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1.
Incremental value of live/real time three‐dimensional transesophageal echocardiography in the assessment of ventricular septal rupture following acute myocardial infarction
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Mohammed J. Arisha MD Ming C. Hsiung MD Navin C. Nanda MD Bulur Serkan MD Amier Ahmad MD Ahmed Elkaryoni MD Mahmoud Elsayed MD Leilani Adana MD Shravan Turaga MD Emel Guler MD Nermina Alagic MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(11):1680-1686
Ventricular septal rupture is a serious complication following acute myocardial infarctions and is associated with a significant mortality rate. Classically, two‐dimensional transthoracic echocardiography has been used to diagnose this complication and visualize its location. Two‐dimensional transesophageal echocardiography has supplemented the transthoracic approach by providing more accurate assessment of the defect size and in guiding closure both percutaneously and intraoperatively. This modality, however, is limited to two‐dimensional views only, and a greater breadth of information is instead available through the use of three‐dimensional transesophageal echocardiography. We present a series of 11 patients in which live/real time three‐dimensional transesophageal echocardiography offered incremental benefits over two‐dimensional imaging alone. 相似文献
2.
Usefulness of two‐ and three‐dimensional transesophageal echocardiography in the assessment of proximal left coronary system compression by a paraprosthetic aortic valve abscess
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Amier Ahmad MD Samuel K. McElwee MD Amy Z. Jiang MD Kirolos N. Barssoum MBBCH Ahmed E. Elkaryoni MBBCH Mohammed J. Arisha MBBCH Swetha Srialluri MBBS Frank Seghatol MD Navin C. Nanda MD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(2):264-266
Paraprosthetic aortic valve abscess represents a rare, but lethal complication of infective endocarditis. We report a case of proximal left coronary system compression by a paraprosthetic aortic valve abscess whose detection was augmented using live/real time three‐dimensional transesophageal echocardiography. Our case illustrates the usefulness of combined two‐ and three‐dimensional transesophageal echocardiography in detecting this finding. 相似文献
3.
Amier Haidar Nalini Ranjit Debra Saxton Deanna M. Hoelscher 《Journal of nutrition education and behavior》2019,51(1):23-31
Objective
Investigate associations between perceived parental/peer support for a healthy diet and adolescent dietary behaviors using data from the 2009–2011 School Physical Activity and Nutrition (SPAN) survey.Design
A secondary analysis of SPAN, a cross-sectional statewide study using a validated self-administered questionnaire, assessed obesity-related behaviors.Setting
Probability-based sample of Texas 8th- and 11th-grade students.Participants
A total of 6,716 8th- and 11th-grade students.Main Outcome Measures
Obtained by self-report and included sugary beverage consumption, fruit and vegetable intake, and SPAN healthy eating score.Analysis
Multiple logistic regression and linear regression were used to determine associations, controlling for demographic variables.Results
For every 1-point increase in parental support (range, 0–12), adolescents had 1.19 times higher odds of consuming ≥1 fruits or vegetables/d (P < .001) and 1.1 times lower odds of consuming ≥2 sugary beverages/d (P < .05), and had a SPAN healthy eating score (range, –100 to 100) that was 1.6 points higher (P < .001). For every 1-point increase in peer support, adolescents had 1.14 times higher odds of consuming ≥1 fruits and vegetables/d (P < .001) and a higher SPAN healthy eating score (P < .05).Conclusions and Implications
Parental/peer support was associated with healthier dietary behaviors. Future research could conduct pre-post intervention studies to determine whether an increase in parental/peer support is associated with positive changes in healthier eating. 相似文献4.
Does three‐dimensional transesophageal echocardiography provide incremental value in percutaneous closure of ascending aortic pseudoaneurysm?
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Ahmed Elkaryoni MD Ming C. Hsiung MD Mohammed J. Arisha MD Amier Ahmad MD Navin C. Nanda MD Ahmed H. Mohamed MD Doaa Attia MD Ankush Sachdeva MD Lovepreet Singh BS Wei‐Hsian Yin MD PhD 《Echocardiography (Mount Kisco, N.Y.)》2017,34(7):1057-1061
Ascending aortic pseudoaneurysms (AO PSAs), if left untreated, are complicated by a high rate of rupture resulting in significant morbidity and mortality. New transcatheter modalities have emerged as acceptable surgical alternatives for their management. We present a case of an ascending aortic PSA in which intraoperative two‐ and three‐dimensional transesophageal echocardiography (2DTEE and 3DTEE) provided a comprehensive assessment of the PSA in pre‐ and postclosure settings. 相似文献
5.
