Joseph M. Harburger

Cardiac Manifestations of Lyme Disease

Maisha Maliha, Nathaniel Abittan, William H. Frishman, Wilbert S. Aronow et autres

Lyme disease (LD) is an inflammatory disorder caused by an infectious bacterial agent and is the most common tick-borne illness in the United States and Europe. About 1.5-10% of adults infected with LD develop cardiac complications. This review summarizes the current knowledge …

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Abstract 15523: Breaking Bad - Severe Mechanical Hemolytic Anemia After Failed Mitral Valve Repair

Akshay Goel, Amanda Lloji, Parija Sharedalal, Matthew W. McMaster et autres

Introduction: Hemolytic anemia is a rare complication of mitral valve repair surgery. Mechanisms include a high-velocity regurgitant jet striking the annuloplasty ring or displacement of the annuloplasty ring with para-annular leak. Case Report: A 66 year old man with a past history …

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Abstract 12026: A Case of Eosinophilic Endomyocarditis in a Patient With Eosinophilic Leukemia and Hypereosinophilic Syndrome

Navjot Singh, Ravi J. Shah, Dhrubajyoti Bandyopadhyay, Akshay Goel et autres

Background: Eosinophilic (Loeffler’s) endomyocarditis is a restrictive cardiomyopathy caused by eosinophilic infiltration of myocardial. Complications include arrhythmias, intraventricular thrombus formation, and acute heart failure. Clinical Presentation A 37-year-old man with no past medical history presented with two weeks of fatigue and exertional …

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MECHANICAL VALVE THROMBOSIS IN A PREGNANT PATIENT: A CASE OF THERAPEUTIC FAILURE

Rahul Gupta, Purva Ranchal, Jagjit Khosla, Kartik Dhaduk et autres

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Mechanical Valve Thrombosis in a Pregnant Patient: A Case of Therapeutic Failure

Rahul Gupta, Purva Ranchal, Joseph M. Harburger

Mechanical valve thrombosis is life-threatening complication especially in pregnant patients. The optimal anticoagulation regimen is still not certain as there are different fetal and maternal risks associated with anticoagulation. A 37-year-old woman with a history of rheumatic heart disease with a mechanical …

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Effect of Angiotensin Converting Enzyme Inhibitors on Functional Capacity in Elderly Patients with Heart Failure and Preserved Ejection Fraction: A Systematic Review and Meta-Analysis

Rahul Gupta, Joseph M. Harburger, Gregg M. Lanier

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Can Posterior Pericardiotomy Reduce the Incidence of Postoperative Atrial Fibrillation after Coronary Artery Bypass Grafting?

Rahul Gupta, Kartik Dhaduk, Joseph M. Harburger, Jason T. Jacobson et autres

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Antithrombotic Management of Patients With Prosthetic Heart Valves

Abdallah Sanaani, Srikanth Yandrapalli, Joseph M. Harburger

Valvular heart disease is a major public health issue. The prevalence of valvular heart disease is expected to increase due to an aging population. Valve dysfunction manifests as valve stenosis, regurgitation, or both due to various etiologies. Valve repair and replacement are …

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Clopidogrel-Induced Recurrent Polyarthritis

Sahil Agrawal, Joseph M. Harburger, Gary W. Stallings, Nikhil A. Agrawal et autres

Clopidogrel is an oral thienopyridine and together with aspirin is a component of dual antiplatelet therapy for the prevention of stent thrombosis after intracoronary stent placement. The common adverse effects from its use are an increased risk of bleeding, neutropenia, and rash. …

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Newer Anticoagulants for Non-Valvular Atrial Fibrillation

Joseph M. Harburger, Wilbert S. Aronow

Non-valvular atrial fibrillation is a recognized risk factor for stroke and systemic embolism. It has been clearly established that warfarin reduces the risk of stroke and systemic embolism in persons with atrial fibrillation and additional risk factors for stroke. The use of …

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Cardiac involvement.

Joseph M. Harburger, JonathanL Halperin

Abstract This book chapter reviews epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment (antibiotic therapy, antiinflammatory medication) and prognosis of Lyme carditis.