Publications by authors named "D M Kaulesar Sukul"

Article Synopsis
  • The study examined the impact of out-of-pocket (OOP) costs on adherence to cardiac rehabilitation (CR) programs among patients with cardiovascular issues.
  • A retrospective analysis of nearly 44,000 beneficiaries found that those who paid more for their first CR session attended significantly fewer sessions overall.
  • The results indicated that higher OOP expenses were linked to decreased participation in CR, suggesting that lowering these costs could enhance adherence rates among patients facing financial barriers.
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Background: Little is known about institutional radiation doses during transcatheter valve interventions.

Objectives: The authors sought to evaluate institutional variability in radiation doses during transcatheter valve interventions.

Methods: Using a large statewide registry, transcatheter edge-to-edge mitral valve repair, transcatheter mitral valve replacement, and transcatheter aortic valve replacement procedures between January 1, 2020, and December 31, 2022, with an air kerma (AK) recorded were analyzed.

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Background: Coronary artery disease remains the largest contributor to cardiac arrests worldwide; yet, long-term outcomes are often driven by neurological status after resuscitation. We examined the association between pre-percutaneous coronary intervention (PCI) level of consciousness (LOC) and outcomes among patients with cardiac arrest who underwent PCI.

Methods: The study cohort included patients undergoing PCI after cardiac arrest between April 2018 and March 2022 at 48 hospitals in the state of Michigan.

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Article Synopsis
  • Cardiac rehabilitation (CR) is effective post-percutaneous coronary intervention (PCI), but it isn't utilized enough; a liaison-mediated referral (LMR) may help increase participation by informing patients about CR's benefits before they leave the hospital.
  • In a study of over 9,000 PCI patients, those who received an LMR had a significantly higher participation rate in CR sessions within 90 days of discharge (43.1% vs. 32.4%).
  • The LMR group not only participated more but also started their CR sessions sooner, indicating that this referral method could effectively enhance patient outcomes after PCI.
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Article Synopsis
  • This study evaluated the effectiveness and safety of a new procedure called splanchnic nerve ablation for managing fluid volume in patients with heart failure and preserved ejection fraction (HFpEF).* -
  • Conducted as a phase 2, double-blind, randomized trial involving 90 patients across 15 centers, the study compared the outcomes of the nerve ablation procedure to a sham control.* -
  • Results showed no significant differences in both the primary outcomes (reduction in pulmonary capillary wedge pressure) and safety events between the treatment and control groups, suggesting that the nerve ablation may not provide the expected benefits for these patients.*
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