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  1. Article ; Online: Detection of Previously Unrecognized (Subclinical) Atrial Fibrillation.

    Kochav, Stephanie M / Reiffel, James A

    The American journal of cardiology

    2020  Volume 127, Page(s) 169–175

    Abstract: Atrial fibrillation (AF) has been associated with increased morbidity and mortality, even when symptoms are absent and the arrhythmia is unrecognized (e.g., subclinical AF [SCAF]). Despite substantial evidence demonstrating an association between AF and ... ...

    Abstract Atrial fibrillation (AF) has been associated with increased morbidity and mortality, even when symptoms are absent and the arrhythmia is unrecognized (e.g., subclinical AF [SCAF]). Despite substantial evidence demonstrating an association between AF and adverse outcomes, the role of mass screening for previously unrecognized SCAF, such that its individual and population risks may be reduced by prophylactic therapy, remains uncertain. Many AF screening strategies exist, from pulse palpation and single-use devices to implanted cardiac monitors; however, existing guidelines are insufficient in specifying who to screen and for how long. In general, higher age, more (and more severe) comorbidities, and longer monitoring periods are associated with greater detection of SCAF. Herein we review the significance of previously unrecognized SCAF and current status of SCAF detection methods. We then propose a clinical approach to help clinicians incorporate AF screening into their practice. In conclusion, we report that SCAF may not be rare, that inserted cardiac monitors have the highest yield of SCAF detection, that clinical concern regarding SCAF is appropriate, but that evidence for therapy mandates is still being collected.
    MeSH term(s) Asymptomatic Diseases/epidemiology ; Atrial Fibrillation/diagnosis ; Atrial Fibrillation/epidemiology ; Electrocardiography/methods ; Humans ; Mass Screening/methods ; Risk Factors
    Language English
    Publishing date 2020-04-23
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Review
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2020.04.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Peak into the Pace of Cardiac Amyloidosis.

    Kochav, Stephanie M / Dizon, Jose' / Maurer, Mathew S

    JACC. Clinical electrophysiology

    2020  Volume 6, Issue 9, Page(s) 1155–1157

    MeSH term(s) Amyloidosis ; Cardiac Pacing, Artificial ; Electronics ; Humans
    Language English
    Publishing date 2020-09-22
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2846739-5
    ISSN 2405-5018 ; 2405-500X ; 2405-500X
    ISSN (online) 2405-5018 ; 2405-500X
    ISSN 2405-500X
    DOI 10.1016/j.jacep.2020.05.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: The Link Between CHA

    M Kochav, Stephanie / A Reiffel, James

    Journal of atrial fibrillation

    2020  Volume 12, Issue 6, Page(s) 2303

    Abstract: Stroke is a leading cause of morbidity and mortality. The majority of strokes are ischemic and a subset of these are due to atrial fibrillation (AF). Other etiologies include a variety of cardiovascular disorders. The ... ...

    Abstract Stroke is a leading cause of morbidity and mortality. The majority of strokes are ischemic and a subset of these are due to atrial fibrillation (AF). Other etiologies include a variety of cardiovascular disorders. The CHA
    Language English
    Publishing date 2020-04-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2451936-4
    ISSN 1941-6911
    ISSN 1941-6911
    DOI 10.4022/jafib.2303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Cardiac Sympathetic Denervation for the Management of Ventricular Arrhythmias.

    Kochav, Stephanie M / Garan, Hasan / Gorenstein, Lyall A / Wan, Elaine Y / Yarmohammadi, Hirad

    Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

    2022  Volume 65, Issue 3, Page(s) 813–826

    Abstract: Background: The autonomic nervous system contributes to the pathogenesis of ventricular arrhythmias (VA). Though anti-arrhythmic drug therapy and catheter ablation are the mainstay of management of VAs, success may be limited in patients with more ... ...

