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Makker P, Coleman KM, Varrias D, Gabriels J, Cunn G, Saleh M, Ismail H, Beldner S, Mountantonakis SE. Single plane multipolar catheter for accurate activation mapping of papillary muscle ectopy. J Interv Card Electrophysiol 2024:10.1007/s10840-024-01826-7. [PMID: 38739249 DOI: 10.1007/s10840-024-01826-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2024] [Accepted: 05/07/2024] [Indexed: 05/14/2024]
Affiliation(s)
- Parth Makker
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Kristie M Coleman
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA.
| | - Dimitrios Varrias
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - James Gabriels
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Gregory Cunn
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Moussa Saleh
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Haisam Ismail
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Stuart Beldner
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
| | - Stavros E Mountantonakis
- Department of Cardiac Electrophysiology, Northwell Health, 100 East 77th Street 2 Lachman, New York, NY, 10075, USA
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Beccarino N, Saleh M, Epstein LM. Leadless pacemakers: Where are we? Trends Cardiovasc Med 2024:S1050-1738(24)00018-5. [PMID: 38522582 DOI: 10.1016/j.tcm.2024.03.001] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Revised: 03/10/2024] [Accepted: 03/10/2024] [Indexed: 03/26/2024]
Abstract
Pacemakers have been the cornerstone of brady-arrhythmia management since the mid-20th century. Despite the widespread use and success of traditional transvenous pacemakers, they are associated with an estimated 15 % complication rate at three years. Driven by the advantages over traditional transvenous pacemakers including a lack of transvenous leads, resistance to infection, and ease of implantation, the number of leadless pacemakers placed annually in the United States has dramatically increased since their initial approval. While current iterations of leadless pacemakers lack the versatility offered by transvenous devices, recent advances in leadless pacing offer an increasingly diverse range of therapeutic options. This review will discuss the past, present, and future emerging technologies, and strategies in leadless pacing.
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Affiliation(s)
- Nicholas Beccarino
- Department of Cardiology/Cardiac Surgery, Northwell Health. Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, 300 Community Drive, Manhasset 11030, NY, United States.
| | - Moussa Saleh
- Department of Cardiology/Cardiac Surgery, Northwell Health. Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, 300 Community Drive, Manhasset 11030, NY, United States
| | - Laurence M Epstein
- Department of Cardiology/Cardiac Surgery, Northwell Health. Zucker School of Medicine at Hofstra/Northwell, North Shore University Hospital, 300 Community Drive, Manhasset 11030, NY, United States
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Kim BS, Gabriels JK, Saleh M, Epstein LM. A "hands-on" approach to femoral lead extraction: Indications, tools, and techniques. Heart Rhythm 2024; 21:213-223. [PMID: 37952865 DOI: 10.1016/j.hrthm.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 10/30/2023] [Accepted: 11/02/2023] [Indexed: 11/14/2023]
Affiliation(s)
- Beom Soo Kim
- Department of Cardiology, Northwell Health and the Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
| | - James K Gabriels
- Department of Cardiology, Northwell Health and the Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
| | - Moussa Saleh
- Department of Cardiology, Northwell Health and the Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
| | - Laurence M Epstein
- Department of Cardiology, Northwell Health and the Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York
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Abd El Wanees S, Saleh M, Elsayed N, Alahmdi M, Al Ahjohani M, Abdelfattah M, Soliman KA, Lotfy M, Elyan S. Benzotriazole-Modified Chitosan as a Controller for the Destruction of Al and H2 Generation in the Acidic Environment.. [DOI: 10.2139/ssrn.4420313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Abd El Wanees S, Hegazy M, Saleh M, Soliman KA, Alahmdi M, Elsayed N, Atef Y, Abd El Fatahh M, Asab M, Elyan S. Anti-Corrosion Properties and Mitigation of Hydrogen Production on C-Steel in Hcl Solutions by an Azomethine Derivative.. [DOI: 10.2139/ssrn.4354304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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Atteya G, Alston M, Sweat A, Saleh M, Beldner S, Mitra R, Willner J, John RM, Epstein LM. Same-day discharge after transvenous lead extraction: feasibility and outcomes. Europace 2022; 25:586-590. [PMID: 36575941 PMCID: PMC9934987 DOI: 10.1093/europace/euac185] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [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: 04/06/2022] [Accepted: 08/31/2022] [Indexed: 12/29/2022] Open
Abstract
AIMS Same-day discharge (SDD) is safe for patients undergoing electrophysiology procedures. There is no existing data regarding SDD for patients undergoing transvenous lead extraction (TLE). We report our experience with SDD for patients undergoing TLE. METHODS AND RESULTS The study group included patients undergoing TLE between February 2020 and July 2021 without an infectious indication. A modified SDD protocol for device implants/ablations was applied to TLE patients. Patient characteristics, extraction details, outcomes, and complications were reviewed. Of 239 patients undergoing TLE, 210 were excluded (94 infections and 116 did not meet SDD criteria). Of the remaining 29 patients, seven stayed due to patient preference and 22 were discharged home the same day. The SDD group had an average age of 65.9 ± 12 (47-84), 41% female, and LVEF of 52.2 ± 18% (10-80). The indication for TLE was malfunction (20), upgrade (4), advisory lead (2), and magnetic resonance imaging compatibility (1). Extractions included four implantable cardioverter-defibrillators (ICDs), 17 pacemakers (PPM), and one cardiac resynchronization therapy (CRT)-P system. The leads were 9.6 years (1.5-21.7) old, and 1.8 leads were removed per patient (1-3); the lead extraction difficulty (LED) score was 11.6 ± 7. Twenty underwent cardiovascular implantable electronic device (CIED) re-implantation (2 ICD, 3 CRT-D, 13 PPM, and 2 CRT-P). For CIED re-implants, patients sent a remote transmission the next day, and all patients received a next-day call. There were no procedure or device-related issues, morbidities, or mortalities in the 30 days after discharge. CONCLUSION Same-day discharge after TLE for non-infectious aetiologies is safe and feasible in a select group of patients with early procedure completion who meet strict SDD criteria.
