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  1. Article ; Online: Multisystem inflammatory syndrome in adults (MIS-A) following COVID-19 requiring venoarterial extracorporeal membrane oxygenation.

    Newman, Seth / Zou, Fengwei / Madan, Shivank / Sims, Daniel

    BMJ case reports

    2022  Volume 15, Issue 3

    Abstract: The SARS-CoV-2 virus has caused a global pandemic with serious impact around the world. Patients most commonly present with severe lung involvement and acute respiratory failure; however, multisystem inflammatory syndrome in adults (MIS-A) is a known- ... ...

    Abstract The SARS-CoV-2 virus has caused a global pandemic with serious impact around the world. Patients most commonly present with severe lung involvement and acute respiratory failure; however, multisystem inflammatory syndrome in adults (MIS-A) is a known-although rare-complication. We present a case of a 49-year-old patient who presented with combined cardiogenic and vasodilatory shock and was diagnosed with MIS-A. He initially required venoarterial extracorporeal membrane oxygenation and Impella for haemodynamic support but was able to be weaned off these devices with complete recovery of left ventricular systolic function. This case demonstrates that MIS-A may present as haemodynamic collapse in adults, but complete recovery is possible with proper haemodynamic support.
    MeSH term(s) Adult ; COVID-19 ; Extracorporeal Membrane Oxygenation/adverse effects ; Humans ; Male ; Middle Aged ; SARS-CoV-2 ; Shock, Cardiogenic/diagnosis ; Shock, Cardiogenic/etiology ; Shock, Cardiogenic/therapy ; Systemic Inflammatory Response Syndrome/complications ; Systemic Inflammatory Response Syndrome/therapy
    Language English
    Publishing date 2022-03-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2021-247427
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: What We Have Learned About Combining a Ketogenic Diet and Chemoimmunotherapy: a Case Report and Review of Literature.

    Sims, Daniel / Liman, Agnes K / Leung, Victoria / Hwang, Andrew / Means, Jeffrey / Liman, Andrew D

    Federal practitioner : for the health care professionals of the VA, DoD, and PHS

    2023  Volume 40, Issue Suppl 3, Page(s) S98–S104

    Abstract: Background: A high-fat, moderate-protein, low-carbohydrate ketogenic diet has been reported in the literature as a treatment option for patients with cancer.: Case presentation: A 69-year-old veteran was initially diagnosed with stage III colorectal ... ...

    Abstract Background: A high-fat, moderate-protein, low-carbohydrate ketogenic diet has been reported in the literature as a treatment option for patients with cancer.
    Case presentation: A 69-year-old veteran was initially diagnosed with stage III colorectal cancer and progressed to having liver, pancreatic, and omental lymph node involvement despite completing adjuvant FOLFOX (fluorouracil, leucovorin calcium, and oxaliplatin) after surgery. The patient was treated with FOLFIRI (fluorouracil, leucovorin calcium, and irinotecan hydrochloride) and bevacizumab, followed by encorafenib and cetuximab on progression. Subsequently, he received pembrolizumab but continued to progress. The patient was later placed on trifluridine/tipiracil and bevacizumab concurrent with a ketogenic diet. Positron emission tomography and carcinoembryonic antigen levels indicated disease stabilization for 10 months. On progression, the patient was transitioned to ipilumimab and nivolumab and continued to adhere to the ketogenic diet. The patient's disease has continued to remain stable for the past 1 year. His degree of ketosis was determined using the glucose ketone index. The patient continues to have a good quality of life during concurrent ketogenic diet and therapy.
    Conclusions: This case supports the tolerability of the ketogenic diet along with chemotherapy and immunotherapy and should be considered as an adjunct to standard cancer treatment. In this report, we reviewed the latest literature about cellular mechanism of the ketogenic diet and the efficacy and relationship with chemotherapy and immunotherapy. We are about to open a ketogenic diet protocol at the Veterans Affairs Central California Health Care System in Fresno.
    Language English
    Publishing date 2023-08-14
    Publishing country United States
    Document type Journal Article
    ISSN 1078-4497
    ISSN 1078-4497
    DOI 10.12788/fp.0399
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exophiala dermatitidis

    Seo, Jiyoung / Mangeshkar, Shaunak / Farooq, Muhammad U / Clark, Rachel Marie / Forest, Stephen J / Sims, Daniel B / Tauras, James / Murthy, Sandhya

    BMJ case reports

    2023  Volume 16, Issue 12

    Abstract: Fungal infective endocarditis, although rare, carries a high mortality risk. We present a case of successful multidisciplinary management ... ...

