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18. Disparities in the implantation of secondary prevention implantable cardioverter defibrillator in the United States.

Author

Maraey, Ahmed, Yazdi, Vahid, Chaaban, Nourhan, Aglan, Amro, Elzanaty, Ahmed, Moustafa, Abdelmoniem, Karim, Saima, and He, Beixin Julie

Abstract

Background: The annual incidence of sudden cardiac death is over 300,000 in the United States (US). Historically, inpatient implantation of secondary prevention implantable cardioverter defibrillator (ICD) has been variable and subject to healthcare disparities. Objective: To evaluate contemporary practice trends of inpatient secondary prevention ICD implants within the US on the basis of race, sex, and socioeconomic status (SES). Methods: The study is a retrospective analysis of the National Inpatient Sample from 2016 to 2020 of adult discharges with a primary diagnosis of ventricular tachycardia (VT), ventricular flutter, and fibrillation (VF). Adjusted ICD implantation rates based on race, sex, and SES and associated temporal trends were calculated using multivariate regression. Results: A total of 193,600 primary VT/VF discharges in the NIS were included in the cohort, of which 57,895 (29.9%) had ICD placement. There was a significant racial and ethnic disparity in ICD placement for Black, Hispanic, Asian, and Native American patients as compared to White patients; adjusted odds ratio (aOR): 0.86 [p <.01], 0.90 [p =.03], 0.81[p <.01], 0.45 [p <.01], respectively. Female patients were also less likely to receive an ICD compared to male patients (aOR: 0.75, p <.01). Disparities in ICD placement remained stable over the study period (ptrend ≥.05 in all races, both sexes and income categories). Conclusion: Racial, sex, and SES disparities persisted for secondary prevention ICD implants in the US. An investigation into contributing factors and subsequent approaches are needed to address the modifiable causes of disparities in ICD implantation as these trends have not improved compared to historic data. [ABSTRACT FROM AUTHOR]

Published
2024
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20. Corrigendum to “Sex differences in myocarditis hospitalizations: Rates, outcomes, and hospital characteristics in the National Readmission Database”. [Current problems in cardiology, 49(2), 10223]

Author

Elzanaty, Ahmed M, primary, Aglan, Amro, additional, Yassen, Mohammed, additional, Royfman, Rachel, additional, Maraey, Ahmed, additional, Khalil, Mahmoud, additional, Ranabothu, Meghana, additional, Lakhani, Shikha, additional, Waack, Andrew, additional, Elsheikh, Eman, additional, Mohamed, Abdel-Rhman, additional, and Eltahawy, Ehab, additional

Published
2024
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24. Thoracic impedance monitoring in heart failure: from theory to practice.

Author

Maraey, Ahmed, Chacko, Paul, and Moukarbel, George V.

Subjects
HEART failure patients, HEART failure, THEORY-practice relationship, ARRHYTHMIA, PULMONARY artery catheters, CARDIAC pacing
Abstract

This article discusses the use of thoracic impedance monitoring as a strategy for early detection of heart failure (HF) exacerbations. HF is a life-threatening condition that is associated with significant morbidity and mortality. The article explains the basis of impedance measurement and describes two methods of measuring impedance: band electrode methods and implanted device-based methods. It also discusses the implications of impedance monitoring on survival and HF hospitalizations. However, the article acknowledges several limitations to the broad adoption of impedance technologies in HF management, including the lack of a universally adopted gold standard strategy for clinical monitoring and objective assessment of HF patients. The authors conclude that while impedance monitoring shows promise, there are challenges to its widespread adoption and further research is needed. [Extracted from the article]

Published
2024
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31. TCT-16 Impact of Chronic Total Occlusion on Outcomes of Transcatheter Aortic Valve Replacement: A 5-Year Analysis From the National Readmission Database 2016-2020

Author

Maraey, Ahmed, primary, Elsharnoby, Hadeer, additional, Aglan, Amro, additional, Abdelmottaleb, Wael, additional, Salem, Mahmoud, additional, Al Wahadneh, Omar, additional, Haider, Mobeen, additional, Khalid, Yousra, additional, Khalil, Mahmoud, additional, and Elzanaty, Ahmed, additional

Published
2023
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45. Disparities in acute coronary syndrome outcomes in individuals with intellectual disabilities: A propensity matched analysis of national inpatient sample

Author

Maraey, Ahmed, primary, Elsharnoby, Hadeer, additional, Haider, Mobeen, additional, Aglan, Amro, additional, Khalid, Yousra, additional, Elzanaty, Ahmed M., additional, Khalil, Mahmoud, additional, Salem, Mahmoud, additional, Younes, Ahmed, additional, Aziz, Shazia, additional, and Eltahawy, Ehab A., additional

Published
2023
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