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Affiliation(s)
- Gourg Atteya
- Corresponding author. Tel: 516 562-1430, Fax: 516 562-3978, E-mail address:
| | - Michael Alston
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Austin Sweat
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Moussa Saleh
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Stuart Beldner
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Raman Mitra
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Jonathan Willner
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
| | - Roy M John
- Stanford School of Medicine Cardiology, 300 Pasteur Drive, 2nd Floor, Palo Alto, CA 94305, USA
| | - Laurence M Epstein
- Cardiovascular Division, Northwell Health, Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA
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Bollenbecker S, Patel Z, Punjani Z, Charania A, Patel H, Saleh M, Budhwani K. PP054 Simultaneous rapid preclinical therapeutic evaluation in a novel ex vivo bioreactor. ESMO Open 2022. [DOI: 10.1016/j.esmoop.2022.100729] [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: 12/31/2022] Open
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Haimour A, Alkhaibary A, Alabssi H, Tous M, Alqarni A, Saleh M, Alshehri S. Аssessment of E-learning readiness among different levels of Nursing Learners in KING SAUD MEDICAL CITY. CM 2022. [DOI: 10.18137/cardiometry.2022.22.160167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Aim: Nurses’ and students’ willingness to increase information and practical skills through electronic platforms may help in setting up hundreds of timesaving and economical e-learning programs. The aim of this study is to evaluate the readiness of e-learning among different levels of nurses and nursing students. Methods: In this quantitative research, 425 participants from King Saud Medical City in Riyadh, Saudi Arabia were included. The study population included nurses and nursing students. Results: With p < 0.042 the research indicated that there are statistically significant differences between nursing groups with respect to e-Learning readiness. Conclusions: The nursing staff and students in King Saud Medical City demonstrated significant readiness levels towards e-learning, while the level of readiness and experience towards e-learning vary for different nursing groups
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Włodarczyk K, Kokoszyński D, Saleh M, Kotowicz M, Wasilewski P. Effects of sex on carcass composition and physicochemical, textural and rheological properties of meat from grey partridge. S AFR J ANIM SCI 2022. [DOI: 10.4314/sajas.v51i5.11] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The study aimed to determine the effects of sex on bodyweight (BW) and dimensions, carcass weight, dressing percentage, percentage of carcass components, chemical composition, mineral content, acidity and electrical conductivity of the breast and leg muscles of grey partridges (Perdix perdix L.). The experiment also determined the colour attributes, textural and rheological characteristics, and mineral content in the liver of the grey partridge. Fifteen males and 15 females were examined. Carcasses were weighed on electronic scales, then dissected. The chemical compounds in the breast and leg muscles were determined with a near-infrared spectrophotometer. To ascertain the contents of minerals, the meat samples were analysed by spectrometry. The textural and rheological properties were established with the TPA double compression test, Warner-Bratzler (WB) test, and the relaxation test. At 36 weeks, males had significantly longer keels and shanks than females. Males and females did not differ significantly in the weight of the eviscerated carcass, dressing percentage, and percentage of carcass components. There were no significant differences between males and females in the chemical composition of meat from breasts and legs, and in the mineral contents of the breast and leg muscles and the liver. Bird sex had no significant effect on acidity and electrical conductivity of the breast and leg muscles or on the lightness (L*), redness (a*), and yellowness (b*) of the Pectoralis major muscle. No significant differences were established between 36-week-old males and females in textural and rheological characteristics. Thus, there was scant evidence for sexual dimorphism in this species.
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Mahmood E, Beccarino N, Saleh M, Epstein LM, Mountantonakis S, Ismail H. PO-686-02 THE ROLE OF DIASTOLIC DYSFUNCTION IN LEADLESS PACEMAKER ATRIO-VENTRICULAR SYNCHRONOUS PACING. Heart Rhythm 2022. [DOI: 10.1016/j.hrthm.2022.03.553] [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: 11/16/2022]
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Coleman K, Atteya G, Varrias D, Wolf E, Bhullar A, Sharma N, Saleh M, Bhasin K, Bernstein N, Skipitaris N, Mountantonakis S. Voltage Map Guided Nonocclusive Balloon Cryoablation to Achieve Antral Pulmonary Vein Isolation. Circ Arrhythm Electrophysiol 2022; 15:e010895. [PMID: 35471098 DOI: 10.1161/circep.122.010895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Kristie Coleman
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Gourg Atteya
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Dimitrios Varrias
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Elliot Wolf
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Amarbir Bhullar
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Nikhil Sharma
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Moussa Saleh
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Kabir Bhasin
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Neil Bernstein
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
| | - Nicholas Skipitaris
- Department of Cardiac Electrophysiology, Northwell Health- Lenox Hill Heart & Lung, NY
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Saouma S, Akhrass P, Shah RR, Parikh VK, Mitra RL, Beldner SJ, Willner J, Bhasin K, Bernstein NE, Skipitaris NT, Goldner BG, Ismail H, Chinitz JS, Goyal R, Maccaro PC, Jadonath RL, Saleh M, Mountantonakis S, Epstein LM, Kowalski M. PO-706-05 DECREASE IN ACTIVITY OF DAILY LIVING DURING THE COVID-19 PANDEMIC CORRELATES WITH A DECREASE IN BIOMETRIC VARIABLES. Heart Rhythm 2022. [PMCID: PMC9049717 DOI: 10.1016/j.hrthm.2022.03.1085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Saleh M, Gjeka R, Wilson S, Rutkin B, Singh A, Koss E, Yu PJ, Epstein LM. Multidisciplinary heart team approach with laser lead extraction and transcatheter tricuspid valve-in-valve replacement. HeartRhythm Case Rep 2022; 8:102-105. [PMID: 35242547 PMCID: PMC8858740 DOI: 10.1016/j.hrcr.2021.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Saleh M, Sjöwall C. Comment on 'Systemic autoimmunity with Castleman-like lymphadenopathy: a diagnostic and therapeutic challenge': reply. Scand J Rheumatol 2021; 51:250-251. [PMID: 34788197 DOI: 10.1080/03009742.2021.1999056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M Saleh
- Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden
| | - C Sjöwall
- Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden
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Laurent E, Saleh M, Vusirikala A, Castillo T, Kuzhupilly R, Fahmy A, Tsekes D. 741 Restarting Elective Orthopaedic Surgery During The COVID-19 Pandemic: Experiences and Patient Outcomes. Br J Surg 2021. [DOI: 10.1093/bjs/znab259.1007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Aim
The COVID-19 pandemic resulted in postponing all non-urgent elective surgeries from April 2020. As we emerged from the first peak, restarting non-urgent services such as elective orthopaedic surgery was important for patients with chronic debilitating conditions. Our hospital successfully restarted orthopaedic surgery during the pandemic to help improve the quality of life of patients. This study describes the development of local protocols and pathways to allow for a safe restart of elective orthopaedic surgery in a COVID-19 free site. It presents the morbidity and mortality outcomes of those patients.
Method
This is a prospective cohort study evaluating all patients undergoing non-emergency orthopaedic procedures through a COVID-19 free pathway in a DGH from 18th May – 10th July 2020. 104 patients were identified, and their outcomes analysed during the 2 weeks following their surgery.
Results
No patients developed COVID-19 in the 2-weeks post-operative period. There were no ITU admissions or in-hospital deaths. 22(21.15%) out of 104 patients developed 23 complications within 2 weeks of surgery. These included: TIA, PE, AF, superficial wound infection, oozy wound and post-operative anaemia. They all made full recovery. There was no statistical difference in the development of complications for age (< 70; >70), gender, BMI, or ASA grades.
Conclusions
This study describes a roadmap to setting up a protocolised elective operating service for orthopaedic surgery. It has shown that standardised protocols in a COVID-19 free site, pre-operative COVID-19 testing and adherence to national guidelines on self-isolation prior to surgery can help prevent COVID-19 infection and its related risks post-operatively.