P. Stefan Biesbroek Sjoerd C. Heslinga Peter M. van de Ven Mike J. L. Peters Raquel P. Amier Thelma C. Konings Christopher D. Maroules Colby Ayers Parag H. Joshi Irene E. van der Horst-Bruinsma Vokko P. van Halm Albert C. van Rossum Michael T. Nurmohamed Robin Nijveldt 《Clinical rheumatology》2018,37(8):2151-2159
To evaluate aortic stiffness in patients with ankylosing spondylitis (AS) using cardiovascular magnetic resonance (CMR) and to assess its association with AS characteristics and left ventricular (LV) remodeling. In this prospective study, 14 consecutive AS patients were each matched to two controls without cardiovascular symptoms or known cardiovascular disease who underwent CMR imaging for the assessment of aortic arch pulse wave velocity (PWV) at 1.5 Tesla. To enhance comparability of the samples, matching was done with replacement resulting in 20 unique controls. Only AS patients with abnormal findings on screening echocardiography were included in this exploratory study. Cine CMR was used to assess LV geometry and systolic function, and late gadolinium enhancement was performed to determine the presence of myocardial hyperenhancement (i.e., fibrosis). Aortic arch PWV was significantly higher in the AS group compared with the control group (median 9.7 m/s, interquartile range [IQR] 7.1 to 11.8 vs. 6.1 m/s, IQR 4.6 to 7.6 m/s; p?<?0.001). PWV was positively associated with functional disability as measured by BASFI (R: 0.62; p?=?0.018). Three patients (21%) with a non-ischemic pattern of hyperenhancement showed increased PWV (11.7, 12.3, and 16.5 m/s) as compared to the 11 patients without hyperenhancement (9.0 m/s, IQR 6.6 to 10.5 m/s; p?=?0.022). PWV was inversely associated with LV ejection fraction (R: ??0.63; p?=?0.015), but was not found to be statistically correlated to LV volumes or mass. Aortic arch PWV was increased in our cohort of patients with AS. Higher PWV in the aortic arch was associated with functional disability, the presence of non-ischemic hyperenhancement, and reduced LV systolic function. 相似文献
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7.
Amier Haidar Amelia Khoei Saira E. Alex Christina Blick Elyse Lopez Sydney Wendt Ramesh Ghanta Maha Almohamad Stefanie Cousins Jacqueline Noyola Jacqueline Tien Christine Markham Shreela V. Sharma 《Journal of nutrition education and behavior》2021,53(1):75-78
Brighter Bites is a school-based health promotion program that delivers fresh produce and nutrition education to low-income children and their families across 6 locations in the US. This article provides a perspective on how, despite coronavirus disease 2019–related school closures, Brighter Bites pivoted rapidly to collaborate with medical and public health institutions to improve health and food literacy among their families. Through these partnerships, Brighter Bites was able to rapidly provide accurate, evidence-based information related to coronavirus disease 2019 and other social needs, including food, housing, transportation, and access to health care, to help fill a needed gap in vulnerable communities. 相似文献
8.