    Abstract Background: The autonomic nervous system contributes to the pathogenesis of ventricular arrhythmias (VA). Though anti-arrhythmic drug therapy and catheter ablation are the mainstay of management of VAs, success may be limited in patients with more refractory arrhythmias. Sympathetic modulation is increasingly recognized as a valuable adjunct tool for managing VAs in patients with structural heart disease and inherited arrhythmias.
    Results: In this review, we explore the role of the sympathetic nervous system and rationale for cardiac sympathetic denervation (CSD) in VAs and provide a disease-focused review of the utility of CSD for patients both with and without structural heart disease.
    Conclusions: We conclude that CSD is a reasonable therapeutic option for patients with VA, both with and without structural heart disease. Though not curative, many studies have demonstrated a significant reduction in the burden of VAs for the majority of patients undergoing the procedure. However, in patients with unilateral CSD and subsequent VA recurrence, complete bilateral CSD may provide long-lasting reprieve from VA.
    MeSH term(s) Humans ; Heart Diseases ; Arrhythmias, Cardiac ; Denervation
    Language English
    Publishing date 2022-04-09
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-022-01211-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Tafamidis and Incidence of Atrial Fibrillation in Transthyretin Amyloid Cardiomyopathy.

    Girvin, Zachary P / Sweat, Austin O / Kochav, Stephanie M / Maurer, Mathew S / Dizon, Jose / Wan, Elaine Y / Biviano, Angelo / Garan, Hasan / Yarmohammadi, Hirad

    JACC. Clinical electrophysiology

    2023  Volume 9, Issue 4, Page(s) 586–587

    MeSH term(s) Humans ; Prealbumin/genetics ; Atrial Fibrillation/drug therapy ; Atrial Fibrillation/epidemiology ; Incidence ; Cardiomyopathies/epidemiology
    Chemical Substances tafamidis (8FG9H9D31J) ; Prealbumin
    Language English
    Publishing date 2023-01-18
    Publishing country United States
    Document type Letter ; Research Support, N.I.H., Extramural
    ZDB-ID 2846739-5
    ISSN 2405-5018 ; 2405-500X ; 2405-500X
    ISSN (online) 2405-5018 ; 2405-500X
    ISSN 2405-500X
    DOI 10.1016/j.jacep.2022.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Effect of Ventricular Pacing on Morbidity in Adults After Fontan Repair.

    Kochav, Jonathan D / Rosenbaum, Marlon / Kochav, Stephanie M / Slater, Emily / Wassercug-Zemer, Noa / Lewis, Matthew J

    The American journal of cardiology

    2020  Volume 125, Issue 8, Page(s) 1263–1269

    Abstract: Implantation of a permanent pacemaker is a negative prognostic marker in patients with Fontan palliation; however, data delineating outcomes in adult patients with pacemaker requirements are lacking. We hypothesize that high ventricular pacing burden is ... ...

    Abstract Implantation of a permanent pacemaker is a negative prognostic marker in patients with Fontan palliation; however, data delineating outcomes in adult patients with pacemaker requirements are lacking. We hypothesize that high ventricular pacing burden is associated with adverse outcomes in adult Fontan patients. We performed a retrospective review comprising adult patients with history of Fontan repair. A high burden of ventricular pacing was defined as ≥40% pacing. Major adverse clinical events (MACE) were defined as all-cause mortality or need for advanced cardiac therapies (ventricular assist device or heart transplant). A total of 145 adult patients with Fontan were studied for a median of 3.1 years. Twenty (14%) patients had implanted pacemakers with ≥40% ventricular pacing. Twelve events occurred in those with ≥40% ventricular pacing (incidence 60.0%) versus 11 in those without (incidence 8.8%). In multivariable analysis, ≥40% ventricular-pacing (odds ratio 12.51, confidence interval [CI] 3.56 to 43.83, p <0.001) was associated with MACE independent of initial Fontan type, New York Heart Association functional class at baseline, or history of atrial tachyarrythmia. In survival analysis, patients with ≥40% ventricular pacing had nearly 8 times the risk of MACE compared with those with a lower ventricular pacing burden (hazard ratio 7.79, 95% CI 2.56 to 23.66, p <0.001), whereas patients with atrial-only or <40% ventricular pacing burden had a trend toward higher hazard of MACE compared with those without permanent pacemaker (hazard ratio 3.38, 95% CI 0.92 to 12.47, p = 0.07) that did not meet statistical significance. These findings suggest that high ventricular pacing burden contributes to poor outcomes in the adult Fontan patients and bear consideration when determining optimal treatment of tachyarrhythmias in this population.
    MeSH term(s) Adult ; Cardiac Pacing, Artificial/statistics & numerical data ; Female ; Fontan Procedure ; Heart Block/physiopathology ; Heart Block/therapy ; Heart Defects, Congenital/surgery ; Heart Septal Defects/surgery ; Heart Transplantation/statistics & numerical data ; Heart-Assist Devices/statistics & numerical data ; Humans ; Hypoplastic Left Heart Syndrome/surgery ; Male ; Mortality ; Odds Ratio ; Pacemaker, Artificial ; Postoperative Complications/physiopathology ; Postoperative Complications/therapy ; Proportional Hazards Models ; Retrospective Studies ; Sick Sinus Syndrome/physiopathology ; Sick Sinus Syndrome/therapy ; Tricuspid Atresia/surgery ; Young Adult
    Language English
    Publishing date 2020-02-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2020.01.026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Clinical and echocardiographic features of paradoxical low-flow and normal-flow severe aortic stenosis patients with concomitant mitral regurgitation.

