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  1. Article ; Online: Misdiagnosis in the COVID-19 Era: When Zebras Are Everywhere, Don't Forget the Horses.

    Yousefzai, Rayan / Bhimaraj, Arvind

    JACC. Case reports

    2020  Volume 2, Issue 10, Page(s) 1614–1619

    Abstract: We describe a patient who presented with respiratory failure, chest pain, and fever. In the COVID-19 pandemic era, the focus was diverted to the coronavirus infection, and ST-segment elevation myocardial infarction was missed. Although we need to be ... ...

    Abstract We describe a patient who presented with respiratory failure, chest pain, and fever. In the COVID-19 pandemic era, the focus was diverted to the coronavirus infection, and ST-segment elevation myocardial infarction was missed. Although we need to be vigilant in the diagnosis of COVID-19, we should not forget about the common disorders. (
    Keywords covid19
    Language English
    Publishing date 2020-04-27
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2666-0849
    ISSN (online) 2666-0849
    DOI 10.1016/j.jaccas.2020.04.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Procedural Insights and Clinical Outcomes of a Novel Superior Vena Cava Occlusion Device for Acute Heart Failure: A Single-Center Experience.

    Yousefzai, Rayan / Patel, Kelsey / Barr, Deborah / Kapur, Navin K / Bhimaraj, Arvind

    ASAIO journal (American Society for Artificial Internal Organs : 1992)

    2023  

    Abstract: The preCARDIA system is a device combining a balloon-mounted catheter and an extracorporeal system designed for intermittent occlusion of the superior vena cava. Studies have established safety and efficacy in acute decompensated heart failure. We ... ...

    Abstract The preCARDIA system is a device combining a balloon-mounted catheter and an extracorporeal system designed for intermittent occlusion of the superior vena cava. Studies have established safety and efficacy in acute decompensated heart failure. We present a single-center experience detailing 90 days outcomes and procedural insights. A 24 hours therapy session demonstrated reduced pulmonary wedge pressures and increased urine output, with cardiac output remaining unchanged. There was one readmission and no heart failure-related readmissions at 90 days. The preCARDIA device appears to be a safe mechanical diuretic strategy to manage patients with acute decompensated heart failure beyond current therapeutic strategies.
    Language English
    Publishing date 2023-12-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 759982-1
    ISSN 1538-943X ; 0162-1432 ; 1058-2916
    ISSN (online) 1538-943X
    ISSN 0162-1432 ; 1058-2916
    DOI 10.1097/MAT.0000000000002121
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  3. Article: Misdiagnosis in the COVID era: When Zebras are Everywhere, Don't Forget the Horses

    Yousefzai, Rayan / Bhimaraj, Arvind

    Abstract: We report a patient who presented with respiratory failure, chest pain, and fever. In the COVID-19 pandemic era, the focus was diverted to the coronavirus infection, and STEMI was missed. Even though we need to be vigilant in the diagnosis of COVID-19, ... ...

    Abstract We report a patient who presented with respiratory failure, chest pain, and fever. In the COVID-19 pandemic era, the focus was diverted to the coronavirus infection, and STEMI was missed. Even though we need to be vigilant in the diagnosis of COVID-19, we should not forget about the common pathologies.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #125200
    Database COVID19

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  4. Article ; Online: Misdiagnosis in the COVID-19 Era

    Yousefzai, Rayan / Bhimaraj, Arvind

    JACC: Case Reports

    2020  Volume 2, Issue 10, Page(s) 1614–1619

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2666-0849
    DOI 10.1016/j.jaccas.2020.04.018
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Prosthetic valve endocarditis: multiple complications in one patient.

    Yousefzai, Rayan / Khandheria, Bijoy K

    European heart journal cardiovascular Imaging

    2015  Volume 16, Issue 8, Page(s) 881

    MeSH term(s) Aged ; Comorbidity ; Echocardiography, Transesophageal ; Endocarditis/diagnostic imaging ; Endocarditis/microbiology ; Fatal Outcome ; Heart Valve Prosthesis/adverse effects ; Humans ; Male ; Methicillin-Resistant Staphylococcus aureus ; Prosthesis-Related Infections/diagnostic imaging ; Prosthesis-Related Infections/microbiology ; Staphylococcal Infections/diagnostic imaging ; Staphylococcal Infections/microbiology
    Language English
    Publishing date 2015-08
    Publishing country England
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 2638345-7
    ISSN 2047-2412 ; 2047-2404
    ISSN (online) 2047-2412
    ISSN 2047-2404
    DOI 10.1093/ehjci/jev075
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    Zs.A 5614: Show issues Location:
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  6. Article ; Online: Effectiveness of combined plasma cell therapy and costimulation blockade based desensitization regimen in heart transplant candidates.

