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  1. Article ; Online: Intracardiac pseudophallus.

    Alexandrino, Francisco B / Greason, Kevin L / Padang, Ratnasari

    European heart journal

    2023  Volume 45, Issue 1, Page(s) 73

    MeSH term(s) Humans ; Heart ; Echocardiography
    Language English
    Publishing date 2023-11-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 603098-1
    ISSN 1522-9645 ; 0195-668X
    ISSN (online) 1522-9645
    ISSN 0195-668X
    DOI 10.1093/eurheartj/ehad732
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    Zs.A 1563: Show issues Location:
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  2. Article ; Online: Up, up and away! Atrial septal pouch thrombus: an unexpected encounter during transeptal puncture.

    Sanz, Juan G Ripoll / Luis, Sushil A / Alkhouli, Mohamad A / Padang, Ratnasari

    Journal of echocardiography

    2023  

    Language English
    Publishing date 2023-06-13
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2209473-8
    ISSN 1880-344X ; 1349-0222
    ISSN (online) 1880-344X
    ISSN 1349-0222
    DOI 10.1007/s12574-023-00608-w
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  3. Article ; Online: Paroxysmal sinus deceleration: an under-recognized show stopper.

    Luis, Sushil Allen / Ayoub, Chadi / Padang, Ratnasari

    European heart journal. Case reports

    2022  Volume 6, Issue 10, Page(s) ytac389

    Language English
    Publishing date 2022-09-23
    Publishing country England
    Document type Editorial
    ISSN 2514-2119
    ISSN (online) 2514-2119
    DOI 10.1093/ehjcr/ytac389
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  4. Article ; Online: The Morphologic Spectrum of the Tricuspid Valve: Anatomical Implications for Transcatheter Edge-to-Edge Repair.

    De Gaspari, Monica / Layman, Andrew J / Pazdernik, Vanessa K / Maalouf, Joseph / Padang, Ratnasari / Bois, Melanie C / Maleszewski, Joseph J

    JACC. Cardiovascular interventions

    2024  Volume 17, Issue 7, Page(s) 949–951

    MeSH term(s) Humans ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery ; Treatment Outcome ; Tricuspid Valve Insufficiency/diagnostic imaging ; Tricuspid Valve Insufficiency/surgery ; Heart Valve Prosthesis Implantation/adverse effects ; Cardiac Catheterization
    Language English
    Publishing date 2024-04-10
    Publishing country United States
    Document type Letter
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2024.01.304
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    Zs.A 6669: Show issues Location:
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  5. Article ; Online: Diastolic Dysfunction Pre-Transcatheter Aortic Valve Replacement: Is it Too Late?

    Pellikka, Patricia A / Padang, Ratnasari

    JACC. Cardiovascular interventions

    2018  Volume 11, Issue 6, Page(s) 602–604

    MeSH term(s) Aortic Valve/surgery ; Heart Valve Prosthesis ; Humans ; Transcatheter Aortic Valve Replacement ; Ventricular Dysfunction, Left
    Language English
    Publishing date 2018-03-01
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2452157-7
    ISSN 1876-7605 ; 1936-8798
    ISSN (online) 1876-7605
    ISSN 1936-8798
    DOI 10.1016/j.jcin.2018.01.267
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  6. Article ; Online: Right heart catheterization predictors of symptomatic improvement in patients undergoing transcatheter tricuspid valve edge-to-edge repair.

    Rezkalla, Joshua / Reddy, Yogesh / Nishimura, Rick A / Padang, Ratnasari / Pislaru, Sorin V / Rihal, Charanjit S / Eleid, Mackram F

    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

    2023  Volume 102, Issue 2, Page(s) 348–358

    Abstract: Background: Transcatheter tricuspid valve edge-to-edge repair (TTEER) is associated with improvement in outcomes for symptomatic patients with severe tricuspid regurgitation (TR). However, reliable predictors for clinical success are not yet fully ... ...

