Publications by authors named "R J Cogswell"

A 78-year-old man with cardiac amyloidosis developed sinus bradycardia with symptomatic hypotension. Three months after receiving an advanced biventricular pacemaker system with continuous accelerated rate pacing (daytime: 70 beats/min; nighttime: 90 beats/min), his health status and symptoms were markedly improved.

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Article Synopsis
  • This text discusses a unique medical case involving a patient with a specific genetic mutation (m.3243A>G) linked to MELAS, a condition that affects the brain and muscles.
  • The patient also experienced cardiomyopathy, a heart disease that can be serious and is associated with this condition.
  • The successful treatment involved performing a simultaneous heart and kidney transplant, marking an important milestone in managing this complex medical situation.
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Background: Patients have substantial variability in perioperative outcomes after left ventricular assist device (LVAD) implant. A perioperative multidimensional tool integrating mortality, adverse events (AEs), and patient-reported outcomes to assist in quality improvement initiatives is needed.

Methods: Patients undergoing HeartMate 3 LVAD implant (January 1, 2017 to January 31, 2024) in the Society of Thoracic Surgeons' Intermacs registry were studied.

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