    Fida, Nadia / Eagar, Todd N / Yun, Allison N / Rogers, Alex W / Nguyen, Duc T / Graviss, Edward A / Ishaq, Farhan / DiPaola, Nicholas R / Kim, Ju / Janardhana, Gorthi / Kassi, Mahwash / Yousefzai, Rayan / Suarez, Eric E / Bhimaraj, Arvind / Krisl, Jill C / Guha, Ashrith

    Clinical transplantation

    2024  Volume 38, Issue 2, Page(s) e15249

    Abstract: Background: Desensitization is one of the strategies to reduce antibodies and facilitate heart transplantation in highly sensitized patients. We describe our center's desensitization experience with combination of plasma cell (PC) depletion therapy ( ... ...

    Abstract Background: Desensitization is one of the strategies to reduce antibodies and facilitate heart transplantation in highly sensitized patients. We describe our center's desensitization experience with combination of plasma cell (PC) depletion therapy (with proteasome inhibitor or daratumumab) and costimulation blockade (with belatacept).
    Methods: We reviewed five highly sensitized patients who underwent desensitization therapy with plasma cell depletion and costimulation blockade. We evaluated the response to therapy by measuring the changes in cPRA, average MFI, and number of positive beads > 5000MFI.
    Results: Five patients, mean age of 56 (37-66) years with average cPRA of 98% at 5000 MFI underwent desensitization therapy. After desensitization, mean cPRA decreased from 98% to 70% (p = .09), average number of beads > 5000 MFI decreased from 59 to 37 (p = .15), and average MFI of beads > 5000 MFI decreased from 16713 to 13074 (p = .26).
    Conclusion: Combined PC depletion and CoB could be a reasonable strategy for sustained reduction in antibodies in highly sensitized patients being listed for heart transplantation.
    MeSH term(s) Humans ; Middle Aged ; Abatacept/therapeutic use ; Abatacept/pharmacology ; Desensitization, Immunologic ; Graft Rejection/etiology ; Graft Rejection/prevention & control ; Heart Transplantation ; HLA Antigens ; Isoantibodies ; Plasma Cells ; Proteasome Inhibitors ; Adult ; Aged
    Chemical Substances Abatacept (7D0YB67S97) ; HLA Antigens ; Isoantibodies ; Proteasome Inhibitors
    Language English
    Publishing date 2024-02-18
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 639001-8
    ISSN 1399-0012 ; 0902-0063
    ISSN (online) 1399-0012
    ISSN 0902-0063
    DOI 10.1111/ctr.15249
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  7. Article ; Online: Ventricular arrhythmias prior to continuous flow left ventricular assist device implantation were not associated with reduced 1-year mortality: a single-center experience.

    Pandat, Summit / Rothstein, Peter / Laird, Rachel / Islam, Momin / Zaid, Syed / Truman, Amy / Bhimaraj, Arvind / Yousefzai, Rayan / Guha, Ashrith / Schurmann, Paul / Dave, Amish / Valderrábano, Miguel / Mathuria, Nilesh

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

    2023  

    Language English
    Publishing date 2023-11-23
    Publishing country Netherlands
    Document type Letter
    ZDB-ID 1329179-8
    ISSN 1572-8595 ; 1383-875X
    ISSN (online) 1572-8595
    ISSN 1383-875X
    DOI 10.1007/s10840-023-01698-3
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    Zs.A 5214: Show issues Location:
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  8. Article ; Online: Palliative Care in Heart Failure.

    Ghashghaei, Roxana / Yousefzai, Rayan / Adler, Eric

    Progress in cardiovascular diseases

    2016  Volume 58, Issue 4, Page(s) 455–460

    Abstract: Heart failure (HF) is a leading cause of morbidity and mortality worldwide, with limited curative options. Palliative care is a holistic, symptom based approach to patients that has been proven to improve the quality of life for both patients and their ... ...