    Abstract Background: Transcatheter tricuspid valve edge-to-edge repair (TTEER) is associated with improvement in outcomes for symptomatic patients with severe tricuspid regurgitation (TR). However, reliable predictors for clinical success are not yet fully defined. This study aims to describe right heart catheterization (RHC) findings in patients referred for TTEER and identify hemodynamic characteristics of patients who experience immediate symptomatic improvement following successful TR intervention.
    Methods: Patients who underwent TTEER and had a separate RHC within the preceding 6 months were included. Hemodynamic tracings from the RHC and TTEER procedures were reviewed and recorded. Clinical success was defined as a successful device implant with at least 1-grade of TR reduction and improvement in NYHA class by 1 or more grades on 30-day echocardiogram and clinical follow-up.
    Results: Thirteen patients underwent an RHC within 6 months of TTEER procedure (median age 76 years [IQR: 73-80]). All patients were on a stable dose of loop diuretics. Baseline right atrial pressure was severely elevated (mean 19 mmHg [IQR: 9-24 mmHg]) with prominent CV waves. Median pulmonary capillary wedge pressure (PCWP) was 20 mmHg (IQR: 14-22) and 70% of patients had a mean PCWP > 15 mmHg at rest. Median PCWP CV-wave was 34 mmHg (IQR: 23-42). Higher PCWP CV-wave height (40 mmHg [IQR 33-43] versus 18 mmHg [IQR 17-31]) was associated with lower likelihood of clinical success (OR 0.83, 95% CI: 0.35-0.97, p = 0.04).
    Conclusions: Inclusion of invasive hemodynamics as part of pre-TTEER evaluation may allow for improved TR phenotyping and patient selection. Patients with a large left atrial CV wave on resting RHC were less likely to experience immediate symptomatic improvement despite procedural success with TTEER.
    MeSH term(s) Humans ; Aged ; Tricuspid Valve/diagnostic imaging ; Tricuspid Valve/surgery ; Heart Valve Prosthesis Implantation ; Treatment Outcome ; Tricuspid Valve Insufficiency/diagnostic imaging ; Tricuspid Valve Insufficiency/surgery ; Tricuspid Valve Insufficiency/etiology ; Cardiac Catheterization
    Language English
    Publishing date 2023-06-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1459995-8
    ISSN 1522-726X ; 1522-1946
    ISSN (online) 1522-726X
    ISSN 1522-1946
    DOI 10.1002/ccd.30754
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    Zs.A 1226: Show issues Location:
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  7. Article ; Online: Isolated Aortic Regurgitation: A Tale of Two Disorders.

    Luis, Sushil Allen / Padang, Ratnasari / Murphy, Joseph G

    Mayo Clinic proceedings

    2019  Volume 94, Issue 7, Page(s) 1131–1134

    MeSH term(s) Aortic Valve ; Aortic Valve Insufficiency ; Echocardiography ; Humans
    Language English
    Publishing date 2019-07-04
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 124027-4
    ISSN 1942-5546 ; 0025-6196
    ISSN (online) 1942-5546
    ISSN 0025-6196
    DOI 10.1016/j.mayocp.2019.05.013
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  8. Article ; Online: Pulmonary Vein Flow Morphology After Transcatheter Mitral Valve Edge-to-Edge Repair as Predictor of Survival.

    El Shaer, Ahmed / Chavez Ponce, Alejandra A / Ali, Mays T / Oguz, Didem / Pislaru, Sorin V / Nkomo, Vuyisile T / Padang, Ratnasari / Eleid, Mackram F / Guerrero, Mayra / Reeder, Guy S / Rihal, Charanjit S / Alkhouli, Mohamad / Thaden, Jeremy J

    Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography

    2024  Volume 37, Issue 5, Page(s) 530–537

    Abstract: Background: Data on the prognostic factors after mitral valve (MV) transcatheter edge-to-edge repair (TEER; MV-TEER) are limited. Pulsed-wave Doppler interrogation of pulmonary vein flow (PVF) is a convenient method to assess the hemodynamic burden of ... ...

