 Pandemic And Acute Aortic Dissections In New York: A Matter Of Public Health.,
2020
Zucker School of Medicine at Hofstra/Northwell
The Covid-19 Pandemic And Acute Aortic Dissections In New York: A Matter Of Public Health., I. El-Hamamsy, D. R. Brinster, J. J. Derose, L. N. Girardi, K. Hisamoto, M. N. Imam, S. Itagaki, P. A. Kurlansky, C. Lau, H. Takayama, +3 Additional Authors
Journal Articles
No abstract provided.
A Comparison Of Existing Risk Prediction Models In Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation,
2020
Zucker School of Medicine at Hofstra/Northwell
A Comparison Of Existing Risk Prediction Models In Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation, B. Worku, M. Gaudino, D. Avgerinos, K. Ramasubbu, I. Gambardella, I. Gulkarov, S. Khin
Journal Articles
© 2020 The Author(s) Background: Patients undergoing consideration for venoarterial extracorporeal membrane oxygenation (VA-ECMO) require an immediate risk profile assessment in the setting of incomplete information. A number of survival prediction models for critically ill patients and patients undergoing elective cardiac surgery or institution of VA-ECMO support have been designed. We assess the ability of these models to predict outcomes in a cohort of patients undergoing institution of VA-ECMO for cardiogenic shock or cardiac arrest. Methods: Fifty-one patients undergoing institution of VA-ECMO support were retrospectively analyzed. APACHE II, SOFA, SAPS II, Encourage, SAVE, and ACEF scores were calculated. Their ability …
Multifocal Extracranial Mycotic Aneurysms In A Patient With Endocarditis,
2020
Zucker School of Medicine at Hofstra/Northwell
Multifocal Extracranial Mycotic Aneurysms In A Patient With Endocarditis, A. M. Spring, M. A. Catalano, B. F. Farber, K. V. Krishnasastry, P. J. Yu
Journal Articles
© 2020 This report describes the case of a 44-year-old man with Streptococcus gallolyticus (formerly S. bovis) endocarditis requiring surgical mitral valve replacement who developed multifocal extracranial mycotic aneurysms after the resolution of infection.
Management Of Elective Aortic Valve Replacement Over The Long Term In The Era Of Covid-19,
2020
Northwell Health
Management Of Elective Aortic Valve Replacement Over The Long Term In The Era Of Covid-19, C. Basman, C. A. Kliger, L. Pirelli, S. J. Scheinerman
Journal Articles
No abstract provided.
European Heart Rhythm Association (Ehra) International Consensus Document On How To Prevent, Diagnose, And Treat Cardiac Implantable Electronic Device Infections - Endorsed By The Heart Rhythm Society (Hrs), The Asia Pacific Heart Rhythm Society (Aphrs), The Latin American Heart Rhythm Society (Lahrs), International Society For Cardiovascular Infectious Diseases (Iscvid) And The European Society Of Clinical Microbiology And Infectious Diseases (Escmid) In Collaboration With The European Association For Cardio-Thoracic Surgery (Eacts), C. Blomström-Lundqvist, V. Traykov, P. A. Erba, H. Burri, J. C. Nielsen, M. G. Bongiorni, J. Poole, G. Boriani, L. M. Epstein, E. Mangoni, +10 Additional Authors
Journal Articles
© 2019 The Author(s). Published by Oxford University Press on behalf of the European Society of Cardiology. Pacemakers, implantable cardiac defibrillators, and cardiac resynchronization therapy devices are potentially life-saving treatments for a number of cardiac conditions, but are not without risk. Most concerning is the risk of a cardiac implantable electronic device (CIED) infection, which is associated with significant morbidity, increased hospitalizations, reduced survival, and increased healthcare costs. Recommended preventive strategies such as administration of intravenous antibiotics before implantation are well recognized. Uncertainties have remained about the role of various preventive, diagnostic, and treatment measures such as skin antiseptics, pocket …
Inpatient Use Of Ambulatory Telemetry Monitors For Covid-19 Patients Treated With Hydroxychloroquine And/Or Azithromycin,
2020
Northwell Health
Inpatient Use Of Ambulatory Telemetry Monitors For Covid-19 Patients Treated With Hydroxychloroquine And/Or Azithromycin, D. Chang, M. Saleh, J. Gabriels, H. Ismail, B. Goldner, J. Willner, S. Beldner, R. Mitra, R. John, L. M. Epstein
Journal Articles
No abstract provided.
Hrs/Ehra/Aphrs/Lahrs/Acc/Aha Worldwide Practice Update For Telehealth And Arrhythmia Monitoring During And After A Pandemic.,
2020
Zucker School of Medicine at Hofstra/Northwell
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, P. D. Varosy, +13 Additional Authors
Journal Articles
No abstract provided.
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,
2020
Zucker School of Medicine at Hofstra/Northwell
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,
2020
Zucker School of Medicine at Hofstra/Northwell
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,
2020
Zucker School of Medicine at Hofstra/Northwell
The Paradox Of Stemi Regionalization: Widened Disparities Despite Some Benefits, R. O. Roswell, R. Brown, S. Richardson
Journal Articles
No abstract provided.