    Abstract Heart failure (HF) is a leading cause of morbidity and mortality worldwide, with limited curative options. Palliative care is a holistic, symptom based approach to patients that has been proven to improve the quality of life for both patients and their caregivers. In this review we will summarize the epidemiology of end stage HF and the data supporting the use of palliative care in this patient population. We will also review basic principles of palliative care as they apply to caring for end stage patients.
    MeSH term(s) Age Distribution ; Defibrillators, Implantable ; Evidence-Based Medicine ; Heart Failure/diagnosis ; Heart Failure/epidemiology ; Heart Failure/mortality ; Heart Failure/therapy ; Heart-Assist Devices ; Humans ; Incidence ; Length of Stay ; Palliative Care/methods ; Quality of Life ; Risk Factors ; Treatment Outcome ; United States/epidemiology
    Language English
    Publishing date 2016-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 209312-1
    ISSN 1873-1740 ; 1532-8643 ; 0033-0620
    ISSN (online) 1873-1740 ; 1532-8643
    ISSN 0033-0620
    DOI 10.1016/j.pcad.2016.01.002
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  9. Article ; Online: Multimodality Imaging in Hypereosinophilic Syndrome With Cardiac Involvement.

    Arunachalam, Karuppiah / Beale, Charles / Apostolidou, Eirini / Atalay, Michael / Levine, Daniel / Aspry, Karen / Yousefzai, Rayan

    CASE (Philadelphia, Pa.)

    2019  Volume 3, Issue 4, Page(s) 149–156

    Language English
    Publishing date 2019-05-16
    Publishing country United States
    Document type Case Reports
    ISSN 2468-6441
    ISSN (online) 2468-6441
    DOI 10.1016/j.case.2019.03.003
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  10. Article ; Online: Outflow cannula alignment in continuous flow left ventricular devices is associated with stroke.

    Kassi, Mahwash / Agrawal, Tanushree / Xu, Jiaqiong / Marcos-Abdala, Hernan Gerardo / Araujo-Gutierrez, Raquel / Macgillivray, Thomas / Suarez, Erik E / Yousefzai, Rayan / Fida, Nadia / Kim, Ju H / Hussain, Imad / Guha, Ashrith / Trachtenberg, Barry / Bhimaraj, Arvind / Chang, Su Min / Estep, Jerry

    The International journal of artificial organs

    2023  Volume 46, Issue 4, Page(s) 226–234

    Abstract: We sought to evaluate whether differences in left ventricular assist device (LVAD) canula alignment are associated with stroke. There is a paucity of clinical data on contribution of LVAD canulae alignment to strokes. We conducted a retrospective ... ...

    Abstract We sought to evaluate whether differences in left ventricular assist device (LVAD) canula alignment are associated with stroke. There is a paucity of clinical data on contribution of LVAD canulae alignment to strokes. We conducted a retrospective analysis of patients who underwent LVAD implantation at Houston Methodist hospital from 2011 to 2016 and included those who had undergone cardiac computed tomography (CT) with contrast. LVAD graft alignment using X-ray, echocardiography, and cardiac CT was evaluated. The primary outcome was stroke within 1 year of LVAD implantation. Of the 101 patients that underwent LVAD Implantation and cardiac CT scan during the study period, 78 met inclusion criteria. The primary outcome occurred in 12 (15.4%) patients with a median time to stroke of 77 days (interquartile range: 42-132 days). Of these, 10 patients had an ischemic and two had hemorrhagic strokes. The predominant device type was Heart Mate II (94.8%). Patients with LVAD outflow cannula to aortic angle lesser than 37.5° and those with outflow graft diameter of anastomosis less than 1.5 cm (assessed by cardiac CT) had significantly higher stroke risk (
    MeSH term(s) Humans ; Retrospective Studies ; Heart Failure ; Cannula ; Echocardiography ; Stroke/diagnostic imaging ; Stroke/etiology ; Heart-Assist Devices/adverse effects
    Language English
    Publishing date 2023-03-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80456-3
    ISSN 1724-6040 ; 0391-3988
    ISSN (online) 1724-6040
    ISSN 0391-3988
    DOI 10.1177/03913988231154284
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