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Affiliation(s)
- E Laurent
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - M Saleh
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - A Vusirikala
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - T Castillo
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - R Kuzhupilly
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - A Fahmy
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
| | - D Tsekes
- Basildon and Thurrock University Hospital, Basildon, United Kingdom
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Saleh M, Hallbeck M, Sjöwall C. A rare case of idiopathic multicentric Castleman disease in a patient with long-standing systemic autoimmunity. Scand J Rheumatol 2021; 51:161-163. [PMID: 34473003 DOI: 10.1080/03009742.2021.1947591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Saleh
- Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden
| | - M Hallbeck
- Department of Biomedical and Clinical Sciences and Department of Clinical Pathology, Linköping University, Linköping, Sweden
| | - C Sjöwall
- Department of Biomedical and Clinical Sciences, Division of Inflammation and Infection/Rheumatology, Linköping University, Linköping, Sweden
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Mountantonakis SE, Makker P, Saleh M, Coleman KM, Husk G, Jauhar R, Singh V, Epstein LM, Kuvin J. Increased Inpatient Mortality for Cardiovascular Patients During the First Wave of the COVID-19 Epidemic in New York. J Am Heart Assoc 2021; 10:e020255. [PMID: 34387100 PMCID: PMC8475060 DOI: 10.1161/jaha.120.020255] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background The acuity and magnitude of the first wave of the COVID‐19 epidemic in New York mandated a drastic change in healthcare access and delivery of care. Methods and Results We retrospectively studied patients admitted with an acute cardiovascular syndrome as their principal diagnosis to 13 hospitals across Northwell Health during March 11 through May 26, 2020 (first COVID‐19 epidemic wave) and the same period in 2019. Three thousand sixteen patients (242 COVID‐19 positive) were admitted for an acute cardiovascular syndrome during the first COVID‐19 wave compared with 9422 patients 1 year prior (decrease of 68.0%, P<0.001). During this time, patients with cardiovascular disease presented later to the hospital (360 versus 120 minutes for acute myocardial infarction), underwent fewer procedures (34.6% versus 45.6%, P<0.001), were less likely to be treated in an intensive care unit setting (8.7% versus 10.8%, P<0.001), and had a longer hospital stay (2.91 [1.71–6.05] versus 2.87 [1.82–4.95] days, P=0.033). Inpatient cardiovascular mortality during the first epidemic outbreak increased by 111.1% (3.8 versus 1.8, P<0.001) and was not related to COVID‐19‐related admissions, all cause in‐hospital mortality, or incidence of out‐of‐hospital cardiac deaths in New York. Admission during the first COVID‐19 surge along with age and positive COVID‐19 test independently predicted mortality for cardiovascular admissions (odds ratios, 1.30, 1.05, and 5.09, respectively, P<0.0001). Conclusions A lower rate and later presentation of patients with cardiovascular pathology, coupled with deviation from common clinical practice mandated by the first wave of the COVID‐19 pandemic, might have accounted for higher in‐hospital cardiovascular mortality during that period.
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Affiliation(s)
| | - Parth Makker
- Department of Cardiology Northwell Health Manhasset NY
| | - Moussa Saleh
- Department of Cardiology Northwell Health Manhasset NY
| | | | - Gregg Husk
- Department of Cardiology Northwell Health Manhasset NY
| | - Rajiv Jauhar
- Department of Cardiology Northwell Health Manhasset NY
| | | | | | - Jeffrey Kuvin
- Department of Cardiology Northwell Health Manhasset NY
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Pagan E, Chang D, Gabriels JK, Kim BS, Mansoor A, Saleh M, John RM, Epstein LM, Beldner SJ, Ismail H, Willner J, Kowalski M, Jadonath RL, Chinitz JS, Mountantonakis S, Mitra RL. B-PO04-199 COVID-19 RISK WITH ELECTROPHYSIOLOGY PROCEDURES DURING THE PANDEMIC. Heart Rhythm 2021. [PMCID: PMC8315732 DOI: 10.1016/j.hrthm.2021.06.891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Atteya GA, Coleman K, Bhullar A, Makker P, Saleh M, Bhasin K, Bernstein N, Skipitaris N, Mountantonakis S. B-AB21-02 VOLTAGE MAP GUIDED ANTRAL PULMONARY VEIN ISOLATION WITH OCCLUSIVE AND NON-OCCLUSIVE CRYOBALLOON APPLICATIONS IS SUPERIOR IN ACHIEVING 1-YEAR ATRIAL FIBRILLATION FREE SURVIVAL. Heart Rhythm 2021. [DOI: 10.1016/j.hrthm.2021.06.118] [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: 11/29/2022]
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Abdel Latif A, Saleh M, Massoud A, Daoud S. Higher detection of bladder tumor urothelial variants by using plasma kinetic bipolar resection than monopolar resection. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01135-0] [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] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Saleh M. AB0637 THE STATE OF GOUT MANAGEMENT IN WALES RHEUMATOLOGY UNITS. Ann Rheum Dis 2021. [DOI: 10.1136/annrheumdis-2021-eular.2985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background:Gout is the most common inflammatory arthritis with both the prevalence and incidence showed significant rise in the UK in recent years1.The most frequent reasons for referral from primary care were diagnostic uncertainty 54%, failure to respond to primary care management 28%, and complex comorbidity 25%2.From primary care perspective, increased urate level (p=0.0001), young age (p=0.009), fewer comorbidities (p=0.039) constituted the most common risk for gout General Practice consultations and in addition to poor compliance to urate lowering treatment ULT (p=0.004) and lower CVS risk scores (p=0.038) these all factors comprised the independent risk factors for Gout flares3.Objectives:To compare the management of gout in the rheumatology services in Wales against the 2017 British Society for Rheumatology (BSR) Guidelines.Methods:•A descriptive study over an 8-week period from January to February 2019, used Simple Analysis in calculating the frequency (%).•Data were collected from notes of 79 patients referred to rheumatology departments across Wales using the British Society for Rheumatology (BSR) 2017 Gout Guidelines Audit Tool.•The audit cohort comprised 62% of chronic gout patients and 38% of acute admissions.Results:Conclusion:•Gout management by rheumatologists across Wales concords well with the recent BSR guidelines for most audit standards and showed an improvement in percentage of patients who achieved a target serum uric acid level <300 and <360 umol/L according to the BSR and EULAR guidelines, respectively.•Areas for improvement include documentation of Patient Education, improvement of audit tool (Age, Alcohol, current ULT).•To spread the message to primary care setting, where gout is predominantly managed, to ensure that ULT is optimized to achieve target serum uric acid level to benefit patients.References:[1]Kuo C, Grainge MJ, Mallen C, et al Rising burden of gout in the UK but continuing suboptimal management: a nationwide population study, Annals of the Rheumatic Diseases 2015;74:661-667.[2]*Management of gout by UK rheumatologists: a British Society for Rheumatology national audit.Roddy E, Packham J, Obrenovic K, Rivett A, Ledingham JM.Rheumatology (Oxford). 2018 May 1; 57(5):826-830.[3]Callear J, Blakey G, Callear A, et al Gout in primary care: Can we improve patient outcomes? BMJ Open Quality 2017;6:u210130.w4918. doi: 10.1136/bmjquality.u210130.w4918Acknowledgements:Dr Martin Bevan for supervising the work and Rheumatology Units across Wales for collecting data and the British Society for Rheumatology in formulating the audit tool.Disclosure of Interests:None declared.
