Publications by authors named "Syed Emir Irfan Wafa"

Background: CHA2DS2-VASc score is used to assess thromboembolic risk in patients with atrial fibrillation (AF)/atrial flutter (AFL), however its utilization to predict outcomes and readmission at following discharge in patients undergoing coronary artery bypass grafting (CABG) regardless of AF/AFL presence is understudied. We sought to assess its utility in predicting outcomes, length of hospital stay (LOS), and healthcare-associated costs (HAC) in these patients.

Method: The National Readmission Database (NRD) was queried from 2010 to 2017 for patients with/without AF/AFL undergoing CABG using the International Classification of Diseases, Ninth and Tenth editions (ICD-9-&-10).

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Article Synopsis
  • Sarcoidosis patients with heart failure (SwHF) have poorer outcomes compared to those without heart failure (SwoHF), including higher rates of arrhythmias and readmissions.* -
  • A study using the US Nationwide Readmission Database analyzed data from 97,961 hospitalized sarcoidosis patients, revealing that SwHF had longer hospital stays and increased healthcare costs.* -
  • Key factors influencing mortality in sarcoidosis patients include heart failure, older age, male sex, and existing liver disease, with SwHF patients showing a higher mortality rate upon readmission.*
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Surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) in aortic stenosis are associated with arrhythmic complications that can require cardiac implantable electronic device (CIED) implantation, but impact on healthcare-associated cost (HAC) and length of stay (LOS) are unknown. This study aimed to assess differences among SAVR/TAVI patients with CIED implantation on HAC and LOS. Patients hospitalized for SAVR or TAVI between 2011 and 2017 on the National Inpatient Sample database were identified and stratified according to presence/type of CIED implantation.

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Background Marfan syndrome (MFS) is an autosomal dominant connective tissue disorder affecting multiple systems, particularly the cardiovascular system. The leading causes of death in MFS are aortopathies and valvular disease. We wanted to identify the frequency of arrhythmia and postural orthostatic tachycardia syndrome, length of hospital stay, health care-associated costs (HAC), and in-hospital mortality in patients with MFS.

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Article Synopsis
  • A 72-year-old man with a pacemaker experienced respiratory issues leading to initial emergency treatment for a possible lower respiratory tract infection after a recent battery change.
  • Despite treatment, he faced multiple readmissions over four months due to recurrent fever, prompting investigations for infections related to his pacemaker.
  • Ultimately, a PET scan revealed a pacemaker lead infection, which was resolved after surgical removal of the pacemaker, resulting in symptom relief and normalization of his inflammatory markers.
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