    Abstract Fungal infective endocarditis, although rare, carries a high mortality risk. We present a case of successful multidisciplinary management of
    MeSH term(s) Humans ; Male ; Mitral Valve/surgery ; Endocarditis, Bacterial/surgery ; Endocarditis/diagnosis ; Endocarditis/drug therapy ; Endocarditis/microbiology ; Exophiala ; Heart Valve Diseases/surgery ; Mycoses ; Heart Valve Prosthesis/adverse effects
    Language English
    Publishing date 2023-12-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ISSN 1757-790X
    ISSN (online) 1757-790X
    DOI 10.1136/bcr-2023-257224
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Outcomes of Non-ST-Segment Myocardial Infarction During Chronic Heart Failure and End-Stage Renal Disease.

    Alhuarrat, Majd Al Deen / Alhuarrat, Mohammed Rasoul / Varrias, Dimitrios / Patel, Snehal R / Sims, Daniel B / Latib, Azeem / Jorde, Ulrich P / Saeed, Omar

    The American journal of cardiology

    2023  Volume 200, Page(s) 1–7

    Abstract: Non-ST-segment myocardial infarction (NSTEMI) occurs frequently in a growing population of patients with chronic heart failure (HF) and end-stage renal disease (ESRD) but outcomes with invasive management approaches are unknown. We sought to determine in- ...

    Abstract Non-ST-segment myocardial infarction (NSTEMI) occurs frequently in a growing population of patients with chronic heart failure (HF) and end-stage renal disease (ESRD) but outcomes with invasive management approaches are unknown. We sought to determine in-hospital outcomes with percutaneous coronary intervention (PCI) in comparison with medical management only. The National Inpatient Sample was used to capture hospitalizations in the United States from 2006 to 2019. Admissions for NSTEMI in patients with chronic HF and ESRD were identified by International Classification of Diseases codes. The cohort was divided into those that received PCI or medical management only. In-hospital outcomes were compared by multivariable logistic regression and propensity matching. In 27,433 hospitalizations, 8,004 patients (29%) underwent PCI, and 19,429 (71%) were managed with medications only. PCI was associated with lower adjusted odds of death during hospitalization (adjusted odds ratio 0.59, 95% confidence interval 0.52 to 0.66, p <0.01). This association remained consistent after propensity matching (adjusted odds ratio 0.56, 95% confidence interval 0.49 to 0.64, p <0.01) and was apparent across all subtypes of HF. Patients with PCI had greater duration (5, 3, to 9 vs, 5, 3 to 8 days, p <0.01) and cost of hospitalization ($107,942, 70,230 to $173,182 vs, $44,156, 24,409 to $80,810, p <0.01). In conclusion, patients with HF and ESRD admitted for NSTEMI experienced lower in-hospital mortality with PCI in comparison with medical therapy only. Invasive percutaneous revascularization may be reasonable for appropriately selected patients with HF and ESRD but randomized controlled trials are needed to determine its safety and efficacy in this high-risk population.
    MeSH term(s) Humans ; United States/epidemiology ; Non-ST Elevated Myocardial Infarction/complications ; Non-ST Elevated Myocardial Infarction/epidemiology ; Non-ST Elevated Myocardial Infarction/therapy ; Percutaneous Coronary Intervention ; Treatment Outcome ; Myocardial Infarction/complications ; Myocardial Infarction/epidemiology ; Myocardial Infarction/therapy ; Heart Failure/complications ; Heart Failure/epidemiology ; Heart Failure/therapy ; Chronic Disease ; Kidney Failure, Chronic/complications ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/therapy ; Risk Factors
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80014-4
    ISSN 1879-1913 ; 0002-9149
    ISSN (online) 1879-1913
    ISSN 0002-9149
    DOI 10.1016/j.amjcard.2023.05.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Himalayan P Waves, Alpine A Waves.

