Publications by authors named "Zain Asad"

Background: To determine differences in baseline characteristics and outcomes of leadless pacemaker implantation based on sex.

Methods: For the purpose of this study, data were extracted from the National Inpatient Sample database for years 2016-2020. The study group was then stratified based on sex.

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Background: Catheter Ablation (CA) is an effective treatment for atrial fibrillation (AF). However, frail elderly patients have been understudied due to their exclusion from landmark trials.

Objectives: Our study aims to evaluate outcomes in this population.

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Article Synopsis
  • Hematopoietic stem cell transplantation (HSCT) can treat various serious blood disorders but increases the risk of cardiovascular issues, particularly for patients undergoing allogeneic transplantation compared to autologous.
  • A study analyzed data from the National Inpatient Sample (2016-2019) to compare the rates of atrial fibrillation (AF) and major adverse cardiac events (MACE) between the two transplantation types.
  • Findings revealed that allogeneic HSCT patients have significantly higher odds of experiencing serious heart problems and mortality during hospitalization, with AF being a key predictor of poor outcomes.
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Background: There is limited data on the safety and efficacy of left atrial appendage occlusion (LAAO) devices in patients with cardiac amyloidosis. We examined the outcomes of patients with cardiac amyloidosis undergoing LAAO device implantation in a nationally representative cohort of patients.

Methods: The National Readmissions Database (NRD) was analyzed from 2016 to 2019 to identify patients ≥ 18 years old with atrial fibrillation (AF) undergoing LAAO.

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Article Synopsis
  • The study investigates how sex affects the outcomes of heart failure patients who undergo atrial fibrillation ablation, using a data analysis from the National Readmissions Database between 2016 and 2019.
  • A total of 23,277 heart failure patients were analyzed, revealing that outcomes such as in-hospital mortality and peri-procedural complications were similar between males and females with heart failure with reduced ejection fraction (HFrEF), while females with heart failure with preserved ejection fraction (HFpEF) showed a higher risk of 1-year readmissions.
  • The findings highlight gender differences in heart failure treatment outcomes, suggesting that while HFrEF outcomes do not differ by sex, HFpEF females face increased 1-year
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Introduction: We performed a cross-sectional study using the Centers for Disease Control and Prevention's (CDC's) Wide-Ranging Online Data for Epidemiologic Research (WONDER) database to analyze the trends in cardiac implantable electronic device (CIED) infection-related mortality from 1999 to 2020.

Methods: We analyzed the death certificate data from the CDC WONDER database from 1999 to 2020 for CIED infections in the US population aged ≥25 years using International Classification of Diseases, Tenth Revision (ICD-10) codes, listed as the underlying or contributing cause of death. Age-adjusted mortality rates (AAMR) and 95% confidence intervals (CIs) were computed per 1 million population by standardizing crude mortality rates to the 2000 US census population.

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  • Leadless pacemakers (LPM) are important devices used to help patients with a slow heart rate since they were approved in 2016.
  • Researchers studied data from 2016 to 2020 to see how often LPMs were used and what happened to patients during and after the surgery.
  • The study found that more LPMs were being used over the years, and fewer patients died after getting the device, but the cost of hospital stays increased in recent years.
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Background: Atrial fibrillation (AF) is common in patients with heart failure (HF) and is associated with worse clinical outcomes. We evaluated the relationship between AF and longitudinal changes in health-related quality of life (HRQoL) measured by Kansas City Cardiomyopathy Questionnaire (KCCQ) in both HF with preserved (HFpEF) and reduced ejection fraction (HFrEF).

Methods: This is a post-hoc analysis of the TOPCAT and HF-ACTION trials.

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Atrial fibrillation/flutter (AF) is the most common dysrhythmia in patients with hypertrophic cardiomyopathy (HCM). Unexplained left ventricular hypertrophy and left ventricular outflow tract obstruction are integral components of HCM pathology which can cause increased left atrial pressure and atrial myopathy contributing to the substrate for AF. We aimed to determine the impact of AF on hospital readmissions in patients with HCM.

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There has been increased awareness of the linkage between environmental exposures and cardiovascular health and disease. Atrial fibrillation is the most common sustained cardiac arrhythmia, affecting millions of people worldwide and contributing to substantial morbidity and mortality. Although numerous studies have explored the role of genetic and lifestyle factors in the development and progression of atrial fibrillation, the potential impact of environmental determinants on this prevalent condition has received comparatively less attention.

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Background: Left atrial appendage closure (LAAC) is a treatment modality for stroke prevention in patients with atrial fibrillation (AF). One of the potential complications of LAAC is a peri-device leak (PDL), which could potentially increase the risk of thromboembolism formation.

Methods: This systematic review was done according to PRISMA guidelines.

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Background: Left bundle branch area pacing (LBBAP) may offer greater physiological benefits than traditional biventricular pacing (BiVP). However, there are limited data comparing the efficacy of LBBAP vs BiVP in patients with systolic heart failure (HF).

Objective: The purpose of this meta-analysis was to compare the feasibility and electromechanical and clinical outcomes of both LBBAP and BiVP.

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Background: Incorporating immune checkpoint blockade into perioperative cancer therapy has improved clinical outcomes. However, the safety of immune checkpoint blockade needs better evaluation, given the chances of more prolonged disease-free survival. We aimed to assess how adding immune checkpoint blockade to perioperative therapy affects treatment-related adverse events.

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Background: Obesity is associated with an increased risk of developing recurrent atrial fibrillation (AF) after catheter ablation (CA). However, the current data on weight loss interventions show inconsistent results in preventing the recurrence of AF after CA.

Methods: We conducted a systematic search in MEDLINE and EMBASE to identify studies that reported the outcome of recurrence of AF after CA in obese patients undergoing weight interventions.

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The association of psychosocial risk factors with cardiovascular disease is well-established, and there is a growing recognition of their influence on atrial fibrillation (AF) . A recent National Heart, Lung, and Blood Institute workshop called for transforming AF research to integrate social determinants of health. There is limited data examining the impact of psychosocial risk factors (PSRFs) on outcomes in patients with an established diagnosis of AF.

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