    Ngiam, Jinghao Nicholas / Chew, Nicholas / Teng, Rebecca / Kochav, Jonathan D / Kochav, Stephanie M / Tan, Benjamin Yong-Qiang / Sim, Hui Wen / Sia, Ching-Hui / Kong, William K F / Tay, Edgar Lik Wui / Yeo, Tiong-Cheng / Poh, Kian-Keong

    The international journal of cardiovascular imaging

    2019  Volume 36, Issue 3, Page(s) 441–446

    Abstract: Mitral regurgitation (MR) coexists in a significant proportion of patients with severe aortic stenosis (AS), and portends inferior therapeutic outcomes. In severe AS, MR is thought to contribute to a low-flow state by decreasing forward stroke volume. We ...

    Abstract Mitral regurgitation (MR) coexists in a significant proportion of patients with severe aortic stenosis (AS), and portends inferior therapeutic outcomes. In severe AS, MR is thought to contribute to a low-flow state by decreasing forward stroke volume. We investigated concomitant MR on the clinical and echocardiographic features of patients with "paradoxical" low-flow (PLF) and normal-flow (NF) severe AS. Clinical and echocardiographic profiles of 886 consecutive patients with index echocardiographic diagnosis of severe AS (AVA < 1.0 cm
    MeSH term(s) Aged ; Aged, 80 and over ; Aortic Valve/diagnostic imaging ; Aortic Valve/physiopathology ; Aortic Valve Stenosis/complications ; Aortic Valve Stenosis/diagnostic imaging ; Aortic Valve Stenosis/physiopathology ; Diastole ; Echocardiography, Doppler, Color ; Echocardiography, Doppler, Pulsed ; Female ; Hemodynamics ; Humans ; Male ; Middle Aged ; Mitral Valve/diagnostic imaging ; Mitral Valve/physiopathology ; Mitral Valve Insufficiency/complications ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/physiopathology ; Predictive Value of Tests ; Prognosis ; Retrospective Studies ; Severity of Illness Index ; Stroke Volume ; Ventricular Function, Left
    Language English
    Publishing date 2019-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2055311-0
    ISSN 1875-8312 ; 1573-0743 ; 1569-5794 ; 0167-9899
    ISSN (online) 1875-8312 ; 1573-0743
    ISSN 1569-5794 ; 0167-9899
    DOI 10.1007/s10554-019-01735-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Application of Proteomics Profiling for Biomarker Discovery in Hypertrophic Cardiomyopathy.

    Shimada, Yuichi J / Hasegawa, Kohei / Kochav, Stephanie M / Mohajer, Pouya / Jung, Jeeyoun / Maurer, Mathew S / Reilly, Muredach P / Fifer, Michael A

    Journal of cardiovascular translational research

    2019  Volume 12, Issue 6, Page(s) 569–579

    Abstract: High-throughput proteomics profiling has never been applied to discover biomarkers in patients with hypertrophic cardiomyopathy (HCM). The objective was to identify plasma protein biomarkers that can distinguish HCM from controls. We performed a case- ... ...

