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Vipparthy S, Ravi V. Does conduction system pacing result in a lower atrial arrhythmia burden compared to right ventricular pacing? J Interv Card Electrophysiol 2024; 67:437-438. [PMID: 38087146 DOI: 10.1007/s10840-023-01707-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2023] [Accepted: 11/21/2023] [Indexed: 04/14/2024]
Affiliation(s)
| | - Venkatesh Ravi
- Saint Francis Heart and Vascular Institute, 6151 S Yale Ave, Suite 1304, Tulsa, OK, 74136, USA.
- Oklahoma State University, Stillwater, USA.
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Ravi V, Vipparthy S, Sanders DJ, Huang H, Larsen T, Trohman R, Vijayaraman P, Sharma PS. Novel Intraprocedural Assessment of the Optimal Modality for Cardiac Resynchronization in Patients With LBBB/IVCD Pattern. JACC Clin Electrophysiol 2023; 9:2652-2654. [PMID: 37855767 DOI: 10.1016/j.jacep.2023.08.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 08/29/2023] [Accepted: 08/30/2023] [Indexed: 10/20/2023]
Affiliation(s)
- Venkatesh Ravi
- Saint Francis Cardiology, Saint Francis Health System, Tulsa, Oklahoma, USA
| | - Sharath Vipparthy
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA
| | - David J Sanders
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA
| | - Henry Huang
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA
| | - Timothy Larsen
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA
| | - Richard Trohman
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA
| | | | - Parikshit S Sharma
- Division of Cardiac Electrophysiology, Rush University Medical Center, Chicago, Illinois, USA.
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Kambhatla S, Vipparthy S, Manadan AM. Rheumatic diseases associated with alveolar hemorrhage: analysis of the national inpatient sample. Clin Rheumatol 2023; 42:1177-1183. [PMID: 36396790 PMCID: PMC9672553 DOI: 10.1007/s10067-022-06449-9] [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] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 11/06/2022] [Accepted: 11/10/2022] [Indexed: 11/19/2022]
Abstract
OBJECTIVE Diffuse alveolar hemorrhage (DAH) is a severe pulmonary complication of numerous diseases, including rheumatic conditions. We have conducted an observational study using inpatient data from the National Inpatient Sample to study the relationship of DAH with rheumatic conditions along with their descriptive characteristics. METHODS An observational study was conducted on hospitalizations in 2016-2018 with a principal diagnosis of DAH from the United States National Inpatient Sample database. A multivariate logistic regression analysis was performed to calculate adjusted odds ratios (ORadj) for risk factors of DAH. RESULTS A total of 5420 DAH hospitalizations were identified among 90 million hospitalizations. Mortality in this group was found to be 24.3%. Majority of patients admitted with DAH were white and male, with a mean age of 61.8 years and a mean LOS of 10.6 days. Multivariate analysis showed that multiple rheumatic diseases were associated with DAH, including anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) (ORadj 72.56) (95% C.I. 50.607-104.043), antiphospholipid antibody syndrome (APLS) (ORadj 6.51) (95% C.I. 3.734-11.366), eosinophilic granulomatosis with polyangiitis (EGPA) (ORadj 7.13) (95% C.I. 1.886-26.926), Goodpasture's (ORadj 30.58) (95% C.I. 16.360-57.176), rheumatoid arthritis (RA) (ORadj 1.60) (95% C.I. 1.158-2.212), sarcoidosis (ORadj 3.99) (95% C.I. 2.300-6.926), and systemic lupus (SLE) (ORadj 5.82) (95% C.I. 3.993-8.481). CONCLUSION Although DAH is a relatively rare entity, it carries a very high mortality. Multiple rheumatic diseases were associated with DAH hospitalizations including AAV, APLS, EGPA, Goodpasture's, RA, sarcoidosis, and SLE. Key points • It is known that DAH carries a high morbidity and mortality based on prior literature. However, large datasets on the association of rheumatic diseases with DAH are lacking • This study identifies the descriptive characteristics of patients admitted to the hospital with DAH • This study also identifies the strength of association of rheumatic diseases with DAH.
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Affiliation(s)
- Soumyasri Kambhatla
- Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL, 60612, USA.
| | - Sharath Vipparthy
- Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL, 60612, USA
| | - Augustine M Manadan
- Rheumatology Program Director, Cook County Hospital, Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL, 60612, USA
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Chiang C, Vipparthy S, Ayub MT, Trohman RG, Larsen TR, Huang HD, Krishnan K, Engelstein ED, Haw JM, Sharma PS, Wasserlauf J. Comparison of electrocautery platforms for pulse generator replacement procedures. J Interv Card Electrophysiol 2022; 64:557-558. [PMID: 35668166 DOI: 10.1007/s10840-022-01261-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/26/2022] [Indexed: 11/26/2022]
Affiliation(s)
- Caleb Chiang
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Sharath Vipparthy
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Muhammad Talha Ayub
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Richard G Trohman
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Timothy R Larsen
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Henry D Huang
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | | | - Erica D Engelstein
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Janet M Haw
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Parikshit S Sharma
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA
| | - Jeremiah Wasserlauf
- Division of Cardiology, Department of Internal Medicine, Rush University Medical Center, 1717 W. Congress Pkwy., Suite 331, Chicago, IL, 60612, USA.
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