Publications by authors named "Mileydis Alonso"

Background: Conduction system pacing (CSP) using His Bundle Pacing (HBP) and Left Bundle Branch Area Pacing (LBAP) is an evolving alternative to traditional right ventricular pacing (RVP), promising better physiological outcomes. This study evaluates the safety, feasibility, and performance of HBP and LBAP with Medtronic SelectSecure 3830 leads.

Methods: We conducted a single-center retrospective analysis of 490 patients undergoing HBP or LBAP.

View Article and Find Full Text PDF

Background: The utility of polymer-permanent, polymer-absorbable, and polymer-free drug-eluting stents (DES) in the context of different eluting drugs in patients undergoing percutaneous coronary intervention (PCI) remains controversial.

Objectives: The purpose of this study was to compare the efficacy of different DES strategies in post-PCI patients.

Methods: Digital databases were searched to select all randomized control trials.

View Article and Find Full Text PDF

This novel case documents the successful use of transcatheter aortic valve implantation to treat severe aortic insufficiency arising from aortic root dissection following the repair of an ascending aortic aneurysm in a 75-year-old female patient. After she presented with symptoms of congestive heart failure, investigation revealed new severe aortic insufficiency and an acute aortic dissection. Given the prohibitive risks of reoperation, a self-expanding 27-mm Portico (St Jude Medical) prosthetic aortic valve was deployed, resulting in substantial clinical improvement without procedural complications.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates different heart failure (HF) types in patients diagnosed with transthyretin cardiac amyloidosis (ATTR-CA), revealing that a significant portion present with impaired systolic function, specifically heart failure with reduced ejection fraction (HFrEF) or mildly reduced ejection fraction (HFmrEF).
  • A retrospective analysis of patients from 2016 to 2022 found that 21.6% had HFrEF, 17.8% had HFmrEF, and 60.6% had heart failure with preserved ejection fraction (HFpEF), indicating a notable prevalence of systolic dysfunction in ATTR-CA cases.
  • The findings suggest that clinicians should maintain a high level of suspicion
View Article and Find Full Text PDF
Article Synopsis
  • This study examines the risk factors for worsening renal function (wRF) in patients with transthyretin cardiac amyloidosis (ATTR-CA), which is linked to poor outcomes.
  • Out of 134 patients studied, 41.8% experienced wRF within the first year, with significant predictors being a higher New York Heart Association (NYHA) class, a lack of prior ischemic heart disease, and not being on SGLT-2 inhibitors.
  • The findings highlight that renal dysfunction is a common issue after ATTR-CA diagnosis, indicating that certain patient characteristics can help forecast who is at greater risk for developing wRF.
View Article and Find Full Text PDF

Background  The first-line imaging for low to medium-risk patients presenting to the emergency department with stable chest pain is often a matter of debate. Chest pain is the second most common presentation to the emergency department. Non-invasive imaging has been useful in assisting in the diagnosis of coronary artery disease.

View Article and Find Full Text PDF

Background: Obesity is considered a major cardiovascular risk factor. The excess of pericardial fat (PF) in patients with obesity has been associated with a variety of electrocardiographic alterations. In previous studies, we demonstrated that rapid weight loss and bariatric interventions result in decreased PF.

View Article and Find Full Text PDF

Background: The population undergoing bariatric surgery (BaS) has many cardiovascular risk factors that can lead to significant perioperative cardiovascular morbidity.

Objectives: We aimed to examine trends in the incidence of major adverse cardiovascular and cerebrovascular events (MACCE) after BaS.

Setting: Academic Hospital, United States METHODS: We performed a retrospective analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) data registry for patients aged ≥18 years undergoing laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) from 2015 to 2019.

View Article and Find Full Text PDF

Arrhythmogenic right ventricular cardiomyopathy and cardiac sarcoidosis can both present with ventricular tachycardia. We report a case of a patient whose histological diagnosis was not only confirmed by the transplanted heart but who also underwent successful transplantation after overcoming COVID-19. < Similarities in the clinical presentation of cardiac sarcoidosis (CS) and arrhythmogenic right ventricular cardiomyopathy (ARVC) Management differences between CS and ARVC Successful heart transplantation after COVID-19.

View Article and Find Full Text PDF

Solid organ transplants have been impacted significantly during the COVID-19 pandemic in the United States. Limited data exist regarding changes in living donor kidney transplants. The aim of this study was to describe national trends in kidney transplantation during COVID-19.

View Article and Find Full Text PDF

Tocilizumab, a monoclonal antiinterluekin-6 receptor antibody, has been empirically used in the treatment of cytokine release syndrome associated with severe coronavirus disease 2019 infections. The efficacy and safety of these medications for these patients is unknown. The purpose of this report was to present a case of acute large bowel perforation in a morbidly obese patient with coronavirus disease 2019 pneumonia who received empiric Tocilizumab.

View Article and Find Full Text PDF