    Abstract High-throughput proteomics profiling has never been applied to discover biomarkers in patients with hypertrophic cardiomyopathy (HCM). The objective was to identify plasma protein biomarkers that can distinguish HCM from controls. We performed a case-control study of patients with HCM (n = 15) and controls (n = 22). We carried out plasma proteomics profiling of 1129 proteins using the SOMAscan assay. We used the sparse partial least squares discriminant analysis to identify 50 most discriminant proteins. We also determined the area under the curve (AUC) of the receiver operating characteristic curve using the Monte Carlo cross validation with balanced subsampling. The average AUC was 0.94 (95% confidence interval, 0.82-1.00) and the discriminative accuracy was 89%. In HCM, 13 out of the 50 proteins correlated with troponin I and 12 with New York Heart Association class. Proteomics profiling can be used to elucidate protein biomarkers that distinguish HCM from controls.
    MeSH term(s) Aged ; Biomarkers/blood ; Blood Proteins/analysis ; Cardiomyopathy, Hypertrophic/blood ; Cardiomyopathy, Hypertrophic/diagnosis ; Case-Control Studies ; Female ; High-Throughput Screening Assays ; Humans ; Least-Squares Analysis ; Male ; Middle Aged ; Predictive Value of Tests ; Protein Interaction Maps ; Proteomics
    Chemical Substances Biomarkers ; Blood Proteins
    Language English
    Publishing date 2019-07-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2422411-X
    ISSN 1937-5395 ; 1937-5387
    ISSN (online) 1937-5395
    ISSN 1937-5387
    DOI 10.1007/s12265-019-09896-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Cardiac Arrhythmias in COVID-19 Infection.

    Kochav, Stephanie M / Coromilas, Ellie / Nalbandian, Ani / Ranard, Lauren S / Gupta, Aakriti / Chung, Mina K / Gopinathannair, Rakesh / Biviano, Angelo B / Garan, Hasan / Wan, Elaine Y

    Circulation. Arrhythmia and electrophysiology

    2020  Volume 13, Issue 6, Page(s) e008719

    MeSH term(s) Aged ; Arrhythmias, Cardiac/diagnosis ; Arrhythmias, Cardiac/etiology ; Arrhythmias, Cardiac/physiopathology ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/complications ; Coronavirus Infections/diagnosis ; Electrocardiography ; Fatal Outcome ; Female ; Follow-Up Studies ; Heart Rate/physiology ; Humans ; Male ; Middle Aged ; Pandemics ; Pneumonia, Viral/complications ; Pneumonia, Viral/diagnosis ; Radiography, Thoracic ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-05-20
    Publishing country United States
    Document type Case Reports ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2426129-4
    ISSN 1941-3084 ; 1941-3149
    ISSN (online) 1941-3084
    ISSN 1941-3149
    DOI 10.1161/CIRCEP.120.008719
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Difference in Metabolomic Response to Exercise between Patients with and without Hypertrophic Cardiomyopathy.

    Shimada, Yuichi J / Batra, Jaya / Kochav, Stephanie M / Patel, Parth / Jung, Jeeyoun / Maurer, Mathew S / Hasegawa, Kohei / Reilly, Muredach P / Fifer, Michael A

    Journal of cardiovascular translational research

    2020  Volume 14, Issue 2, Page(s) 246–255

    Abstract: It is unclear how hypertrophic cardiomyopathy (HCM) affects cardiac metabolic pathways at rest and with exercise. This case-control study compared 15 cases with HCM to 2 control groups without HCM. Metabolomic profiling of 210 metabolites was carried out ...

    Abstract It is unclear how hypertrophic cardiomyopathy (HCM) affects cardiac metabolic pathways at rest and with exercise. This case-control study compared 15 cases with HCM to 2 control groups without HCM. Metabolomic profiling of 210 metabolites was carried out at rest and at peak exercise. The 50 most discriminant metabolites differentially regulated during exercise were selected using partial least squares discriminant analysis. Pathway enrichment analysis was also performed. At rest, no significant difference was observed in metabolomic profiling of HCM cases as compared to controls. By contrast, there were significant differences in metabolomic profiling in response to exercise (p < 0.05) in the following metabolic pathways: the aminoacyl-tRNA biosynthesis pathway; the nitrogen metabolism pathway; the glycine, serine, and threonine metabolism pathway; and the arginine and proline metabolism pathway. The present study demonstrates differential regulation of several metabolic pathways in patients with HCM in the setting of exercise stress.
    MeSH term(s) Adult ; Aged ; Biomarkers/blood ; Cardiomyopathy, Hypertrophic/blood ; Cardiomyopathy, Hypertrophic/diagnosis ; Cardiomyopathy, Hypertrophic/physiopathology ; Case-Control Studies ; Exercise ; Exercise Test ; Female ; Humans ; Male ; Metabolome ; Metabolomics ; Middle Aged ; Predictive Value of Tests
    Chemical Substances Biomarkers
    Language English
    Publishing date 2020-06-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2422411-X
    ISSN 1937-5395 ; 1937-5387
    ISSN (online) 1937-5395
    ISSN 1937-5387
    DOI 10.1007/s12265-020-10051-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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