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Shrestha R, Mantha Y, Kabbani M, Sori E, Gupta N, Garcia M, Yang EY, Vinas A. TORRENTIAL REGURGITATION IN A PATIENT WITH BICUSPID AORTIC VALVE COMPLICATED BY PSEUDOANEURYSM OF THE INTERVALVULAR FIBROSA IN SETTING OF CULTURE-NEGATIVE ENDOCARDITIS. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)03453-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Vinas A, Roy D, Saunders C, Badin A, Panday MM, Pillarisetti J. A Tragic Case of Wearable Cardioverter-Defibrillator Failure. JACC Case Rep 2021; 3:322-326. [PMID: 34317528 PMCID: PMC8310987 DOI: 10.1016/j.jaccas.2020.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 11/02/2020] [Accepted: 12/22/2020] [Indexed: 11/09/2022]
Abstract
The American College of Cardiology/American Heart Association guidelines recommend a wearable cardioverter defibrillator (WCD) for certain conditions or scenarios. WCD is felt to provide adequate protection against ventricular arrhythmias. This case highlights failure of a WCD to detect and deliver life-saving therapy and the need for improved detection algorithms. (Level of Difficulty: Beginner.)
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Affiliation(s)
- Ariel Vinas
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
| | - Debanshu Roy
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
| | - Cynthia Saunders
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
| | - Auroa Badin
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
| | - Manoj M Panday
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
| | - Jayasree Pillarisetti
- Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, Texas, USA
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Prasad A, Panhwar S, Hendel RC, Sheikh O, Mushtaq Z, Dollar F, Vinas A, Alraies C, Almonani A, Nguyen TH, Amione-Guerra J, Foster MT, Sisson C, Anderson A, George JC, Kutkut I, Guareña Casillas JA, Badin A. COVID-19 and the cardiovascular system: A review of current data, summary of best practices, outline of controversies, and illustrative case reports. Am Heart J 2020; 226:174-187. [PMID: 32599258 PMCID: PMC7834076 DOI: 10.1016/j.ahj.2020.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Accepted: 06/10/2020] [Indexed: 12/21/2022]
Abstract
As the severe acute respiratory syndrome coronavirus 2 virus pandemic continues to grow globally, an association is apparent between patients with underlying cardiovascular disease comorbidities and the risk of developing severe COVID-19. Furthermore, there are potential cardiac manifestations of severe acute respiratory syndrome coronavirus 2 including myocyte injury, ventricular dysfunction, coagulopathy, and electrophysiologic abnormalities. Balancing management of the infection and treatment of underlying cardiovascular disease requires further study. Addressing the increasing reports of health care worker exposure and deaths remains paramount. This review summarizes the most contemporary literature on the relationship of the cardiovascular system and COVID-19 and society statements with relevance to protection of health care workers, and provides illustrative case reports in this context.
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Affiliation(s)
- Anand Prasad
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX.
| | - Siyab Panhwar
- Tulane University School of Medicine, Department of Medicine, Division of Cardiology, New Orleans, LA
| | - Robert C Hendel
- Tulane University School of Medicine, Department of Medicine, Division of Cardiology, New Orleans, LA
| | - Omar Sheikh
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Zunair Mushtaq
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Fatima Dollar
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Ariel Vinas
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Chadi Alraies
- Wayne State University, Detroit Medical Center, Division of Cardiology, Detroit, MI
| | - Ahmed Almonani
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Tung Huy Nguyen
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Javier Amione-Guerra
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Mark T Foster
- The Department of Emergency Medicine, UT Health San Antonio, San Antonio, TX
| | - Craig Sisson
- The Department of Emergency Medicine, UT Health San Antonio, San Antonio, TX
| | - Allen Anderson
