Publications by authors named "Shalini Modi"
Article Synopsis
- The study evaluates the economic impact of an accelerated protocol (AP) for diagnosing myocardial infarction (MI) using high-sensitivity cardiac troponin (hs-cTn) compared to conventional testing methods.
- Conducted across nine emergency departments, the research analyzed costs and length of stay for nearly 32,450 patients suspected of having MI.
- Results showed that the AP did not significantly increase treatment costs or length of stay overall, but some lower acuity emergency departments experienced shorter stays and lower health system costs with the AP.
Device based closure of the left atrial appendage (LAA) has emerged as a viable approach for stroke prevention in atrial fibrillation (AF) patients with contraindications to chronic oral anticoagulation. One of the most feared complications is device related thrombus formation. We present a 66-year-old male with chronic AF who developed a life-threatening intracranial bleed on oral anti-coagulation.
View Article and Find Full Text PDFThe purpose of this retrospective, observational study was to describe the relation between exercise workload during cardiac rehabilitation (CR), expressed as metabolic equivalents of task (METs), and prognosis among patients with coronary heart disease. We included patients with coronary heart disease who participated in CR between January 1998 and June 2007. METs were calculated from treadmill workload.
View Article and Find Full Text PDFAlthough implantable cardioverter defibrillator (ICD) therapy is the standard of care for prevention of sudden cardiac death (SCD), its underutilization is a clinical concern. We performed a retrospective study on patients who underwent cardiac catheterization at a tertiary medical center to identify those who were eligible for ICD therapy as per the guidelines and those who actually received it as a part of treatment. Surprisingly, only 4.
View Article and Find Full Text PDFPulmonary venous flow patterns have been well described in the literature to assess severity of mitral regurgitation (MR) and the degree of diastolic dysfunction. We report a case of posterior mitral leaflet perforation due to bacterial endocarditis causing an alteration of pulmonary venous flow, not previously described in the literature. This pulmonary venous flow pattern is unique in that it reflects dynamic changes in left atrial pressure in the background of severe MR.
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