Raquel P. Amier Nick Marcks Astrid M. Hooghiemstra Robin Nijveldt Mark A. van Buchem Albert de Roos Geert Jan Biessels L. Jaap Kappelle Robert J. van Oostenbrugge Rob J. van der Geest Michiel L. Bots Jacoba P. Greving Wiro J. Niessen Matthias J.P. van Osch Jeroen de Bresser Peter M. van de Ven Wiesje M. van der Flier Hans-Peter Brunner-La Rocca Albert C. van Rossum 《JACC: Cardiovascular Imaging》2021,14(1):176-185
ObjectivesThis study sought to investigate the extent of hypertensive exposure as assessed by cardiovascular magnetic resonance imaging (MRI) in relation to cerebral small vessel disease (CSVD) and cognitive impairment, with the aim of understanding the role of hypertension in the early stages of deteriorating brain health.BackgroundPreserving brain health into advanced age is one of the great challenges of modern medicine. Hypertension is thought to induce vascular brain injury through exposure of the cerebral microcirculation to increased pressure/pulsatility. Cardiovascular MRI provides markers of (subclinical) hypertensive exposure, such as aortic stiffness by pulse wave velocity (PWV), left ventricular (LV) mass index (LVMi), and concentricity by mass-to-volume ratio.MethodsA total of 559 participants from the Heart-Brain Connection Study (431 patients with manifest cardiovascular disease and 128 control participants), age 67.8 ± 8.8 years, underwent 3.0-T heart-brain MRI and extensive neuropsychological testing. Aortic PWV, LVMi, and LV mass-to-volume ratio were evaluated in relation to presence of CSVD and cognitive impairment. Effect modification by patient group was investigated by interaction terms; results are reported pooled or stratified accordingly.ResultsAortic PWV (odds ratio [OR]: 1.17; 95% confidence interval [CI]: 1.05 to 1.30 in patient groups only), LVMi (in carotid occlusive disease, OR: 5.69; 95% CI: 1.63 to 19.87; in other groups, OR: 1.30; 95% CI: 1.05 to 1.62]) and LV mass-to-volume ratio (OR: 1.81; 95% CI: 1.46 to 2.24) were associated with CSVD. Aortic PWV (OR: 1.07; 95% CI: 1.02 to 1.13) and LV mass-to-volume ratio (OR: 1.27; 95% CI: 1.07 to 1.51) were also associated with cognitive impairment. Relations were independent of sociodemographic and cardiac index and mostly persisted after correction for systolic blood pressure or medical history of hypertension. Causal mediation analysis showed significant mediation by presence of CSVD in the relation between hypertensive exposure markers and cognitive impairment.ConclusionsThe extent of hypertensive exposure is associated with CSVD and cognitive impairment beyond clinical blood pressure or medical history. The mediating role of CSVD suggests that hypertension may lead to cognitive impairment through the occurrence of CSVD. 相似文献
9.
Raquel P. Amier Martijn W. Smulders Wiesje M. van der Flier Sebastiaan C.A.M. Bekkers Alwin Zweerink Cornelis P. Allaart Ahmet Demirkiran Sebastiaan T. Roos Paul F.A. Teunissen Yolande Appelman Niels van Royen Raymond J. Kim Albert C. van Rossum Robin Nijveldt 《JACC: Cardiovascular Imaging》2018,11(12):1773-1781
Objectives
This study investigated the prevalence of silent myocardial infarction (MI) in patients presenting with first acute myocardial infarction (AMI), and its relation with mortality and major adverse cardiovascular events (MACE) at long-term follow-up.Background
Up to 54% of MI occurs without apparent symptoms. The prevalence and long-term prognostic implications of previous silent MI in patients presenting with seemingly first AMI are unclear.Methods
A 2-center observational longitudinal study was performed in 392 patients presenting with first AMI between 2003 and 2013, who underwent late gadolinium enhancement cardiac magnetic resonance (LGE-CMR) examination within 14 days post-AMI. Silent MI was assessed on LGE-CMR images by identifying regions of hyperenhancement with an ischemic distribution pattern in other territories than the AMI. Mortality and MACE (all-cause death, reinfarction, coronary artery bypass grafting, and ischemic stroke) were assessed at 6.8 ± 2.9 years follow-up.Results
Thirty-two patients (8.2%) showed silent MI on LGE-CMR. Compared with patients without silent MI, mortality risk was higher in patients with silent MI (hazard ratio: 3.87; 95% confidence interval: 1.21 to 12.38; p = 0.023), as was risk of MACE (hazard ratio: 3.10; 95% confidence interval: 1.22 to 7.86; p = 0.017), both independent from clinical and infarction-related characteristics.Conclusions
Silent MI occurred in 8.2% of patients presenting with first AMI and was independently related to poorer long-term clinical outcome, with a more than 3-fold risk of mortality and MACE. Silent MI holds prognostic value over important traditional prognosticators in the setting of AMI, indicating that these patients represent a high-risk subgroup warranting clinical awareness. 相似文献10.
Amier Peer M.D. Sam Slutzki Rafael Abrahmsohn Harry Bogokowsky Yuval Leonov 《Cardiovascular and interventional radiology》1989,12(1):35-37
Transcatheter embolization of the inferior mesenteric artery with steel coils was performed for the control of massive lower
gastrointestinal bleeding and sepsis. The bleeding and sepsis was caused by a very large arteriovenous fistula of the inferior
mesenteric vessels. This iatrogenic lesion developed and became symptomatic just 5 weeks after an anterior resection of the
rectum was performed. Following embolization, the patient made a speedy recovery from the sepsis and no recurrent bleeding
was noted. 相似文献