Publications by authors named "L W Gimple"
Article Synopsis
- Primary pericardial sarcomas are rare cancers, and the case presented involves a 29-year-old male who experienced symptoms like fatigue and leg swelling, leading to the discovery of pericardial effusion.
- After initial treatment and a temporary diagnosis of post-viral pericarditis, the patient returned with severe symptoms, and advanced imaging revealed a high-grade synovial sarcoma.
- Recommended initial evaluations for pericardial effusions include transthoracic echocardiogram and computed tomography, with further imaging techniques like cardiac magnetic resonance imaging and PET scans advised for atypical cases to rule out malignancy.
Objective: There is an unmet need for noninvasive continuous blood pressure (BP) monitoring technologies in various clinical settings. Continuous and noninvasive central aortic BP monitoring is technically not feasible currently, but if realized, would provide more accurate and real-time global hemodynamic information than any form of peripheral arterial BP monitoring in an acute care setting. As part of our efforts to develop such, herein we examined the tracking correlation between noninvasively-derived peripheral arterial BP by Caretaker device against invasively measured central aortic BP.
View Article and Find Full Text PDFWe describe a patient who presents with chest discomfort 30 h after having an accident with an all-terrain vehicle. His follow-up coronary computed tomography angiogram revealed early recanalization of his coronary artery with conservative medical therapy. ().
View Article and Find Full Text PDFBackground: Lower pH after out-of-hospital cardiac arrest (OHCA) has been associated with worsening neurologic outcome, with <7.2 identified as an "unfavorable resuscitation feature" in consensus treatment algorithms despite conflicting data. This study aimed to describe the relationship between decremental post-resuscitation pH and neurologic outcomes after OHCA.
View Article and Find Full Text PDFBackground: Out-of-hospital cardiac arrest (OHCA) results in significant morbidity and mortality, primarily from neurologic injury. Predicting neurologic outcome early post-OHCA remains difficult in patients receiving targeted temperature management.
Methods And Results: Retrospective analysis was performed on consecutive OHCA patients receiving targeted temperature management (32-34°C) for 24 hours at a tertiary-care center from 2008 to 2012 (development cohort, n=122).