Publications by authors named "Justin Haloot"

Purpose Of Review: This review examines the pathophysiological interactions between COVID-19 and heart failure, highlighting the exacerbation of heart failure in COVID-19 patients. It focuses on the complex mechanisms driving worse outcomes in these patients.

Recent Findings: Patients with pre-existing heart failure experience more severe symptoms and higher mortality rates due to mechanisms such as cytokine storms, myocardial infarction, myocarditis, microvascular dysfunction, thrombosis, and stress cardiomyopathy.

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Persistence of symptoms beyond the initial acute phase of coronavirus disease-2019 (COVID-19) is termed postacute SARS-CoV-2 (PASC) and includes neurologic, autonomic, pulmonary, cardiac, psychiatric, gastrointestinal, and functional impairment. PASC autonomic dysfunction can present with dizziness, tachycardia, sweating, headache, syncope, labile blood pressure, exercise intolerance, and "brain fog." A multidisciplinary team can help manage this complex syndrome with nonpharmacologic and pharmacologic interventions.

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Article Synopsis
  • Right ventricular failure (RVF) after an acute myocardial infarction (MI) is serious, leading to high rates of complications and death; early detection and swift treatment are crucial for better outcomes.
  • Current approaches to managing RVF post-MI rely on expert opinions, along with insights from RVF cases due to other causes like pulmonary embolism and cardiac surgery complications, indicating a lack of specific research in this area.
  • This review aims to explore the existing literature on the causes, treatment strategies, monitoring techniques, and support options for RVF resulting from myocardial infarctions.
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Background: Patients with true paroxysmal supraventricular tachycardia (PSVT) are frequently misdiagnosed with panic or anxiety disorders due to similar symptoms of palpitations, light-headedness, dyspnea, or chest discomfort. Unrecognized PSVT can lead to unnecessary management with anxiety medications. Treatment of PSVT with catheter ablation may lead to a reduction in anxiety medications.

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Article Synopsis
  • COVID-19 is linked to various cardiac complications, with a study analyzing data from over 81,000 patients to assess incidence and mortality rates associated with these conditions.
  • Among the patients, 9.3% experienced cardiac issues, including acute coronary syndromes and heart failure, with significantly higher mortality (20%) in those with complications compared to just 2.9% without.
  • The findings suggest that older males are particularly at higher risk for cardiac complications and related deaths when infected with COVID-19.
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Background: Sodium glucose cotransporter 2 (SGLT2) inhibitors have been associated with various cardiovascular benefits. There is limited data examining the effect of these medications on atrial fibrillation (AF) associated clinical outcomes. We compared ischemic stroke, acute coronary syndrome (ACS), cardioversion, and all-cause mortality outcomes in AF patients on SGLT2 inhibitors to propensity matched controls.

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Due to the ongoing coronavirus disease 2019 (COVID-19) pandemic, a need for precise donning and doffing protocols for personal protective equipment (PPE) among healthcare infrastructures is paramount. Procedures involving the cardiac catheterization laboratory (CCL) are routinely non-aerosolizing but have the potential for rapid patient deterioration, creating the need for aerosolizing generating procedures. Multiple societal and governmental guidelines on the use of PPE during medical procedures are available on Internet websites; however, there is limited literature available in peer-reviewed formats in this context.

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