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292 results on '"Varinder"'

22. A sustainable approach for the synthesis of PbFe12O19 materials using tomato pulp as a fuel: Structural, morphological, optical, magnetic, and dielectric traits

Author

Kumar Godara, Sachin, Himanshi, Jasrotia, Rohit, Kaur, Varinder, Singh Malhi, Parambir, Ahmed, Jahangeer, Kandwal, Abhishek, Verma, Swati, Singh, Mandeep, Kaur, Paramjit, Kumar Dhaka, Rahul, Chuchra, Kirti, ul Hassan S. Rana, Abu, Kumar Sood, Ashwani, Sharma, Karuna, Dhaka, Sarita, and Verma, Ankit

Published
2023
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33. In-hospital outcomes and postdischarge mortality in patients with acute coronary syndrome and atrial fibrillation.

Author

Saleh, Moussa, Coleman, Kristie, Fishbein, Joanna, Gandomi, Amir, Yang, Bo, Kossack, Andrew, Varrias, Dimitrios, Jauhar, Rajiv, Lasic, Zoran, Kim, Michael, Mihelis, Efstathia, Ismail, Haisam, Sugeng, Lissa, Singh, Varinder, Epstein, Laurence M., Kuvin, Jeffrey, and Mountantonakis, Stavros E.

Abstract

It is unclear whether advances in management of acute coronary syndrome (ACS) and introduction of novel oral anticoagulants have changed outcomes in patients with ACS with concomitant atrial fibrillation (AF). This study aimed to examine the incidence of AF in patients admitted for ACS and to evaluate its association with adverse outcomes, given the recent advances in management of both diseases. Natural language processing search algorithms identified AF in patients admitted with ACS across 13 Northwell Health Hospitals from 2015 to 2021. Hierarchical generalized linear mixed modeling was used to assess the association between AF and in-hospital mortality, bleeding, and stroke outcomes; marginal Cox regression modeling was used to assess the association between AF and postdischarge mortality. Of 12,315 patients admitted for ACS, 3018 (24.5%) had AF with 1609 (53.3%) newly diagnosed. AF patients more commonly received anticoagulation with an oral anticoagulant (80.4% vs 12.3%) or heparin (61.9% vs 56.9%), had lengthier intensive care unit stay (72 vs 49 hours), and underwent fewer percutaneous coronary interventions (31.9% vs 53.1%). In-hospital bleeding, stroke, and mortality were higher in the AF group (15.3% vs 5.0%, 7.4% vs 2.4%, and 6.9% vs 2.1%, respectively). AF was an independent risk factor for all in-hospital outcomes (odds ratios of 2.5, 2.7, and 2.0 for bleeding, stroke, and mortality, respectively) as well as for postdischarge mortality (hazard ratio, 1.3; 95% CI, 1.2–1.5). AF is present in 25% of ACS patients and increases risk of in-hospital and postdischarge adverse outcomes. Additional data are required to direct optimal management. [Display omitted] [ABSTRACT FROM AUTHOR]

Published
2024
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34. Extra-cardiac management of cardiogenic shock in the intensive care unit.

Author

Randhawa, Varinder K., Lee, Ran, Alviar, Carlos L., Rali, Aniket S., Arias, Alexandra, Vaidya, Anjali, Zern, Emily K., Fagan, Andrew, Proudfoot, Alastair G., and Katz, Jason N.

Subjects
*CARDIOGENIC shock, *INTENSIVE care units, *CORONARY care units, *CARDIAC intensive care, *CRITICALLY ill, *LIVER failure
Abstract

Cardiogenic shock (CS) is a heterogeneous clinical syndrome characterized by low cardiac output leading to end-organ hypoperfusion. Organ dysoxia ranging from transient organ injury to irreversible organ failure and death occurs across all CS etiologies but differing by incidence and type. Herein, we review the recognition and management of respiratory, renal and hepatic failure complicating CS. We also discuss unmet needs in the CS care pathway and future research priorities for generating evidence-based best practices for the management of extra-cardiac sequelae. The complexity of CS admitted to the contemporary cardiac intensive care unit demands a workforce skilled to care for these extra-cardiac critical illness complications with an appreciation for how cardio-systemic interactions influence critical illness outcomes in afflicted patients. [ABSTRACT FROM AUTHOR]

Published
2024
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