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Makker P, Saleh M, Coleman K, Husk G, Jauhar R, Singh V, Epstein L, Kuvin J, Mountantonakis S. INCREASED INPATIENT MORTALITY FOR CARDIOVASCULAR PATIENTS DURING THE FIRST WAVE OF THE COVID-19 EPIDEMIC IN NEW YORK. J Am Coll Cardiol 2021. [PMID: 34140108 PMCID: PMC8091248 DOI: 10.1016/s0735-1097(21)04397-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
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Makker P, Epstein L, Coleman K, Saleh M, Brown RM, Kuvin J, Roswell R. THE ASSOCIATION OF STRUCTURAL INEQUITIES AND RACE WITH OUT-OF-HOSPITAL SUDDEN DEATH DURING THE COVID-19 PANDEMIC. J Am Coll Cardiol 2021. [PMCID: PMC9090514 DOI: 10.1016/s0735-1097(21)04403-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Makker P, Saleh M, Vaishnav AS, Coleman KM, Beldner S, Ismail H, Sharma N, Jadonath R, Goldner B, Mitra R, Epstein L, John R, Mountantonakis SE. Clinical predictors of heart block during atrioventricular nodal reentrant tachycardia ablation: A multicenter 18-year experience. J Cardiovasc Electrophysiol 2021; 32:1658-1664. [PMID: 33844364 DOI: 10.1111/jce.15037] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Catheter ablation is considered the first-line treatment of symptomatic atrioventricular nodal reentrant tachycardia (AVNRT). It has been associated with a risk of heart block (HB) requiring a pacemaker. This study aims to determine potential clinical predictors of complete heart block as a result AVNRT ablation. METHODS Consecutive patients undergoing catheter ablation for AVNRT from January 2001 to June 2019 at two tertiary hospitals were included. We defined ablation-related HB as the unscheduled implantation of pacemaker within a month of the index procedure. Use of electroanatomic mapping (EAM), operator experience, inpatient status, age, sex, fluoroscopy time, baseline PR interval, and baseline HV interval was included in univariate and multivariate models to predict HB post ablation. RESULTS In 1708 patients (56.4 ± 17.0 years, 61% females), acute procedural success was 97.1%. The overall incidence of HB was 1.3%. Multivariate analysis showed that age more than 70 (odds ratio [OR] 7.907, p ≤ .001, confidence interval [CI] 2.759-22.666), baseline PR ≥ 190 ms (OR 2.867, p = .026, CI 1.135-7.239) and no use of EAM (OR 0.306, p = .037, CI 0.101-0.032) were independent predictors of HB. CONCLUSION Although the incidence of HB post AVNRT ablation is generally low, patients can be further stratified using three simple predictors.
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Affiliation(s)
- Parth Makker
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Moussa Saleh
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Aditi S Vaishnav
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Kristie M Coleman
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Stuart Beldner
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Haisam Ismail
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Nikhil Sharma
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Ram Jadonath
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Bruce Goldner
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Raman Mitra
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Laurence Epstein
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
| | - Roy John
- Department of Cardiac Electrophysiology, Northwell Health, New York, New York, USA
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Mountantonakis SE, Epstein LM, Coleman K, Martinez J, Saleh M, Kvasnovsky C, Brown RM, McCulloch E, Kuvin J, Richardson S, Makker P, Lesser M, Mieres JH, Davidson KW, Roswell RO. The Association of Structural Inequities and Race With Out-of-Hospital Sudden Death During the COVID-19 Pandemic. Circ Arrhythm Electrophysiol 2021; 14:e009646. [PMID: 33835821 PMCID: PMC8136460 DOI: 10.1161/circep.120.009646] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
[Figure: see text].
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Affiliation(s)
- Stavros E Mountantonakis
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Laurence M Epstein
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Kristie Coleman
- Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Johanna Martinez
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Center for Equity of Care, Northwell Health, Lake Success (J.M., E.M., J.H.M., R.O.R.)
| | - Moussa Saleh
- Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Charlotte Kvasnovsky
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Division of Pediatric Surgery, Cohen's Children's Hospital, Northwell Health, New Hyde Park (C.K.)
| | - Rachel-Maria Brown
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Elizabeth McCulloch
- Center for Equity of Care, Northwell Health, Lake Success (J.M., E.M., J.H.M., R.O.R.)
| | - Jeffrey Kuvin
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Safiya Richardson
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.)
| | - Parth Makker
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.)
| | - Martin Lesser
- Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY (M.L.)
| | - Jennifer H Mieres
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.).,Center for Equity of Care, Northwell Health, Lake Success (J.M., E.M., J.H.M., R.O.R.)
| | - Karina W Davidson
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.)
| | - Robert O Roswell
- Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Hempstead (S.E.M., L.M.E., J.M., C.K., R.-M.B., J.K., S.R., P.M., J.H.M., K.W.D., R.O.R.).,Department of Cardiology, Northwell Health, New York (S.E.M., L.M.E., K.C., M.S., R.-M.B., J.K., P.M., J.H.M., R.O.R.).,Center for Equity of Care, Northwell Health, Lake Success (J.M., E.M., J.H.M., R.O.R.)
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Saleh M, Atteya G, Willner J, John RM. Use of general anesthesia to suppress incessant atrial fibrillation in a patient undergoing ablation for supraventricular tachycardia. HeartRhythm Case Rep 2021; 7:87-90. [PMID: 33665108 PMCID: PMC7897722 DOI: 10.1016/j.hrcr.2020.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Affiliation(s)
- Moussa Saleh
- Department of Cardiology, Arrhythmia Services, North Shore University Hospital, Manhasset, New York
| | - Gourg Atteya
- Department of Cardiology, Arrhythmia Services, North Shore University Hospital, Manhasset, New York
| | - Jonathan Willner
- Department of Cardiology, Arrhythmia Services, North Shore University Hospital, Manhasset, New York
| | - Roy M John
- Department of Cardiology, Arrhythmia Services, North Shore University Hospital, Manhasset, New York
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Coleman KM, Saleh M, Mountantonakis SE. Association between regional distributions of SARS-CoV-2 seroconversion and out-of-hospital sudden death during the first epidemic outbreak in New York. Heart Rhythm 2021; 18:215-218. [PMID: 33472765 PMCID: PMC7831674 DOI: 10.1016/j.hrthm.2020.11.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 11/17/2020] [Accepted: 11/17/2020] [Indexed: 02/01/2023]
Abstract
Background Increased incidence of out-of-hospital sudden death (OHSD) has been reported during the coronavirus 2019 (COVID-19) pandemic. New York City (NYC) represents a unique opportunity to examine the epidemiologic association between the two given the variable regional distribution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in its highly diverse neighborhoods. Objective The purpose of this study was to examine the association between OHSD and SARS-CoV-2 epidemiologic burden during the first COVID-19 pandemic across the highly diverse neighborhoods of NYC. Methods The incidences of OHSD between March 20 and April 22, 2019, and between March 20 and April 22, 2020, as reported by the Fire Department of New York were obtained. As a surrogate for viral epidemiologic burden, we used percentage of positive SARS-CoV-2 antibody tests performed between March 3 and August 20, 2020. Data were reported separately for the 176 zip codes of NYC. Correlation analysis and regression analysis were performed between the 2 measures to examine association. Results Incidence of OHSD per 10,000 inhabitants and percentage of SARS-CoV-2 seroconversion were highly variable across NYC neighborhoods, varying from 0.0 to 22.9 and 12.4% to 50.9%, respectively. Correlation analysis showed a moderate positive correlation between neighborhood data on OHSD and percentage of positive antibody tests to SARS-CoV-2 (Spearman ρ 0.506; P <.001). Regression analysis showed that seroconversion to SARS-CoV-2 and OHSD in 2019 were independent predictors for OHSD during the first epidemic surge in NYC (R2 = 0.645). Conclusion The association in geographic distribution between OHSD and SARS-CoV-2 epidemiologic burden suggests either a causality between the 2 syndromes or the presence of local determinants affecting both measures in a similar fashion.
