In-Hospital Outcomes of Acute Myocarditis in Adults With Systemic Inflammatory Disease: A Perspective on the Nationally Representative Sample Within the United States.

Background Systemic inflammatory diseases (SID) are associated with adverse cardiovascular (CV) events due to the derangement in innate immunity. Understanding the association with acute myocarditis (AMC) is crucial for preemptive management strategies and improving patient outcomes. Methods We identified and compared adults (>18 years) with SID versus non-SID who were hospitalized with AMC using a large, nationally representative inpatient database from 2016 to 2021 and standardized diagnostic codes.

Association of Systemic Sclerosis With Premature Ventricular Complexes and Cardiac Arrest: A National Inpatient Sample Analysis for 2021.

Background: Systemic sclerosis (SSc) is a connective tissue disorder known to have multiple cardiovascular manifestations, including pulmonary fibrosis with pulmonary arterial hypertension, heart failure, and coronary artery disease. Arrhythmias, particularly ventricular arrhythmias, including premature ventricular complexes (PVC), ventricular tachycardia (VT), and ventricular fibrillation (VF), have been reported in patients with systemic sclerosis, but large-scale studies on their frequency and outcomes are limited.

Objective: We aimed to investigate whether SSc predisposes patients to ventricular arrhythmias and cardiac arrest, providing critical information for risk stratification and clinical management.

Critical Illness-Associated Cerebral Microbleed in a Young Patient With Sickle Cell Disease.

Critical illness-associated cerebral microbleeds (CICMs) are a recent clinical entity described as occurring in critically ill and mechanically ventilated patients, especially those with a risk of cerebral hypoxia. CICMs have been associated with progressive cognitive decline, and the management is supportive. We report the case of a 29-year-old male patient with sickle cell disease admitted for vaso-occlusive crises, which was complicated by multifocal pneumonia, and acute chest syndrome requiring intensive care unit admission and mechanical ventilation.

Determinants of cardiovascular health indices among physicians in a tertiary centre.

Background: Physicians spearhead the prevention and management of cardiovascular diseases, however, there is a paucity of studies that have assessed the cardiovascular risk profiles of physicians in Africa. We aimed to determine the cardiovascular health indices of a cross-section of physicians in Nigeria.

Methodology: A cross-sectional study was conducted among medical doctors in a tertiary hospital in Nigeria, with different specialties being proportionally represented.

Temporal trends in the utilization and outcome of transcatheter aortic valve replacement across racial and ethnic groups. A nationwide analysis.

Background: Transcatheter aortic valvular replacement (TAVR) improves outcomes in patients with aortic stenosis (AS). However, data describing racial disparities in the utilization and outcomes of TAVR are limited. We aimed to evaluate the utilization trends and outcomes of TAVR across racial and ethnic groups.

Prevalence and correlates of burn-out among Nigerian medical doctors during the COVID-19 pandemic: a cross-sectional study.

Introduction: Physician burn-out was an issue before the pandemic. Medical personnel have faced several clinical and non-clinical challenges because of the novel coronavirus (SARS-CoV-2) pandemic, which predisposes them to burn-out. There is a paucity of studies that shed light on the level of burn-out and its association with work-related factors for Nigerian medical doctors.

A Narrative Review on the Efficacy and Safety of Loop Diuretics in Patients With Heart Failure With Reduced Ejection Fraction and Preserved Ejection Fraction.

To date, loop diuretics are the mainstay treatment for decongestion in patients with acute decompensated heart failure (HF). In clinical practice, loop diuretics have also been utilized for patients with chronic HF with reduced and preserved ejection fractions. There is a paucity of quality evidence of the effect of loop diuretics use and dosing on clinical outcomes in HF patients beyond symptomatic relief.

Impact of day of admission on in-hospital outcomes of cardiogenic shock.

Background: The management of cardiogenic shock (CS) requires attentiveness to details and in some cases, invasive interventions. In the past, studies have shown relationships between the day of admission and cardiovascular outcomes. We aim to analyze the trends and in-hospital outcomes of patients admitted with CS over the weekends compared to weekdays.

Impact of Geriatric Events on Clinical Outcomes and Resource Utilization of Acute Coronary Syndrome Hospitalizations.

Background The effect of geriatric events (GEs) on outcomes of acute coronary syndrome (ACS) admissions is poorly understood. We evaluated the prevalence and impact of GEs on clinical outcomes and resource utilization of older patients admitted with ACS. Methods Using the 2018 National (Nationwide) Inpatient Sample, we analyzed all elective hospitalizations for ACS in older adults (age ≥ 65 years) and a younger reference group (age 55-64).