    Vlismas, Peter P / Jorde, Ulrich P / Sims, Daniel B

    Circulation. Heart failure

    2019  Volume 12, Issue 10, Page(s) e006235

    MeSH term(s) Action Potentials ; Adult ; Atrial Function, Right ; Atrial Pressure ; Cardiomyopathy, Restrictive/complications ; Cardiomyopathy, Restrictive/diagnosis ; Cardiomyopathy, Restrictive/physiopathology ; Cardiomyopathy, Restrictive/surgery ; Electrocardiography ; Heart Atria/physiopathology ; Heart Failure/diagnosis ; Heart Failure/etiology ; Heart Failure/physiopathology ; Heart Failure/surgery ; Heart Rate ; Heart Transplantation ; Humans ; Male ; Predictive Value of Tests
    Language English
    Publishing date 2019-09-30
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2429459-7
    ISSN 1941-3297 ; 1941-3289
    ISSN (online) 1941-3297
    ISSN 1941-3289
    DOI 10.1161/CIRCHEARTFAILURE.119.006235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Systems of Care in Cardiogenic Shock.

    Alvarez Villela, Miguel / Clark, Rachel / William, Preethi / Sims, Daniel B / Jorde, Ulrich P

    Frontiers in cardiovascular medicine

    2021  Volume 8, Page(s) 712594

    Abstract: Outcomes for cardiogenic shock (CS) patients remain relatively poor despite significant advancements in primary percutaneous coronary interventions (PCI) and temporary circulatory support (TCS) technologies. Mortality from CS shows great disparities that ...

    Abstract Outcomes for cardiogenic shock (CS) patients remain relatively poor despite significant advancements in primary percutaneous coronary interventions (PCI) and temporary circulatory support (TCS) technologies. Mortality from CS shows great disparities that seem to reflect large variations in access to care and physician practice patterns. Recent reports of different models to standardize care in CS have shown considerable potential at improving outcomes. The creation of regional, integrated, 3-tiered systems, would facilitate standardized interventions and equitable access to care. Multidisciplinary CS teams at Level I centers would direct care in a hub-and-spoke model through jointly developed protocols and real-time shared decision making. Levels II and III centers would provide early access to life-saving therapies and safe transfer to designated hub centers. In regions with large geographical distances, the implementation of telemedicine-cardiac intensive care unit (CICU) care can be an important resource for the creation of effective systems of care.
    Language English
    Publishing date 2021-09-16
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2021.712594
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Case Report: My lung broke my heart! Takotsubo cardiomyopathy due to pneumonia.

    Ahmed, Navid / Gandhi, Himali / Sims, Daniel B

    F1000Research

    2018  Volume 7, Page(s) 518

    Abstract: Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. ... ...

    Abstract Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a cardiac syndrome that often mimics acute myocardial infarction. TTC is commonly triggered by physical or emotional stress; however, acute infection is a rarer etiology. This report concerns the case of an 82-year-old female who presented with non-positional and non-pleuritic chest pain, with an associated fever and cough and chest x-ray findings consistent with pneumonia. Cardiac enzymes and ECG findings were consistent with acute coronary syndrome (ACS); however, during coronary angiography, no coronary artery disease could explain the patient's ACS. A post-catheterization echocardiogram revealed an ejection fraction of 25%, with apical akinesis. A repeat echocardiogram 4 weeks after presentation showed a normal EF and normal wall motion, confirming a diagnosis of TTC.
    Language English
    Publishing date 2018-04-30
    Publishing country England
    Document type Case Reports
    ZDB-ID 2699932-8
    ISSN 2046-1402 ; 2046-1402
    ISSN (online) 2046-1402
    ISSN 2046-1402
    DOI 10.12688/f1000research.14546.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Effect of pulmonary artery pressure-guided therapy on heart failure readmission in a nationally representative cohort.

    Kishino, Yoshikazu / Kuno, Toshiki / Malik, Aaqib H / Lanier, Gregg M / Sims, Daniel B / Ruiz Duque, Ernesto / Briasoulis, Alexandros

    ESC heart failure

    2022  Volume 9, Issue 4, Page(s) 2511–2517

    Abstract: Aims: Pulmonary artery pressure (PAP)-guided therapy in patients with heart failure (HF) using the CardioMEMS (CMM) device, an implantable PAP sensor, has been shown to reduce HF hospitalizations in previous studies. We sought to evaluate the clinical ... ...