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Affiliation(s)
- Kristie M Coleman
- Department of Cardiac Electrophysiology, Lenox Hill Hospital, New York, New York.
| | - Moussa Saleh
- Department of Cardiac Electrophysiology, Lenox Hill Hospital, New York, New York
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Khairullah I, Saleh M, Alwi M, Masganti. Increasing productivity of rice through iron toxicity control in acid sulfate soils of tidal swampland. ACTA ACUST UNITED AC 2021. [DOI: 10.1088/1755-1315/648/1/012151] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Coleman KM, Saleh M, Makker P, Vaishnav AS, Atteya G, Shein J, Bhullar A, Skipitaris NT, Mountantonakis SE. Surface unipolar electrogram characteristics to predict site of origin of outflow tract arrhythmias using noninvasive mapping. J Cardiovasc Electrophysiol 2021; 32:391-399. [PMID: 33368754 DOI: 10.1111/jce.14857] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 11/17/2020] [Accepted: 11/30/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Noninvasive electroanatomic mapping (NIEAM) demonstrate patterns of depolarization that are useful in identifying the chamber of origin (COO) in outflow tract ventricular arrhythmias (OTVA). However, its use in predicting exact site of origin (SOO) has not yet been validated. METHODS NIEAMs (CardioInsight, Medtronic) from 40 patients (age 62.5 ± 2.6) undergoing ablation for OTVA were reviewed for diagnostic accuracy in predicting the SOO. Earliest arrhythmia breakout and directionality of earliest instantaneous unipolar electrograms (uEGMs) on NIEAMs were evaluated subjectively by two observers for quality and amplitude. Sites with most negative earliest uEGMs on right and left ventricular outflow tracts, as well as epicardial surface were manually identified. Using NIEAM-based activation timing of the lateral mitral annulus and basal septum COO was identified for each OTVA. Predictions of SOO using NIEAMs was compared with true SOO from invasive study. NIEAMs SOO predictions were compared with subjective 12 lead electrocardiogram (ECG) review by two observers. RESULTS Review of arrhythmia breakout and signal directionality had poor diagnostic value in predicting SOO in OTVA (50.6% and 49.4%, 56.6% and 43.4%, respectively) and underperformed compared with ECG interpretation (59.1% and 80.5%). After excluding uEGMs with poor characteristics, the uEGM with most negative amplitude at the COO was predictive of the true SOO with 96.4% sensitivity and specificity. CONCLUSION We propose a stepwise approach when interpreting NIEAMs for OTVA where patterns of activation are evaluated first to determine the COO, followed by identification of the site with most negative amplitude instantaneous uEGM to determine SOO.
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Affiliation(s)
- Kristie M Coleman
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Moussa Saleh
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Parth Makker
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Aditi S Vaishnav
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Gourg Atteya
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Jamie Shein
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Amarbir Bhullar
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Nicholas T Skipitaris
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
| | - Stavros E Mountantonakis
- Department of Cardiac Electrophysiology, Northwell Health-Lenox Hill Heart and Lung, New York, New York, USA
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Mba S, Ukponu W, Adekanye U, Saleh M, Agogo E, Dan-Nwafor C, Amao L, Oparah O, Olajide L, Oyegoke A, Mba N, Ilori E, Ihekweazu C. A description of Lassa Fever mortality during the 2019 outbreak in Nigeria. Int J Infect Dis 2020. [DOI: 10.1016/j.ijid.2020.09.1074] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Saleh M, Gabriels J, Chang D, Fishbein J, Qiu M, Mountantonakis SE, Epstein LM. Safely Administering Potential QTc Prolonging Therapy Across a Large Health Care System in the COVID-19 Era. Circ Arrhythm Electrophysiol 2020; 13:e008937. [PMID: 33003964 PMCID: PMC7668332 DOI: 10.1161/circep.120.008937] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Supplemental Digital Content is available in the text. Background: The severe acute respiratory syndrome coronavirus 2 (SARs-CoV-2) has resulted in a global pandemic. Hydroxychloroquine±azithromycin have been widely used to treat coronavirus disease 2019 (COVID-19) despite a paucity of evidence regarding efficacy. The incidence of torsade de pointes remains unknown. Widespread use of these medications forced overwhelmed health care systems to search for ways to effectively monitor these patients while simultaneously trying to minimize health care provider exposure and use of personal protective equipment. Methods: Patients with COVID-19 positive who received hydroxychloroquine±azithromycin across 13 hospitals between March 1 and April 15 were included in this study. A comprehensive search of the electronic medical records was performed using a proprietary python script to identify any mention of QT prolongation, ventricular tachy-arrhythmias and cardiac arrest. Results: The primary outcome of torsade de pointes was observed in 1 (0.015%) out of 6476 hospitalized patients with COVID-19 receiving hydroxychloroquine±azithromycin. Sixty-seven (1.03%) had hydroxychloroquine±azithromycin held or discontinued due to an average QT prolongation of 60.5±40.5 ms from a baseline QTc of 473.7±35.9 ms to a peak QTc of 532.6±31.6 ms. Of these patients, hydroxychloroquine±azithromycin were discontinued in 58 patients (86.6%), while one or more doses of therapy were held in the remaining nine (13.4%). A simplified approach to monitoring for QT prolongation and arrythmia was implemented on April 5. There were no deaths related to the medications with the simplified monitoring approach and health care provider exposure was reduced. Conclusions: The risk of torsade de pointes is low in hospitalized patients with COVID-19 receiving hydroxychloroquine±azithromycin therapy.
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Affiliation(s)
- Moussa Saleh
- Department of Cardiology (M.S., J.G., D.C., S.E.M., L.M.E.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - James Gabriels
- Department of Cardiology (M.S., J.G., D.C., S.E.M., L.M.E.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - David Chang
- Department of Cardiology (M.S., J.G., D.C., S.E.M., L.M.E.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - Joanna Fishbein
- Biostatistics Unit (J.F.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - Michael Qiu
- Institute of Health Innovations and Outcomes Research & Center for Research Informatics & Innovation (M.Q.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - Stavros E Mountantonakis
- Department of Cardiology (M.S., J.G., D.C., S.E.M., L.M.E.), The Feinstein Institutes for Medical Research, Northwell Health, NY
| | - Laurence M Epstein
- Department of Cardiology (M.S., J.G., D.C., S.E.M., L.M.E.), The Feinstein Institutes for Medical Research, Northwell Health, NY
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Saleh M, Curtin J, Boyd L. Does race impact time to presentation in patients with endometrial cancer? Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.359] [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: 11/27/2022]
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Zocher U, Okwor TJ, Dan-Nwafor C, Yahya D, Ita Ita O, Saleh M, Ogunniyi A, Ihekweazu C, Poggensee G. A participatory and systemic training approach for IPC improvement in Nigerian health facilities. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa166.717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Health care-associated infections (HAI) are one of the most common adverse events in care delivery and a major public health problem. A large percentage of HAI in hospitals are preventable through effective infection prevention and control (IPC) measures. IPC trainings for health care personnel based only on technical content do not lead to sustainable improvement of IPC standard precautions. To address this problem, the Nigeria Centre for Disease Control (NCDC) in collaboration with the Robert Koch Institute (RKI) developed a multimodal training approach to facilitate the transfer of IPC competences into working routine in Nigerian health facilities.
Objectives
The training should foster the ability of health care workers to act and communicate participatory, analyze IPC problems systemically and to develop and perform tailored IPC activities in their health facilities. It should empower health care workers to initiate and promote sustainable IPC improvement locally.
