Publications by authors named "Erika Hutt Centeno"

Gated positron emission testing with computed tomography (PET-CT) yields left ventricular (LV) volume analysis along with perfusion analysis. The correlation between PET-CT volumes and cardiac magnetic resonance imaging (CMR) volumes remains unknown. Understanding of the accuracy of these volumes and ejection fractions (EF) by PET is clinically relevant, particularly in the sarcoid population where patients receive initial diagnostic CMR and then are followed by PET for inflammation.

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Purpose: Exercise intolerance is a hallmark of the postural orthostatic tachycardia syndrome (POTS). However, no data are available on the implications of an exaggerated submaximal heart rate (HR) on exercise intolerance in patients. We investigated whether exaggerated HR responses occurring early on during incremental stress testing relate with increased odds of POTS and exercise intolerance.

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Article Synopsis
  • Coronary inflammation affects the water and lipid balance in perivascular adipose tissue (PVAT), and combining this with additional fibrotic and microvascular changes may enhance cardiac risk prediction.
  • A new AI method analyzes the radiomic profile of coronary PVAT, using data from three studies to link gene expression with CT imaging features related to inflammation and fibrosis.
  • In a large cohort of patients, the developed fat radiomic profile (FRP) successfully predicted major adverse cardiac events (MACE) better than traditional risk factors, improving risk stratification significantly.
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Background: Prior studies have reported ECG (Electrocardiogram) changes during tilt table testing (TTT), specifically during repolarization with ST-segment and T-wave changes. The correlation with ischemic evaluation remains unclear. The purpose of this study was to analyze the prevalence of ST-segment changes during TTT in a young, otherwise healthy population of patients with postural tachycardia syndrome (POTS), and correlate them with exercise stress test results.

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Although some suggest anti-Xa assays should be the preferred method for monitoring intravenous unfractionated heparin therapy, which method is best is unknown owing to the lack of large randomized controlled trials correlating different assays with clinical outcomes. This article provides an overview of heparin monitoring and the pros, cons, and clinical applications of anti-Xa assays.

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In Aleyadeh W, Hutt-Centeno E, Ahmed HM, Shah NP. Hypertension guidelines: treat patients, not numbers. Cleve Clin J Med 2019; 86(1):47-56.

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The updated 2017 American College of Cardiology and American Heart Association (ACC/AHA) guidelines for managing hypertension advocate tighter blood pressure control than previous guidelines. This review summarizes the evidence behind the guidelines, discusses the risks and benefits of stricter blood pressure control, and provides our insights on blood pressure management in clinical practice.

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Article Synopsis
  • Coronary artery inflammation affects the surrounding fat tissue and a new imaging biomarker, the perivascular fat attenuation index (FAI), helps visualize this inflammation using coronary CT scans.
  • A study analyzed data from two groups of patients in Germany and the U.S. to determine whether the perivascular FAI can predict clinical outcomes like death.
  • Results from both patient groups showed that higher FAI values around specific coronary arteries (especially the right coronary artery and left anterior descending artery) were linked to higher rates of all-cause and heart-related mortality.
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