Publications by authors named "Mohil Garg"
Background: There are limited data on volume-outcome relationships in acute myocardial infarction (AMI) with cardiogenic shock (CS).
Objectives: In this study, the authors sought to evaluate the association between hospital percutaneous coronary intervention (PCI) volume and readmission after AMI-CS.
Methods: Adult AMI-CS patients were identified from the Nationwide Readmissions Database for 2016-2019 and were categorized into hospital quartiles (Q1 lowest volume to Q4 highest) based on annual inpatient PCI volume.
Reasons for repeat urgent cardiac procedures within the same day.
Catheter Cardiovasc Interv
April 2024
Background: With advances in technology and technique, the expectations are that patients undergoing procedures in the cardiac catheterization laboratory will not need to return for a repeat procedure within the same day.
Objectives: Report why subjects undergoing cardiac procedures return urgently to the catheterization laboratory for a repeat procedure during the same day.
Methods: We retrospectively reviewed patients who were brought back to the cardiac catheterization laboratory within the same day for a repeat procedure.
Article Synopsis
- Acute kidney injury (AKI) is linked to higher in-hospital mortality for patients on veno-arterial ECMO, but the specific effects of KDIGO AKI stages have not been fully studied.
- A retrospective analysis of 179 patients revealed that as age increases, the odds of mortality within 30 days rise by 4%, and any presence of AKI increases mortality odds by 59%.
- Higher KDIGO stages of AKI are associated with increased mortality risk at 30 days, indicating that further research is necessary to confirm these preliminary findings.
Background: Recent clinical data indicate a different performance of biodegradable polymer (BP)-drug eluting stent (DES) compared to durable polymer (DP)-DES. Whether this can be explained by a beneficial impact of BP-DES stent design on the local hemodynamic forces distribution remains unclear.
Objectives: To compare endothelial shear stress (ESS) distribution after implantation of ultrathin (us) BP-DES and DP-DES and examine the association between ESS and neointimal thickness (NIT) distribution in the two devices at 9 months follow up.
Impact of age on the outcomes of Takotsubo syndrome.
Cardiovasc Revasc Med
April 2024
Background: The impact on age on the short-term and long-term prognosis in patients with Takotsubo syndrome (TTS) is unclear. We aimed to evaluate whether age has prognostic implications during hospital stay and long-term follow-up of TTS patients.
Methods: 688 consecutive patients were admitted for TTS in 7 tertiary centers from January-2008 to June-2021.
Article Synopsis
- The study aimed to evaluate how the initial composition of plaque affects late loss in the lumen after DREAMS 3G implantation and to compare plaque changes over 6 and 12 months.
- 116 patients from the BIOMAG-I trial underwent imaging using optical coherence tomography (OCT) before and after the procedure, revealing that those with more fibrous tissue in their plaque initially had greater differences in lumen area after a year.
- Results showed a significant reduction in lipid areas and an increase in fibrous tissue at follow-up, indicating favorable healing of coronary walls post-implantation.
The Use of Telemedicine to Improve Hypertension in an Urban Primary Care Clinic and Predictors of Improved Blood Pressure.
J Prim Care Community Health
November 2023
Background And Objective: Meta-analysis of randomized controlled trials have demonstrated the efficacy of telemedicine in blood pressure (BP) management when compared to conventional care. We initiated a hypertension telehealth clinic in our urban primary care clinic and through this study aim to evaluate the strengths and limitations of telemedicine in hypertension (HTN) control. The primary outcome of the study is to identify the proportion of patients with improved HTN.
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- Sudden cardiac arrest (SCA) significantly contributes to deaths in patients with heart failure and preserved ejection fraction (HFpEF), accounting for about 25% of fatalities in key studies.
- A study analyzing data from over 2.9 million hospitalizations found that SCA occurred in 1.48% of cases, primarily affecting older adults, with notable predictors being certain cardiac conditions and liver disease.
- The outcomes for patients experiencing SCA were significantly worse than for those who did not, showing higher mortality rates, more major bleeding complications, and increased need for interventions like percutaneous coronary procedures.
Article Synopsis
- FFR-guided PCI is recommended for treating intermediate coronary lesions, but recent studies have shown mixed results compared to other revascularization methods.
- A meta-analysis of 26 studies with nearly 79,000 patients found that FFR-guided PCI is associated with lower risks of all-cause mortality and myocardial infarction.
- Nonetheless, there were no significant differences in major adverse cardiac events or repeat revascularization rates between FFR-guided and non-physiology-guided approaches.
Background: To assess the reproducibility of coronary tissue characterization by an Artificial Intelligence Optical Coherence Tomography software (OctPlus, Shanghai Pulse Medical Imaging Technology Inc.).
Methods: 74 patients presenting with multivessel ST-segment elevation myocardial infarction (STEMI) underwent optical coherence tomography (OCT) of the infarct-related artery at the end of primary percutaneous coronary intervention (PPCI) and during staged PCI (SPCI) within 7 days thereafter in the MATRIX (Minimizing Adverse Hemorrhagic Events by Transradial Access Site and angioX) Treatment-Duration study (ClinicalTrials.
Although obesity is often associated with adverse outcomes in cardiovascular diseases, studies have demonstrated a beneficial effect on patients who underwent transcatheter aortic valve implantation (TAVI), coining the term "obesity paradox." We sought to determine if the obesity paradox is valid when patients are studied in body mass index (BMI) groups versus simplified classification of obese and nonobese. We examined the National Inpatient Sample database from 2016 to 2019 for all patients who underwent TAVI >18 years of age using the International Classification of Diseases, 10th edition procedure codes.
View Article and Find Full Text PDFObjective: The objective of the study is to identify the etiology, risk factors, frequency of major and minor components of the Framingham criteria for heart failure, discharge medications, mortality, and quality of life after discharge from the hospital, for patients who were admitted to the in-patient unit of a tertiary care hospital in central India, with a diagnosis of congestive heart failure (CHF).
Methods: This hospital-based cross-sectional study involved retrospective chart review of patients who were admitted to the in-patient unit with a diagnosis of CHF. These patients were then attempted to reach via their telephone numbers listed in the medical records and their current quality of life was assessed using Euro-QoL 5D questionnaire.
Objective: To compare the risk of mortality and other clinical outcomes in children with sepsis, severe sepsis, or septic shock who received antibiotics within the first hour of recognition (early antibiotics group) with those who received antibiotics after the first hour (delayed antibiotics group).
Study Design: In this prospective cohort study, we enrolled children <17 years of age presenting to the pediatric emergency and diagnosed with sepsis or septic shock without prior antibiotic therapy. Primary outcome was mortality and the secondary outcomes were day 1 Pediatric Logistic Organ Dysfunction score, ventilator-free days, and hospital-free days.
Infrared thermal screening, via the use of handheld non-contact infrared thermometers (NCITs) and thermal scanners, has been widely implemented all over the world. We performed a systematic review and meta-analysis to investigate its diagnostic accuracy for the detection of fever. We searched PubMed, Embase, the Cochrane Library, medRxiv, bioRxiv, ClinicalTrials.
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