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Ezeh E, Frear BJ, Akhigbe EJ, Perdoncin M, Koromia GA, Njoroge LW, Thompson EA. A 28-MONTH TREND IN INFECTIVE ENDOCARDITIS IN AN APPALACHIAN TERTIARY HOSPITAL: REPORT FROM THE EPICENTER OF THE OPIOID EPIDEMIC. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)01859-4] [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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Amblihalli V, Koromia GA, Lefebvre ML, Ramachandran P. A RARE CASE OF SUPRAVALVULAR AORTIC STENOSIS AND LEFT MAIN CORONARY ARTERY STENOSIS IN A PATIENT WITH ELN GENE MUTATION. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)03858-5] [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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Bozkurt B, Das SR, Addison D, Gupta A, Jneid H, Khan SS, Koromia GA, Kulkarni PA, LaPoint K, Lewis EF, Michos ED, Peterson PN, Turagam MK, Wang TY, Yancy CW. 2022 AHA/ACC Key Data Elements and Definitions for Cardiovascular and Noncardiovascular Complications of COVID-19: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards. J Am Coll Cardiol 2022; 80:388-465. [PMID: 35753858 PMCID: PMC9222652 DOI: 10.1016/j.jacc.2022.03.355] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Bozkurt B, Das SR, Addison D, Gupta A, Jneid H, Khan SS, Koromia GA, Kulkarni PA, LaPoint K, Lewis EF, Michos ED, Peterson PN, Turagam MK, Wang TY, Yancy CW. 2022 AHA/ACC Key Data Elements and Definitions for Cardiovascular and Noncardiovascular Complications of COVID-19: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Data Standards. Circ Cardiovasc Qual Outcomes 2022; 15:e000111. [PMID: 35737748 PMCID: PMC9297692 DOI: 10.1161/hcq.0000000000000111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Koromia GA, Thakker GG, Elashery AR. MITRAL ANNULAR DISJUNCTION ARRHYTHMIC SYNDROME AND THE ROLE OF CARDIAC MRI. J Am Coll Cardiol 2022. [DOI: 10.1016/s0735-1097(22)04247-4] [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: 10/18/2022]
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Irfan A, Koromia GA, Abusnina W, DeFilippis AP, Studeny M, Lorkiewicz P, Bhatnagar A, Carll A. COMPARISON OF THE EFFECTS OF MAINSTREAM CIGARETTE SMOKING AND NICOTINE ON ELECTROCARDIOGRAM. J Am Coll Cardiol 2020. [DOI: 10.1016/s0735-1097(20)32528-6] [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: 10/24/2022]
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Acosta G, Amro A, Aguilar R, Abusnina W, Bhardwaj N, Koromia GA, Studeny M, Irfan A. Clinical Determinants of Myocardial Injury, Detectable and Serial Troponin Levels among Patients with Hypertensive Crisis. Cureus 2020; 12:e6787. [PMID: 32140347 PMCID: PMC7045977 DOI: 10.7759/cureus.6787] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [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] [Indexed: 01/21/2023] Open
Abstract
Introduction There is a high prevalence of hypertensive crisis with myocardial injury, as evidenced by elevation in cardiac troponin levels. The risk factors predisposing patients to developing a myocardial injury, detectable troponin, and increase in serial troponin in this population are not known. Methods A retrospective study was designed to include all patients, presenting to the emergency room, diagnosed with hypertensive crisis, using International Classification of Diseases, 10th revision, Clinical Modification (ICD-10-CM) codes between 2016-2018 (n=467). Logistic regression was used to determine the important predictors of myocardial injury evidenced by troponin elevation >99th percentile of upper reference level (URL), detectable troponin (> 0.015 ng/ml), and increase in serial troponin levels. Results The 99th percentile of the initial troponin level among all patients was 0.433 ng/ml. A total of 15% had a myocardial injury, and the significant risk factors associated with it were body mass index (BMI) < 30 kg/m2 (odds ratio [OR] 0.50, confidence interval [CI] 0.28-0.89), congestive heart failure (CHF; OR 4.28, CI 2.21-8.25) and prior use of aspirin (OR 1.98, CI 1.08-3.63). About 35% had detectable troponin, and BMI < 30 kg/m2 (OR 0.62, CI 0.40-0.97), CHF (OR 3.49, CI 2.06-5.9), elevated creatinine (OR 1.17, CI 1.02-1.34) and age <61 years (OR 0.59, CI 0.38-0.94) were associated with it. The factors associated with an increase in serial troponin were BMI < 30 Kg/m2 (OR 0.56, CI 0.36-0.87), CHF (OR 1.78, CI 1.06-3.0), coronary artery disease (CAD; OR 2.08, CI 1.28-3.36) and non-Caucasian race (OR 0.52, CI 0.29-0.93). Conclusion About one-third of patients with the hypertensive crisis have detectable troponin. Still, among these, less than half have troponin levels >99th percentile URL, and the majority of these patients have minimal changes in serial troponin. Low BMI was associated with higher initial and serial troponin levels, and this obesity paradox was stronger among females and older patients.
