Publications by authors named "R Schainfeld"
Venous thromboembolism, commonly presented as pulmonary embolism and deep-vein thrombosis, is a paramount and potentially fatal condition with variable clinical presentation. Diagnosis is key to providing appropriate treatment in a safe and timely fashion. Clinical judgment and assessment using clinical scoring systems should guide diagnostic testing, including laboratory and imaging modalities, for optimal results and to avoid unnecessary testing.
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- A study investigated the connection between a high ankle-brachial pressure index (ABI >1.4) and the risk of cardiovascular events and mortality, noting that previous research mostly focused on low ABI.
- Data was collected from participants aged 40 and older in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2004, using statistical methods to assess mortality outcomes linked to ABI levels.
- Findings revealed that high ABI is significantly associated with increased risks of cardiovascular (HR, 2.6) and all-cause mortality (HR, 2.5), particularly among individuals with comorbidities like diabetes, chronic kidney disease, and coronary artery disease.
Background: Right heart thrombus is a rare but serious form of venous thromboembolic disease that may be associated with pulmonary embolism. The prognosis of patients with right heart thrombus presenting without a concomitant pulmonary embolism remains ill-defined.
Methods: We conducted a multi-center observational cohort study to compare patients presenting with right heart thrombus with and without a concurrent pulmonary embolism.
Introduction: Racial disparities exist in patients with peripheral artery disease (PAD), with Black individuals having worse PAD-specific outcomes. However, mortality risk in this population has been mixed. As such, we sought to evaluate all-cause mortality by race among individuals with PAD.
View Article and Find Full Text PDFObjectives: The natural history and optimal management of spontaneous renal artery dissections (SRADs) are poorly understood. We compared baseline characteristics, presentation, management, and outcomes between patients with symptomatic versus asymptomatic SRADs.
Methods: We performed a retrospective review of medical charts for patients diagnosed with SRAD at a single, tertiary care center.