Results
We developed a participatory training approach which focusses on the relational and organizational dimension of IPC. It addresses the human and infrastructural factors for IPC compliance in daily working routine. A variety of training methods offers practice tools in communication, systemic thinking and team work, and allows experiencing a participatory attitude. The training program consists of two face to face workshops and an interjacent field project. 28 Health care workers of 14 health facilities in Lagos State participated the first implementation of the training program in 2018. The training evaluation showed the high relevance of the training to the HCW. The field projects showed that the participants could apply the participatory approach for IPC improvement.
Conclusions
A participatory and systemic approach for IPC trainings enables health care workers to take action for IPC improvement locally.
Key messages
We developed and implemented a participatory training approach that addresses the relational and organizational dimension of IPC. Health care workers took tailored actions for IPC improvement locally.
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Affiliation(s)
- U Zocher
- Independent Consultant, Heidelberg, Germany
| | - T J Okwor
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C Dan-Nwafor
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - D Yahya
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - O Ita Ita
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - M Saleh
- Country Office Nigeria, Centres for Disease Control and Prevention, Abuja, Nigeria
| | - A Ogunniyi
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - C Ihekweazu
- Nigeria Centre for Disease Control, Abuja, Nigeria
| | - G Poggensee
- Centre for International Health, Robert Koch-Institute, Berlin, Germany
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Vaishnav AS, Alderwish E, Coleman KM, Saleh M, Makker P, Bhasin K, Bernstein NE, Skipitaris NT, Mountantonakis SE. Anatomic predictors of recurrence after cryoablation for atrial fibrillation: a computed tomography based composite score. J Interv Card Electrophysiol 2020; 61:293-302. [PMID: 32602004 DOI: 10.1007/s10840-020-00799-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 06/09/2020] [Indexed: 11/25/2022]
Abstract
BACKGROUND Effective pulmonary vein isolation (PVI) with cryoablation depends on adequate occlusion of pulmonary veins (PV) by the cryoballoon and is therefore likely to be affected by PV and left atrial (LA) anatomical characteristics and variants. Thus, the objective of this study was to investigate the effect of LA and PV anatomy, evaluated by computed tomography (CT), on acute and long-term outcomes of cryoablation for atrial fibrillation (AF). METHODS Fifty-eight patients (64.72 + 9.44 years, 60.3% male) undergoing cryoablation for paroxysmal or early persistent AF were included. Pre-procedural CT images were analyzed to evaluate LA dimensions and PV anatomical characteristics. Predictors of recurrence were identified using regression analysis. RESULTS 60.3% of patients had two PVs on each side with separate ostia, whereas 29.3% and 10.3% had right middle and left common PVs, respectively. The following anatomic characteristics were found to be independent predictors of recurrence: right superior PV ostial max:min diameter ratio > 1.32, left superior PV ostial max:min diameter ratio > 1.2, right superior PV antral circumference > 69.1 mm, right inferior PV antral circumference > 61.38 mm, right superior PV angle > 22.7°. Using these factors, LA diameter and right middle PV, a scoring model was created for prediction of "unfavorable" LA-PV anatomy (AUC = 0.867, p = 0.000009, score range = 0-7). Score of ≥ 4 predicted need for longer cryoenergy ablation (p = 0.039) and more frequent switch to radiofrequency energy (p = 0.066) to achieve PVI, and had a sensitivity of 83.3% and specificity of 82.5% to predict clinical recurrence. CONCLUSION CT-based scoring system is useful to identify "unfavorable" anatomy prior to cryo-PVI, which can result in procedural difficulty and poor outcomes.
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Affiliation(s)
- Aditi S Vaishnav
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Edris Alderwish
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Kristie M Coleman
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Moussa Saleh
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Parth Makker
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Kabir Bhasin
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Neil E Bernstein
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Nicholas T Skipitaris
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA
| | - Stavros E Mountantonakis
- Division of Cardiac Electrophysiology, Department of Cardiology, Northwell Health- Lenox Hill Heart and Lung, 100 East 77th Street, 2 Lachman, New York, NY, 10075, USA.
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Saleh M, Gabriels J, Chang D, Soo Kim B, Mansoor A, Mahmood E, Makker P, Ismail H, Goldner B, Willner J, Beldner S, Mitra R, John R, Chinitz J, Skipitaris N, Mountantonakis S, Epstein LM. Effect of Chloroquine, Hydroxychloroquine, and Azithromycin on the Corrected QT Interval in Patients With SARS-CoV-2 Infection. Circ Arrhythm Electrophysiol 2020; 13:e008662. [PMID: 32347743 PMCID: PMC7299095 DOI: 10.1161/circep.120.008662] [Citation(s) in RCA: 220] [Impact Index Per Article: 55.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Accepted: 04/28/2020] [Indexed: 02/06/2023]
Abstract
BACKGROUND The novel SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) is responsible for the global coronavirus disease 2019 pandemic. Small studies have shown a potential benefit of chloroquine/hydroxychloroquine±azithromycin for the treatment of coronavirus disease 2019. 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 and sudden cardiac death. METHODS Hospitalized patients treated with chloroquine/hydroxychloroquine±azithromycin from March 1 to the 23 at 3 hospitals within the Northwell Health system were included in this prospective, observational study. Serial assessments of the QT interval were performed. The primary outcome was QT prolongation resulting in Torsade de pointes. Secondary outcomes included QT prolongation, the need to prematurely discontinue any of the medications due to QT prolongation, and arrhythmogenic death. RESULTS Two hundred one patients were treated for coronavirus disease 2019 with chloroquine/hydroxychloroquine. Ten patients (5.0%) received chloroquine, 191 (95.0%) received hydroxychloroquine, and 119 (59.2%) also received azithromycin. The primary outcome of torsade de pointes was not observed in the entire population. Baseline corrected QT interval intervals did not differ between patients treated with chloroquine/hydroxychloroquine (monotherapy group) versus those treated with combination group (chloroquine/hydroxychloroquine and azithromycin; 440.6±24.9 versus 439.9±24.7 ms, P=0.834). The maximum corrected QT interval during treatment was significantly longer in the combination group versus the monotherapy group (470.4±45.0 ms versus 453.3±37.0 ms, P=0.004). Seven patients (3.5%) required discontinuation of these medications due to corrected QT interval prolongation. No arrhythmogenic deaths were reported. CONCLUSIONS In the largest reported cohort of coronavirus disease 2019 patients to date treated with chloroquine/hydroxychloroquine±azithromycin, no instances of Torsade de pointes, or arrhythmogenic death were reported. Although use of these medications resulted in QT prolongation, clinicians seldomly needed to discontinue therapy. Further study of the need for QT interval monitoring is needed before final recommendations can be made.
