Publications by authors named "Aimen Shafiq"

Background: The prevalence of type 2 diabetes (T2D) and obesity are increasing in the United States. However, population-level data for mortality trends due to T2D and obesity are limited. This study aims to assess these death trends among adults in the United States categorized by sex, race, and geographical location.

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Background: Cancer induced chronic inflammation and cancer drugs effects on the vascular system can lead to rapidly progressing atherosclerotic burden. Statins drugs are known to reduce atherosclerotic plaque burden and inflammation. We studied outcomes of statins for anthracycline-related cardiac dysfunction (ARCD).

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Background: A large number of patients undergoing noncardiac surgeries are on long-term use of angiotensin-converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARBs). The current guidelines regarding the continuation or discontinuation of renin-angiotensin-aldosterone system inhibitors (RAAS) inhibitors before noncardiac surgery are conflicting. This meta-analysis aims to evaluate whether continuing or withholding RAAS inhibitors before noncardiac surgery influences perioperative mortality and complications.

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  • Nearly half of US adults have obesity, leading to a rise in coronary artery disease (CAD) deaths, which researchers are tracking by age, sex, race, and location.
  • * The study analyzed data from the CDC-WONDER database, revealing that deaths related to CAD and obesity increased from 1999 to 2022, with a significant surge during the COVID-19 pandemic.
  • * Males and non-Hispanic Black individuals experienced higher mortality rates compared to females and other racial groups, and rural areas had higher death rates than urban counterparts.*
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  • Myocarditis is an inflammatory heart disease that can lead to serious complications like heart failure and affects the heart's ability to function properly.
  • Current methods for diagnosing myocarditis, such as biopsies and imaging, are expensive and invasive, prompting the need for better biomarkers.
  • A review of existing literature seeks to improve understanding of myocarditis by identifying effective diagnostic markers and enhancing patient outcomes through early detection and treatment.
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  • Oral anticoagulants (OACs) are commonly used to treat atrial fibrillation (AF), while antiplatelet agents are typically used for coronary artery disease (CAD); however, the effectiveness of OAC monotherapy versus dual antithrombotic therapy in these patients is not well-studied.
  • A search of various medical databases identified three randomized control trials (RCTs) involving 3,945 patients, showing that OAC monotherapy significantly reduces the risk of major bleeding compared to dual therapy, with comparable rates of death and other serious events.
  • The findings suggest that OAC monotherapy is safer in terms of bleeding risk, while still providing similar protection against serious ischemic events and overall mortality when
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Heart failure (HF) patients frequently exhibit iron deficiency, which is associated with a poor prognosis. Although various trials have been conducted, it is uncertain if intravenous (IV) iron replenishment improves clinical outcomes in HF patients with iron deficiency. A comprehensive literature search was conducted using PubMed/MEDLINE, Embase, and the Cochrane Library from inception till 15 September 2023 to retrieve randomized controlled trials (RCTs) that compared IV iron therapy with placebo or standard of care in patients with HF and iron deficiency.

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Introduction: Long-term follow-up results of various trials comparing Zotarolimus eluting stents (ZES) with Everolimus eluting stents (EES) have been published recently. Additionally, over the last decade, there have been new trials comparing the ZES with various commercially available EES. We aim to conduct an updated meta-analysis in light of new evidence from randomized controlled trials (RCTs) to provide comprehensive evidence regarding the temporal trends in the clinical outcomes.

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Heart failure (HF) affects more than 60 million individuals globally. Empagliflozin is currently approved for type 2 diabetes and chronic HF. Clinical trials have demonstrated that empagliflozin reduces the composite end point of hospitalizations for HF and mortality and improves the quality of life irrespective of left ventricular ejection fraction.

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Background: Optical Coherence Tomography (OCT), a high-resolution imaging modality, guides stent implantation during percutaneous coronary intervention (PCI). However, OCT-guided PCI safety and efficacy data is limited.

Methods: MEDLINE, Embase, and Cochrane Central were searched for randomized controlled trials (RCTs) comparing OCT-guided PCI to Angiography-guided PCI from inception to August 2023.

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One of the leading environmental hazards, ionizing radiation, is linked to several detrimental health consequences in the body. RADPAD (Worldwide Innovations & Technologies, Inc., Kansas City, Kansas) is a sterile, lead-free, lightweight, disposable radiation protection shield.

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Aims: The once-weekly insulin icodec, a new basal insulin analog, may positively support a reduction in injection frequency and improve adherence to therapy in type 2 diabetes (T2D). This study aimed to evaluate the safety and efficacy of insulin icodec compared with those of once-daily glargine U100.

Methods: A comprehensive literature search was conducted using PubMed/MEDLINE, Embase and the Cochrane Library from inception till September 2023.

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  • A systematic review and meta-analysis compared two techniques for harvesting internal mammary arteries (IMA) during coronary artery bypass grafting (CABG): pedicled and skeletonized.
  • The study analyzed 31 research papers involving 13,005 patients, finding that skeletonized IMA significantly reduced the risk of sternal wound infections and had better postoperative flow rates but resulted in longer conduit lengths.
  • While both techniques showed similar mortality rates, pedicled harvesting was linked to fewer myocardial infarctions (MI) and had better graft patency compared to the skeletonized method.
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Limited data comparing prasugrel and ticagrelor in acute coronary syndrome are available. Online databases, including MEDLINE and Cochrane Central, were queried to compare these drugs. The primary outcomes of this meta-analysis are myocardial infarction (MI), all-cause mortality, cardiovascular mortality, noncardiovascular mortality, stent thrombosis, and stroke.

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The American Heart Association (AHA) and the European Society of Cardiology (ESC) recommend nurse-inclusive multidisciplinary care for patients with heart failure (HF). However, there is no meta-analysis that focuses specifically on the impact of nurse-coordinated multidisciplinary care. Considering this literature gap, we conducted this review that seeks to systematically synthesize the current evidence available regarding the impact of nurse-coordinated multidisciplinary care on clinical outcomes in patients with HF.

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T cell lymphoma, a type of non-Hodgkin lymphomas is a rare form of malignancy with poor outcomes. TCLS are a heterogeneous group of lymphoid malignancies that occur in nodal and extranodal sites. There are two main types of TCLs namely T-lymphoblastic lymphoma/leukemia and Peripheral T-cell lymphomas classified based on clinical manifestations and cytogenetic mutations.

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Empagliflozin (Jardiance®) is an insulin independent antihyperglycemic agent used in treatment of T2D.The drug is a sodium glucose cotransporter-2 (SGLT2) inhibitor approved in USA and Europe and other countries of the world. As empagliflozin demonstrates cardioprotective and Reno protective properties its prime target are patients having CVD and CKD complicated by T2D.

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