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
| | - Jon C George
- Einstein Medical Center, Division of Cardiology, Philadelphia, PA
| | - Issa Kutkut
- New York-Presbyterian Brooklyn Methodist Hospital, New York, NY
| | | | - Auroa Badin
- The Department of Medicine and Division of Cardiology, UT Health San Antonio, San Antonio, TX
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Vinas A, Lakkireddy D, Panday M, Illindala R, Pillarisetti J, Roy D. A CASE OF INTERMITTENT PRE-EXCITATION AND RAPID AV CONDUCTION: IS IT TIME TO ABLATE ALL PATHWAYS? J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)33056-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Auliac J, Bayle S, Vergnenegre A, Fraboulet G, Lecaer H, Falchero L, Dô P, Doubre H, Hauss P, Vinas A, Larive S, Chiappa A, Marin B, Chouaid C. Non small cell lung cancer (NSCLC) patients harboring BRAF mutation: Clinical characteristics and management in real world setting. Cohort BRAF EXPLORE GFPC 02-14. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw383.68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Sarode K, Mohammad A, Das S, Vinas A, Banerjee A, Tsai S, Armstrong EJ, Shammas NW, Klein A, Brilakis ES, Banerjee S. Comparison of dual-antiplatelet therapy durations after endovascular revascularization of infrainguinal arteries. Ann Vasc Surg 2015; 29:1235-44. [PMID: 26026491 DOI: 10.1016/j.avsg.2015.03.040] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2014] [Revised: 11/04/2014] [Accepted: 03/19/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND The optimal dual-antiplatelet therapy (DAPT) duration after endovascular revascularization of infrainguinal arteries is uncertain. METHODS This study examines DAPT prescription trends and 12-month major adverse limb events (MALEs; a composite of repeat endovascular or surgical revascularization, acute vessel thrombosis, or amputation of the target limb), major adverse cardiovascular events (MACEs; all-cause mortality, nonfatal myocardial infarction [MI], stroke, or coronary revascularization), fatal bleeding events, and those requiring interruption or discontinuation of DAPT (hemorrhagic complications) for patients enrolled into the Excellence in Peripheral Artery Disease (XLPAD) registry. RESULTS Data on 368 patients prescribed antiplatelet therapy were analyzed; 8.2% were prescribed antiplatelet monotherapy, 48.6% DAPT for ≤3 months, and 43.2% for >3 months. Patients in the >3 DAPT prescribed group were older, had preexisting coronary artery disease (CAD), and prior MI (all P < 0.001). Overall MALE in the ≤3 and >3-month DAPT prescribed groups were 22.3% and 23.9%, respectively (P = 0.541). Survival analysis showed significantly higher rates of MACE in patients prescribed >3-month DAPT (17.6% vs. 9.5%; P = 0.019). An "as-treated" analysis excluded 10 patients who were prescribed DAPT for >3 months and revealed similar rates of MALE (24.9% vs. 20.8%; P = 0.386) and MACE (12.2% vs. 14.8%; P = 0.443) in patients receiving ≤3 and >3 DAPT. Hemorrhagic complications were similar across all prescribed and "as-treated" DAPT groups. CONCLUSIONS After infrainguinal endovascular procedures, patients with underlying CAD were prescribed longer (>3 months) duration of DAPT and experienced more cardiovascular events compared with those prescribed ≤3 months of DAPT. Adverse limb events were similar in both groups.
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Affiliation(s)
- Karan Sarode
- Veteran Affairs North Texas Health Care System, Dallas, TX; University of Texas Southwestern Medical Center, Dallas, TX
| | - Atif Mohammad
- Veteran Affairs North Texas Health Care System, Dallas, TX; University of Texas Southwestern Medical Center, Dallas, TX
| | - Swagata Das
- Veteran Affairs North Texas Health Care System, Dallas, TX
| | - Ariel Vinas
- University of Texas Southwestern Medical Center, Dallas, TX
| | | | - Shirling Tsai
- Veteran Affairs North Texas Health Care System, Dallas, TX; University of Texas Southwestern Medical Center, Dallas, TX
| | | | | | - Andrew Klein
- St. Louis University Medical Center, St. Louis, MO
| | - Emmanouil S Brilakis
- Veteran Affairs North Texas Health Care System, Dallas, TX; University of Texas Southwestern Medical Center, Dallas, TX
| | - Subhash Banerjee
- Veteran Affairs North Texas Health Care System, Dallas, TX; University of Texas Southwestern Medical Center, Dallas, TX.