    Abstract Aims: Pulmonary artery pressure (PAP)-guided therapy in patients with heart failure (HF) using the CardioMEMS (CMM) device, an implantable PAP sensor, has been shown to reduce HF hospitalizations in previous studies. We sought to evaluate the clinical benefit of the CMM device in regard to 30, 90, and 180 day readmission rates in real-world usage.
    Methods and results: We queried the Nationwide Readmissions Database (NRD) to identify patients who underwent CMM implantation (International Classification of Diseases 9 and 10 codes) between the years 2014 and 2019 and studied their HF readmissions. Moreover, we compared CMM patients and their readmissions with a matched cohort of patients with HF but without CMM. Multivariable Cox regression analysis was performed to adjust for other predictors of readmissions. Prior to matching, we identified 5 326 530 weighted HF patients without CMM and 1842 patients with CMM. After propensity score matching for several patients and hospital-related characteristics, the cohort consisted of 1839 patients with CMM and 1924 with HF without CMM. Before matching, CMM patients were younger (67.0 ± 13.5 years vs. 72.3 ± 14.1 years, P < 0.001), more frequently male (62.7% vs. 51.5%, P < 0.001), with higher rates of prior percutaneous coronary intervention (16.9% vs. 13.2%, P = 0.002), peripheral vascular disease (29.6% vs. 17.8%, P < 0.001), pulmonary circulatory disorder (38.7% vs. 23.2%, P < 0.001), atrial fibrillation (51.2% vs. 45.3%, P = 0.002), prior left ventricular assist device (1.8% vs. 0.2%, P < 0.001), high income (32.2% vs. 16.4%, P < 0.001), and acute kidney disease (43.8% vs. 29.9%, P < 0.001). Readmission rates at 30 days were 17.3% vs. 20.9% for patients with vs. without CMM, respectively, and remained statistically significant after matching (17.3% vs. 21.5%, P = 0.002). The rates of 90 day (29.6% vs. 36.5%, P = 0.002) and 180 day (39.6% vs. 46.6%, P = 0.009) readmissions were lower in the CMM group. In a multivariable regression model, CMM was associated with lower risk of readmissions (hazard ratio 0.75, 95% confidence interval 0.63-0.89, P = 0.001).
    Conclusions: The CMM device was associated with reduced HF rehospitalization rates in a nationally representative cohort of HF patients, validating the clinical trial that led to the approval of this device and its utilization in the treatment of HF.
    MeSH term(s) Cardiac Resynchronization Therapy/methods ; Cardiac Resynchronization Therapy Devices ; Heart Failure/epidemiology ; Heart Failure/therapy ; Humans ; Male ; Patient Readmission ; Pulmonary Artery ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2022-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2814355-3
    ISSN 2055-5822 ; 2055-5822
    ISSN (online) 2055-5822
    ISSN 2055-5822
    DOI 10.1002/ehf2.13956
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Characteristics and Outcomes of COVID-19 Patients Supported by Venoarterial or Veno-Arterial-Venous Extracorporeal Membrane Oxygenation.

    Haroun, Magued W / Patel, Snehal R / Sims, Daniel B / Jorde, Ulrich P / Goldstein, Daniel J / Saeed, Omar

    Journal of cardiothoracic and vascular anesthesia

    2022  Volume 36, Issue 8 Pt B, Page(s) 2935–2941

    Abstract: Objectives: Cardiac injury has been reported in up to 20%-to-30% of patients with COVID-19, and severe disease can lead to cardiopulmonary failure. The role of mechanical circulatory support in these patients remains undetermined. The authors here aimed ...