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Affiliation(s)
- Moussa Saleh
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
- Division of Electrophysiology, Department of Cardiology, Lenox Hill Hospital, Northwell Health, New York, NY (M.S., P.M., N.S., S.M.)
| | - James Gabriels
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - David Chang
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Beom Soo Kim
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Amtul Mansoor
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Eitezaz Mahmood
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Parth Makker
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
- Division of Electrophysiology, Department of Cardiology, Lenox Hill Hospital, Northwell Health, New York, NY (M.S., P.M., N.S., S.M.)
| | - Haisam Ismail
- Division of Electrophysiology, Department of Cardiology, Long Island Jewish Medical Center, Northwell Health, New Hyde Park (H.I., B.G.)
| | - Bruce Goldner
- Division of Electrophysiology, Department of Cardiology, Long Island Jewish Medical Center, Northwell Health, New Hyde Park (H.I., B.G.)
| | - Jonathan Willner
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Stuart Beldner
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Raman Mitra
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Roy John
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
| | - Jason Chinitz
- Division of Electrophysiology, Department of Cardiology, Southside Hospital, Northwell Health, Bay Shore (J.C.)
| | - Nicholas Skipitaris
- Division of Electrophysiology, Department of Cardiology, Lenox Hill Hospital, Northwell Health, New York, NY (M.S., P.M., N.S., S.M.)
| | - Stavros Mountantonakis
- Division of Electrophysiology, Department of Cardiology, Lenox Hill Hospital, Northwell Health, New York, NY (M.S., P.M., N.S., S.M.)
| | - Laurence M. Epstein
- Division of Electrophysiology, Department of Cardiology, North Shore University Hospital, Northwell Health, Manhasset, NY (M.S., J.G., D.C., B.S.K., A.M., E.M., P.M., J.W., S.B., R.M., R.J., L.M.E.)
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Alam MA, Saleh M, Mohsin GM, Nadirah TA, Aslani F, Rahman MM, Roy SK, Juraimi AS, Alam MZ. Evaluation of phenolics, capsaicinoids, antioxidant properties, and major macro‐micro minerals of some hot and sweet peppers and ginger land‐races of Malaysia. J FOOD PROCESS PRES 2020. [DOI: 10.1111/jfpp.14483] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Md. Amirul Alam
- Faculty of Sustainable Agriculture, Horticulture and Landscaping Program Universiti Malaysia Sabah Sandakan Campus Sandakan Malaysia
| | - M. Saleh
- Faculty of Bioresources and Food Industry School of Agriculture Science and Biotechnology Universiti Sultan Zainal Abidin Besut Campus Besut Malaysia
| | - Gazi Md. Mohsin
- Faculty of Agriculture Noakhali Science and Technology University Noakhali Bangladesh
| | - T. A. Nadirah
- Faculty of Bioresources and Food Industry School of Agriculture Science and Biotechnology Universiti Sultan Zainal Abidin Besut Campus Besut Malaysia
| | - Farzad Aslani
- Department of Botany Institute of Ecology and Earth Sciences University of Tartu Tartu Estonia
| | - M. M. Rahman
- East Coast Environment Research Institute (ESERI)Universiti Sultan Zainal Abidin Kuala Terengganu Malaysia
| | | | - Abdul Shukor Juraimi
- Department of Crop Science Faculty of Agriculture Universiti Putra MalaysiaUPM Serdang Malaysia
| | - M. Z. Alam
- Department of Plant, Food and Environmental Sciences Faculty of Agriculture Dalhousie University Halifax NS Canada
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Chang D, Saleh M, Gabriels J, Ismail H, Goldner B, Willner J, Beldner S, Mitra R, John R, Epstein LM. Inpatient Use of Ambulatory Telemetry Monitors for COVID-19 Patients Treated With Hydroxychloroquine and/or Azithromycin. J Am Coll Cardiol 2020; 75:2992-2993. [PMID: 32330546 PMCID: PMC7173810 DOI: 10.1016/j.jacc.2020.04.032] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Revised: 04/12/2020] [Accepted: 04/16/2020] [Indexed: 12/27/2022]
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Kokoszyński D, Bernacki Z, Biegniewska M, Saleh M, Stęczny K, Zwierzyński R, Kotowicz M, Sobczak M, Żochowska-Kujawska J, Wasilewski P, Bucek T, Kmiecik M. Carcass, physicochemical and sensory characteristics of meat from genetic reserve ducks after two reproductive seasons. S AFR J ANIM SCI 2020. [DOI: 10.4314/sajas.v50i1.7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The aim of the study was to compare carcass composition and meat quality of i) Pekin ducks of French origin (P9), ii) crosses of wild mallard and Pekin duck (K2), and iii) crosses of Khaki Campbell drakes and Orpington Fauve ducks (KhO1). Twenty carcasses from 110-week-old ducks of each genetic group were used. Carcass weight of P9 was significantly higher than that of K2 and KhO1. Carcasses of K2 ducks had a significantly lower percentage of neck and leg muscles and giblet weight compared with P9 and KhO1 ducks, while carcasses of KhO1 ducks had a significantly higher percentage of wing meat compared with K2 and P9, and a significantly lower percentage of breast muscles compared with P9 ducks. Breast and leg muscles of P9 contained significantly more water than those of K2 and KhO1, and the breast muscles of P9 ducks had more protein and less fat than those of KhO1 birds. The leg muscles of KhO1 contained significantly more protein, and those of K2 had significantly more fat than the other duck groups. Breast muscles of P9 and KhO1 ducks had significantly more collagen but had less in leg muscles compared with K2. Breast fillets from P9 ducks showed higher L*, a*, and b* colour values and shear force than K2 and KhO1 ducks.
Keywords: carcass composition, conservation flocks, meat quality, spent duck
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Gabriels J, Saleh M, Chang D, Epstein LM. Inpatient use of mobile continuous telemetry for COVID-19 patients treated with hydroxychloroquine and azithromycin. HeartRhythm Case Rep 2020; 6:241-243. [PMID: 32363144 PMCID: PMC7194904 DOI: 10.1016/j.hrcr.2020.03.017] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Affiliation(s)
- James Gabriels
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Moussa Saleh
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - David Chang
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Laurence M Epstein
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
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Affiliation(s)
- David Chang
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Moussa Saleh
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Youssef Garcia-Bengo
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Evan Choi
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Laurence Epstein
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
| | - Jonathan Willner
- Department of Cardiology, Division of Electrophysiology, North Shore University Hospital, Northwell Health, Manhasset, New York
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Saleh M. [Placoid pigment epitheliopathy and serpiginous choroiditis]. J Fr Ophtalmol 2020; 43:243-255. [PMID: 32007311 DOI: 10.1016/j.jfo.2019.04.022] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 04/02/2019] [Indexed: 11/19/2022]
Abstract
Placoid pigment epitheliopathy and serpiginous choroiditis are among the white dot retinal syndromes and possess similarities that can cause confusion between these two diseases. However, they are very different in terms of their progression and prognosis, which requires a diagnosis of certainty in order to better manage the patients with the diseases and identify potentially serious progressive complications. The clinical presentation, results of testing, differential diagnoses and treatment of these two pathologies are discussed in this article.
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Affiliation(s)
- M Saleh
- Ophthalmology department, Besançon University Regional Medical Centre, 3, boulevard Fleming, 25030 Besançon, France.
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Abstract
Placoid pigment epitheliopathy and serpiginous choroiditis are among the white dot retinal syndromes and possess similarities that can cause confusion between these two diseases. However, they are very different in terms of their progression and prognosis, which requires a diagnosis of certainty in order to better manage the patients with the diseases and identify potentially serious progressive complications. The clinical presentation, results of testing, differential diagnoses and treatment of these two pathologies are discussed in this article.
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Affiliation(s)
- M Saleh
- Ophthalmology Department, Besançon University Regional Medical Center, 3, boulevard Alexandre-Fleming, 25030 Besançon, France.