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Mohammad A, Sarode K, Jelinek S, Mekala KD, Vinas A, Banerjee A, Mody P, Das S, Williams D, Gigliotti O, Klein A, Prasad A, Brilakis E, Banerjee S. TCT-546 Predictors and Implications of Subintimal Tracking During Endovascular Revascularization of Chronic Total Occlusions in the Infrainguinal Arteries. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Banerjee S, Vinas A, Mohammad A, Hadidi O, Thomas R, Sarode K, Banerjee A, Garg P, Weideman RA, Little BB, Brilakis ES. Significance of an abnormal ankle-brachial index in patients with established coronary artery disease with and without associated diabetes mellitus. Am J Cardiol 2014; 113:1280-4. [PMID: 24602299 DOI: 10.1016/j.amjcard.2014.01.403] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2013] [Revised: 01/03/2014] [Accepted: 01/03/2014] [Indexed: 12/15/2022]
Abstract
An abnormal ankle-brachial index (ABI) is associated with higher risk for future cardiovascular (CV) events; however, it is unknown whether this association is true in patients with established coronary artery disease (CAD) and associated diabetes mellitus (DM). We evaluated 679 patients with stable CAD enrolled in the Excellence in Peripheral Arterial Disease and Veterans Affairs North Texas Healthcare System peripheral arterial disease databases. ABI and 12-month major adverse CV events (MACEs, a composite of all-cause death, nonfatal myocardial infarction, need for repeat coronary revascularization, and ischemic stroke) were assessed. Cox proportional hazard models were used to assess the association of ABI and DM with subsequent CV events. An abnormal ABI (<0.9 or >1.4) was present in 72% of patients with stable CAD and 68% had DM. Using patients without DM and normal ABI as reference, the adjusted hazard ratio for 12-month MACE was 1.7 (95% confidence interval [CI] 0.71 to 4.06) for patients with DM and normal ABI; 2.03 (95% CI 0.83 to 4.9) for patients without DM with abnormal ABI; and 4.85 (95% CI 2.22 to 10.61) for patients with DM and abnormal ABI. In conclusion, in patients with stable CAD, an abnormal ABI confers an incremental risk of MACE in addition to DM and traditional CV risk factors.
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Affiliation(s)
- Subhash Banerjee
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas; Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas.
| | - Ariel Vinas
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas; Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Atif Mohammad
- Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Omar Hadidi
- Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Rahul Thomas
- Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Karan Sarode
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas; Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Avantika Banerjee
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas
| | - Puja Garg
- Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | - Rick A Weideman
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas
| | - Bertis B Little
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas
| | - Emmanouil S Brilakis
- Department of Cardiology, Veterans Affairs North Texas Healthcare System, Dallas, Texas; Department of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas
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Banerjee S, Sarode K, Das T, Hadidi O, Thomas R, Vinas A, Garg P, Mohammad A, Baig MS, Shammas NW, Brilakis ES. Endovascular Treatment of Infrainguinal Chronic Total Occlusions Using the TruePath Device: Features, Handling, and 6-Month Outcomes. J Endovasc Ther 2014; 21:281-8. [DOI: 10.1583/13-4527r.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Das S, Mohammad A, Sarode K, Pershwitz G, Hadidi O, Thomas R, Vinas A, Abu-Fadel M, Dieter ROBERT, Ali MI, Shammas N, Prasad A, Gigliotti O, Klein A, Raffoul J, Kumbhani D, Mody P, Baig S, Kinlay S, Brilakis E, Banerjee S. CRT-213 Comparison of Revascularization Outcomes for Patients with Lifestyle Limiting Claudication to Critical Limb Ischemia. JACC Cardiovasc Interv 2014. [DOI: 10.1016/j.jcin.2014.01.095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bellaiche M, Gout A, Pinard JM, Tramon M, Vinas A, Foucaud P. Epanchement peri cerebral idiopathique (EPCI) du nourrisson sample vailante anatomique ou facteur de que ? Arch Pediatr 1996. [DOI: 10.1016/0929-693x(96)86353-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Lachassinne E, Gaudelus J, Lacombe F, Lehnert A, Guerin F, Vinas A, Nathanson M, Durquet-Perelman C, Perelman R. [Acute heart insufficiency in an 8-month-old infant presenting with hypocalcemia and Epstein-Barr virus infection: acute myocarditis? Or primary hypokinetic dilated cardiomyopathy?]. Ann Pediatr (Paris) 1992; 39:179-83. [PMID: 1315131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
An eight-month-old was admitted for acute congestive heart failure with fever. The respective parts played by hypocalcemia (due to vitamin-D deficiency rickets) and acute Epstein-Barr virus infection are discussed. Hypocalcemia was sufficiently marked to induce heart failure per se but replenishment of calcium stores was followed by only partial improvement in cardiac manifestations. Initial management was difficult because of the risks associated with concomitant administration of calcium and digitalis. After eighteen months during which the patient's status remained stable, evaluation showed that clinical features were consistent with sequelae of acute viral myocarditis. The possibility of primary hypokinetic dilated cardiomyopathy was then considered. Esterified carnitine levels were found to be increased leading to further investigations which outruled mitochondrial cytopathy.
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Lejeune F, Komarover H, Dandine M, Gaudelus J, Vinas A, Lortholary P, Perelman R. [Mannosidosis: cytologic, cytochemical and ultrastructural study of blood and bone marrow cells]. Ann Pediatr (Paris) 1986; 33:557-61. [PMID: 3777764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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