    Abstract Objectives: Cardiac injury has been reported in up to 20%-to-30% of patients with COVID-19, and severe disease can lead to cardiopulmonary failure. The role of mechanical circulatory support in these patients remains undetermined. The authors here aimed to determine the characteristics and outcomes of patients with COVID-19 requiring venoarterial extracorporeal membrane oxygenation (VA ECMO) or veno-arterial-venous (VAV) ECMO support.
    Design and setting: A multicenter, retrospective case series.
    Participants: The cohort consisted of adult patients (18 years of age and older) with confirmed COVID-19 requiring VA ECMO or VAV ECMO support in the period from March 1, 2020, to April 30, 2021. Outcomes were recorded until July 31, 2021.
    Measurements and main results: To show factors related to death during hospitalization, patients were grouped as survivors and nonsurvivors. Kaplan-Meier analysis was used to estimate 90-day in-hospital mortality. Overall, 37 patients from 12 centers comprised the study cohort. The median patient age was 44 years old (interquartile range [IQR], 35-52), and 12 (32%) were female patients. The duration of ECMO support ranged from 2-to-132 days. At the end of the follow-up period, 13 patients (35%) were discharged or transferred alive, and 24 patients (65%) died during the hospitalization. The cumulative in-hospital mortality at 90 days was 64% (95% confidence interval: 47-81). During the time from intubation to VA ECMO or VAV ECMO initiation (1 day [IQR 0-7.5] v 6 days [IQR 2.5-14], p = 0.0383), body mass index (32 [IQR 26-36] v 37 [IQR 33-40], p = 0.009), and baseline C-reactive protein (7.15 v 38.9 mg/dL, p = 0.009) were higher in those who expired.
    Conclusion: Only one-third of the patients with COVID-19 requiring VA ECMO or VAV ECMO survived to discharge. Close monitoring of at-risk patients with early initiation of ECMO with circulatory support may further improve outcomes.
    MeSH term(s) Adolescent ; Adult ; COVID-19/therapy ; Extracorporeal Membrane Oxygenation ; Female ; Hospital Mortality ; Humans ; Kaplan-Meier Estimate ; Male ; Retrospective Studies
    Language English
    Publishing date 2022-02-04
    Publishing country United States
    Document type Journal Article ; Multicenter Study ; Research Support, N.I.H., Extramural
    ZDB-ID 1067317-9
    ISSN 1532-8422 ; 1053-0770
    ISSN (online) 1532-8422
    ISSN 1053-0770
    DOI 10.1053/j.jvca.2022.01.049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Seroreversion of positive anti-hepatitis C virus antibodies in left ventricular assist device recipients: Now you see them, now you don't.

    Sims, Daniel B / Kataria, Rachna / Rangasamy, Sabarivinoth / Jorde, Ulrich P

    Artificial organs

    2019  Volume 43, Issue 8, Page(s) 791–795

    Abstract: The clinical significance of positive anti-hepatitis C virus (anti-HCV) antibody tests in recipients of left ventricular assist devices remains unclear. In light of emerging evidence suggesting the possibility of persistent low-level HCV infection in ... ...

    Abstract The clinical significance of positive anti-hepatitis C virus (anti-HCV) antibody tests in recipients of left ventricular assist devices remains unclear. In light of emerging evidence suggesting the possibility of persistent low-level HCV infection in patients with positive anti-HCV antibody test but negative HCV ribonucleic acid, it is very important to distinguish the truly false positive HCV antibodies, in recipients of continuous flow left ventricular assist devices, from those suggestive of a prior clinically resolved infection or one where a low-level viremia may have persisted. We conducted a retrospective analysis of left ventricular assist device recipients at our institution. While the total incidence of positive HCV antibody with concomitantly negative HCV ribonucleic acid test (19.2%) was in keeping with the incidences reported in prior cross-sectional studies, we longitudinally followed our patients and observed a 100% seroreversion. Seroreversion, which has not been reported in other studies, occurred either during continued left ventricular assist device support (10 out of 26) or after heart transplant (7 out of 26). Hundred percent seroreversion strongly suggested that the anti-HCV antibodies were truly false positive.
    MeSH term(s) Adult ; Aged ; False Positive Reactions ; Female ; Heart-Assist Devices ; Hepatitis C/blood ; Hepatitis C/diagnosis ; Hepatitis C Antibodies/blood ; Humans ; Longitudinal Studies ; Male ; Middle Aged
    Chemical Substances Hepatitis C Antibodies
    Language English
    Publishing date 2019-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 441812-8
    ISSN 1525-1594 ; 0160-564X
    ISSN (online) 1525-1594
    ISSN 0160-564X
    DOI 10.1111/aor.13433
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