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Saleh M, Ahsan MJ, Lateef N, Shokr M, Badran H, Hassanin M, Aboeata A. P963Coronary orbital atherectomy manufacturers and user facility device experience (MAUDE) database: a 5-year analysis of real-world complications. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz747.0557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Coronary Orbital Atherectomy System was approved by the United States FDA (food and Drug Administration) on October 21st, 2013. The initial safety data were published in the ORBIT I trial.
Purpose
Evaluation of the reported real-life complications related to utilization of orbital coronary atherectomy system since its approval in the United States using the online FDA database.
Methods
The Manufacturer and User facility Device Experience (MAUDE) database was queried for all complication reports involving the orbital atherectomy (OA) “Diamondback 360 coronary orbital atherectomy system” from 1/1/2013 through 12/31/2018. All reports were searched for complications; mortality, perforation, dissections, device fragmentation, and the need for surgical intervention among reported procedures. Duplicate entries and data with no reporting on final procedure outcome were excluded.
Results
Over the allocated interval519 reports were identified. Seven reports were excluded (according to exclusion criteria).
Over the period of slightly more than five years, coronary perforation was the most commonly reported complication mounting to 44.14% of all the reports (226 reports). Device fragmentation was reported in 18.94% of the reports (97 reports). Surgery was needed to retrieve device fragments in 13 cases (13.4% of all device fragmentation reports). Coronary dissection represented 16.21% of the reports (83 reports) and total surgical interventions were needed in 14.25% of the cases (73 reports). Finally, total reported deaths were 121 cases (23.63% of the total reports).
Year 2013 2014 2015 2016 2017 2018 Number of reported complications 4 28 46 81 113 247
Percentage of reported complications
Discussion
The current analysis, representing data from real world reported complications to the FDA over a period of 5 years, shows that the most common reported complication during coronary orbital atherectomy was coronary perforations, followed by device breakings and fragmentation (which necessitated surgical intervention in almost 13.4% of those device fragmentation cases reported). It is hard to compare these data with published safety trials since the FDA database is involved in reporting complications and not total number of procedures. However the most striking complication involved device fragmentation, which was not seen or reported among the pivotal trials evaluating device safety. The current analysis may shed some light on a non reported complication among patients undergoing orbital atherectomy which might represent a gap between the device performance in real world as opposed to a well-designed study world.
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Affiliation(s)
- M Saleh
- Creighton University School of Medicine, Omaha, United States of America
| | - M J Ahsan
- Creighton University School of Medicine, Omaha, United States of America
| | - N Lateef
- Creighton University School of Medicine, Omaha, United States of America
| | - M Shokr
- Wayne State University, Detroit medical Center, Cardiology Department, Detroit, United States of America
| | - H Badran
- Ain Shams University, Department of Cardiovascular Medicine, Cairo, Egypt
| | - M Hassanin
- Toronto General Hospital, Toronto, Canada
| | - A Aboeata
- Creighton University School of Medicine, Omaha, United States of America
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Meric-Bernstam F, Somaiah N, DuBois S, Dumbrava EEI, Shapiro G, Patel M, Goel S, Bauer T, Pinchasik D, Annis A, Aivado M, Vukovic V, Saleh M. A phase IIa clinical trial combining ALRN-6924 and palbociclib for the treatment of patients with tumours harboring wild-type p53 and MDM2 amplification or MDM2/CDK4 co-amplification. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.037] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Almuntaser S, Saleh M, Kashyape P. Novel gene mutation of molybdenum cofactor deficiency. J Neurol Sci 2019. [DOI: 10.1016/j.jns.2019.10.1492] [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: 11/16/2022]
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Paluri R, Naik G, Li P, Mcardle T, Anderson A, Young M, Saleh M. Outcomes of Gastrointestinal cancers treated on Phase 1 clinical trials at O’Neal Comprehensive Cancer Center. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.239] [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: 11/12/2022] Open
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Saleh M, Cassier P, Eberst L, Naik G, II VM, Pant S, Terret C, Gao L, Long A, Mao H, McNeely S, Carlesi R, Fu S. Ramucirumab plus merestinib in previously treated metastatic colorectal cancer: safety, pharmacokinetic, and preliminary efficacy findings from a Phase 1 study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz157.007] [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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Gerber D, Curtin J, Saleh M, Boyd L, Lymberis S, Schiff P, Pothuri B, Lee J. Gastrointestinal fistula formation in cervical cancer patients who received bevacizumab. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.383] [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: 11/29/2022]
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Abdel-Basset M, Saleh M, Gamal A, Smarandache F. An approach of TOPSIS technique for developing supplier selection with group decision making under type-2 neutrosophic number. Appl Soft Comput 2019. [DOI: 10.1016/j.asoc.2019.01.035] [Citation(s) in RCA: 94] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Arej N, Antoun J, Waked R, Saab C, Saleh M, Waked N. [Screening for diabetic retinopathy by non-mydriatic fundus photography: First national campaign in Lebanon]. J Fr Ophtalmol 2019; 42:288-294. [PMID: 30857804 DOI: 10.1016/j.jfo.2018.12.005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [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: 07/05/2018] [Revised: 11/27/2018] [Accepted: 12/04/2018] [Indexed: 01/07/2023]
Abstract
INTRODUCTION Diabetic retinopathy (DR) is a leading cause of blindness worldwide. Non-mydriatic fundus photography (NMFP) has been adopted as a screening tool for this disease. We aim to determine the prevalence of DR through this method in Lebanese diabetic patients and to evaluate the impact of such screening in this population. MATERIALS AND METHODS This study explores data from an awareness and screening campaign conducted in Lebanon. Diabetic patients from multiple regions were referred by their endocrinologists to undergo NMFP using the Optomed SmartScope® handheld fundus camera. Photographs were interpreted by a remote observer, and recommendations were given accordingly. The prevalence of DR was calculated, and statistical analyses were performed on the clinical characteristics, fundus findings and number of referrals to ophthalmologists. RESULTS The campaign lasted 11 months, during which 2205 patients were examined in 37 screening locations. Out of the 97.41% of patients with type 2 diabetes mellitus, 12.56% had signs of DR, with no significant difference between the regions. 6.28% of the photos were uninterpretable. Positive results were associated with a longer duration of diabetes (P<0.01), treatment with insulin (P<0.01), as well as the presence and chronicity of systemic hypertension (P=0.01). 25% of patients with positive testing were retrospectively asked about their follow-up; only one third had an ophthalmologic examination as per the recommendation, among whom 68.18% underwent treatment for proliferative DR and/or diabetic macular edema. CONCLUSION Tele-ophthalmology is useful in mass screening for DR. The importance of dilated fundus examinations still needs to be highlighted for diabetic patients, and better collaboration between endocrinologists and ophthalmologists is required to improve screening outcomes.
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Affiliation(s)
- N Arej
- Département d'ophtalmologie, faculté de médecine, Université Saint-Joseph de Beyrouth, Liban.
| | - J Antoun
- Département d'ophtalmologie, faculté de médecine, Université Saint-Joseph de Beyrouth, Liban
| | - R Waked
- Département d'ophtalmologie, faculté de médecine, Université Saint-Joseph de Beyrouth, Liban
| | - C Saab
- Département d'endocrinologie, Hôpital du Sacré-Cœur, Baabda, Liban
| | - M Saleh
- Département de médecine interne, centre médical de l'université américaine de Beyrouth, Liban
| | - N Waked
- Département d'ophtalmologie, faculté de médecine, Université Saint-Joseph de Beyrouth, Liban
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