    Abstract Background: Data on the prognostic factors after mitral valve (MV) transcatheter edge-to-edge repair (TEER; MV-TEER) are limited. Pulsed-wave Doppler interrogation of pulmonary vein flow (PVF) is a convenient method to assess the hemodynamic burden of residual mitral regurgitation (MR), which could be of utility as a predictor of outcomes.
    Methods: Patients that underwent MV-TEER between May 2014 and December 2021 at our institution were evaluated. Pulmonary vein flow patterns post-MV-TEER were reviewed on the procedural transesophageal echocardiogram and classified as normal (systolic dominant or codominant) or abnormal (systolic blunting or reversal). The PVF pattern was correlated with all-cause mortality at follow-up.
    Results: Two-hundred sixty-five patients had diagnostic PVF post-MV-TEER, with 73 (27.5%) categorized as normal and 192 (72.5%) categorized as abnormal. Patients with abnormal PVF morphology were more likely to have atrial fibrillation (70% vs 42%, P < .001) and greater than moderate residual MR (16% vs 3%, P = .01) and had higher mean left atrial pressure (18.1 ± 5.0 vs 15.9 ± 4.2 mm Hg, P = .002) and left atrial V wave (26.6 ± 8.5 vs 21.4 ± 7.3 mm Hg, P < .001) postprocedure. In multivariable analysis, abnormal PVF morphology post-MV-TEER was independently associated with mortality at follow-up (hazard ratio = 1.70; 95% CI, 1.06-2.74; P = .03) after correction for end-stage renal disease, atrial fibrillation, and residual MR. Results were similar in subgroups of patients with moderate or less and those with mild or less residual MR.
    Conclusions: Pulmonary vein flow morphology is a simple and objective tool to assess MR severity immediately post-MV-TEER and offers important prognostic information to optimize procedural results. Additional studies are needed to determine whether patients with abnormal PVF pattern post-MV-TEER would benefit from more intensive goal-directed medical therapy postprocedure.
    MeSH term(s) Humans ; Pulmonary Veins/diagnostic imaging ; Pulmonary Veins/surgery ; Pulmonary Veins/physiopathology ; Male ; Female ; Mitral Valve Insufficiency/physiopathology ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/surgery ; Mitral Valve/diagnostic imaging ; Mitral Valve/physiopathology ; Aged ; Echocardiography, Transesophageal/methods ; Cardiac Catheterization/methods ; Retrospective Studies ; Survival Rate ; Prognosis ; Echocardiography, Doppler, Pulsed/methods
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1035622-8
    ISSN 1097-6795 ; 0894-7317
    ISSN (online) 1097-6795
    ISSN 0894-7317
    DOI 10.1016/j.echo.2024.01.016
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  9. Article ; Online: Comparison of Tricuspid Annular Dimension Measurements Using Automated Three-Dimensional Transthoracic Echocardiography and Computed Tomography in Patients Evaluated for Transcatheter Tricuspid Valve Intervention.

    Danielson, Alex P / Collins, Jeremy D / Pislaru, Sorin V / Padang, Ratnasari / Kane, Garvan C / Foley, Thomas A / Williamson, Eric E / Eleid, Mackram F / Thaden, Jeremy J

    Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography

    2024  

    Language English
    Publishing date 2024-03-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1035622-8
    ISSN 1097-6795 ; 0894-7317
    ISSN (online) 1097-6795
    ISSN 0894-7317
    DOI 10.1016/j.echo.2024.02.012
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  10. Article ; Online: The role of stress echocardiography in the evaluation of coronary artery disease and myocardial ischemia in women.

    Padang, Ratnasari / Pellikka, Patricia A

    Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

    2016  Volume 23, Issue 5, Page(s) 1023–1035

    Abstract: Considering the unfavorable prognosis of women with ischemic heart disease, an aggressive but safe approach to evaluate women presenting with chest pain is warranted so that coronary artery disease (CAD) can be identified and treated early. Stress ... ...

    Abstract Considering the unfavorable prognosis of women with ischemic heart disease, an aggressive but safe approach to evaluate women presenting with chest pain is warranted so that coronary artery disease (CAD) can be identified and treated early. Stress echocardiography (SE) has matured into an invaluable technique for the noninvasive detection of obstructive epicardial CAD. Its versatility, accuracy, safety, noninvasiveness, and lack of radiation exposure make SE an attractive technique to apply to the assessment of women with known or suspected heart disease. This article focuses on the current evidence supporting the role of SE in the assessment of CAD and myocardial ischemia in women.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Coronary Artery Disease/complications ; Coronary Artery Disease/diagnostic imaging ; Echocardiography, Stress/methods ; Evidence-Based Medicine ; Exercise Test/methods ; Female ; Humans ; Image Enhancement/methods ; Middle Aged ; Myocardial Ischemia/diagnostic imaging ; Myocardial Ischemia/etiology ; Myocardial Perfusion Imaging/methods ; Prognosis ; Reproducibility of Results ; Sensitivity and Specificity ; Vasodilator Agents ; Women's Health ; Young Adult
    Chemical Substances Vasodilator Agents
    Language English
    Publishing date 2016-07-25
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1212505-2
    ISSN 1532-6551 ; 1071-3581
    ISSN (online) 1532-6551
    ISSN 1071-3581
    DOI 10.1007/s12350-016-0592-2
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