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Affiliation(s)
| | - Ahmed Amro
- Cardiology, Marshall University, Huntington, USA
| | - Rodrigo Aguilar
- Internal Medicine, Marshall University, Joan C. Edwards School of Medicine, Huntington, USA
| | | | - Niharika Bhardwaj
- Clinical and Translational Science, Marshall University, Joan C. Edwards School of Medicine, Huntington, USA
| | | | - Mark Studeny
- Cardiology, Marshall University, Huntington, USA
| | - Affan Irfan
- Cardiology, Marshall University, Huntington, USA
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Njoroge LW, Al-Kindi SG, Koromia GA, ElAmm CA, Oliveira GH. Changes in the Association of Rising Infective Endocarditis With Mortality in People Who Inject Drugs. JAMA Cardiol 2019; 3:779-780. [PMID: 29926083 DOI: 10.1001/jamacardio.2018.1602] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Affiliation(s)
- Linda W Njoroge
- Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.,Department of Medicine,Case Western Reserve University, Cleveland, Ohio
| | - Sadeer G Al-Kindi
- Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.,Department of Medicine,Case Western Reserve University, Cleveland, Ohio
| | | | - Chantal A ElAmm
- Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.,Department of Medicine,Case Western Reserve University, Cleveland, Ohio
| | - Guilherme H Oliveira
- Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, Ohio.,Department of Medicine,Case Western Reserve University, Cleveland, Ohio
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Amro A, Baez GA, Koromia GA, Bhardwaj N, Aguilar R, El-Hamdani M, Irfan A. ALBUMIN LEVEL AS A RISK MARKER AND PREDICTOR OF PERIPARTUM CARDIOMYOPATHY. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)31442-1] [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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Patel B, Koromia GA, Tomdio A, Carabello B. RARE CASE OF TRICUSPID MYCOBACTERIUM ENDOCARDITIS IN A YOUNG FEMALE: NON-SURGICAL MANAGEMENT. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32866-3] [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: 11/15/2022]
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Tomdio A, Koromia GA, Patwardhan M, Pitzalis M. TRANSIENT CORTICAL BLINDNESS DUE TO CONTRAST-INDUCED NEUROTOXICITY AFTER CARDIAC CATHETERIZATION. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32784-0] [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: 11/17/2022]
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Warner JL, Maddux SE, Hughes KS, Krauss JC, Yu PP, Shulman LN, Mayer DK, Hogarth M, Shafarman M, Stover Fiscalini A, Esserman L, Alschuler L, Koromia GA, Gonzaga Z, Ambinder EP. Development, implementation, and initial evaluation of a foundational open interoperability standard for oncology treatment planning and summarization. J Am Med Inform Assoc 2015; 22:577-86. [PMID: 25604811 DOI: 10.1093/jamia/ocu015] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2014] [Accepted: 10/28/2014] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE Develop and evaluate a foundational oncology-specific standard for the communication and coordination of care throughout the cancer journey, with early-stage breast cancer as the use case. MATERIALS AND METHODS Owing to broad uptake of the Health Level Seven (HL7) Consolidated Clinical Document Architecture (C-CDA) by health information exchanges and large provider organizations, we developed an implementation guide in congruence with C-CDA. The resultant product was balloted through the HL7 process and subsequently implemented by two groups: the Health Story Project (Health Story) and the Athena Breast Health Network (Athena). RESULTS The HL7 Implementation Guide for CDA, Release 2: Clinical Oncology Treatment Plan and Summary, DSTU Release 1 (eCOTPS) was successfully balloted and published as a Draft Standard for Trial Use (DSTU) in October 2013. Health Story successfully implemented the eCOTPS the 2014 meeting of the Healthcare Information and Management Systems Society (HIMSS) in a clinical vignette. During the evaluation and implementation of eCOPS, Athena identified two practical concerns: (1) the need for additional CDA templates specific to their use case; (2) the many-to-many mapping of Athena-defined data elements to eCOTPS. DISCUSSION Early implementation of eCOTPS has demonstrated successful vendor-agnostic transmission of oncology-specific data. The modularity enabled by the C-CDA framework ensures the relatively straightforward expansion of the eCOTPS to include other cancer subtypes. Lessons learned during the process will strengthen future versions of the standard. CONCLUSION eCOTPS is the first oncology-specific CDA standard to achieve HL7 DSTU status. Oncology standards will improve care throughout the cancer journey by allowing the efficient transmission of reliable, meaningful, and current clinical data between the many involved stakeholders.
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Affiliation(s)
- Jeremy L Warner
- Department of Medicine, Division of Hematology & Oncology, Vanderbilt University, Nashville, TN, USA Department of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA
| | - Suzanne E Maddux
- Quality and Guidelines Division, American Society of Clinical Oncology, Alexandria, VA, USA
| | - Kevin S Hughes
- Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - John C Krauss
- Department of Internal Medicine, Division of Hematology/Oncology, University of Michigan, Ann Arbor, MI, USA
| | | | | | - Deborah K Mayer
- UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA
| | - Mike Hogarth
- Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, USA
| | | | | | - Laura Esserman
- Department of Surgery, University of California, San Francisco, CA, USA Department of Radiology, University of California, San Francisco, CA, USA
| | | | | | | | - Edward P Ambinder
- Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
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