Search

Your search keyword '"Patel, Kunal N."' showing total 118 results
Start Over Author "Patel, Kunal N."
118 results on '"Patel, Kunal N."'

8. Prevalence and Clinical Outcomes of Acute Noncardiac Organ Failure among Non-Acute Myocardial Infarction Cardiogenic Shock: A Nationwide Cohort Analysis

Author

Majmundar, Monil, primary, Faisaluddin, Mohammed, additional, Alarfaj, Mohammad, additional, Ahmed, Asmaa, additional, Patel, Kunal N, additional, Majmundar, Vidit, additional, Doshi, Rajkumar, additional, Shah, Hirak, additional, Gupta, Kamal, additional, Shah, Zubair, additional, and Dalia, Tarun, additional

Published
2024
Full Text
View/download PDF

9. National Trends, In-Hospital Mortality, and Outcomes of Atrial Septal Defect/Patent Foramen Ovale Closure Procedure: An Analysis From the National Inpatient Sample

Author

Patel, Kunal N., primary, Majmundar, Vidit, additional, Majmundar, Monil, additional, Zala, Harshvardhan, additional, Doshi, Rajkumar, additional, Patel, Vyoma, additional, Dani, Sourbha S., additional, Zeb, Irfan, additional, Patel, Brijesh, additional, and Kalra, Ankur, additional

Published
2024
Full Text
View/download PDF

17. Impact of preexisting coronary artery and peripheral artery disease on outcomes in diabetic patients after kidney transplant.

Author

Jiwani, Sania, Chan, Wan-Chi, Majmundar, Monil, Patel, Kunal N, Mehta, Harsh, Sharma, Aditya, Parmar, Gaurav, Wiley, Mark, Tadros, Peter, Hockstad, Eric, Yarlagadda, Sri G, Gupta, Aditi, and Gupta, Kamal

Subjects
PERIPHERAL vascular diseases, PEOPLE with diabetes, KIDNEY transplantation, CORONARY arteries, CHRONIC kidney failure
Abstract

Background: Atherosclerotic cardiovascular disease is highly prevalent in patients with end-stage kidney disease (ESKD). Kidney transplant (KT) improves patient survival and cardiovascular outcomes. The impact of preexisting coronary artery disease (CAD) and peripheral artery disease (PAD) on posttransplant outcomes remains unclear. Methods: This is a retrospective study utilizing the United States Renal Data System. Adult diabetic dialysis patients who underwent first KT between 2006 and 2017 were included. The study population was divided into four cohorts based on presence of CAD/PAD: (1) polyvascular disease (CAD + PAD); (2) CAD without PAD; (3) PAD without CAD; (4) no CAD or PAD (reference cohort). The primary outcome was 3-year all-cause mortality. Secondary outcomes were incidence of posttransplant myocardial infarction (MI), cerebrovascular accidents (CVA), and graft failure. Results: The study population included 19,329 patients with 64.4% men, mean age 55.4 years, and median dialysis duration of 2.8 years. Atherosclerotic cardiovascular disease was present in 28% of patients. The median follow up was 3 years. All-cause mortality and incidence of posttransplant MI were higher with CAD and highest in patients with polyvascular disease. The cohort with polyvascular disease had twofold higher all-cause mortality (16.7%, adjusted hazard ratio (aHR) 1.5, p < 0.0001) and a fourfold higher incidence of MI (12.7%, aHR 3.3, p < 0.0001) compared to the reference cohort (8.0% and 3.1%, respectively). There was a higher incidence of posttransplant CVA in the cohort with PAD (3.4%, aHR 1.5, p = 0.01) compared to the reference cohort (2.0%). The cohorts had no difference in graft failure rates. Conclusions: Preexisting CAD and/or PAD result in worse posttransplant survival and cardiovascular outcomes in patients with diabetes mellitus and ESKD without a reduction in graft survival. [ABSTRACT FROM AUTHOR]

Published
2024
Full Text
View/download PDF

18. Impact of preexisting coronary artery and peripheral artery disease on outcomes in diabetic patients after kidney transplant

Author

Jiwani, Sania, primary, Chan, Wan-Chi, additional, Majmundar, Monil, additional, Patel, Kunal N, additional, Mehta, Harsh, additional, Sharma, Aditya, additional, Parmar, Gaurav, additional, Wiley, Mark, additional, Tadros, Peter, additional, Hockstad, Eric, additional, Yarlagadda, Sri G, additional, Gupta, Aditi, additional, and Gupta, Kamal, additional

Published
2023
Full Text
View/download PDF

24. D-23 | Gender Differences in Coronary Revascularization for Stable Coronary Artery Disease in Patients With End Stage Kidney Disease

Author

Mehta, Harsh, primary, Chan, Wan-Chi, additional, Vasudeva, Rhythm, additional, Vindhyal, Mohinder, additional, Majmundar, Monil, additional, Jiwani, Sania, additional, Pothuru, Suveenkrishna, additional, Patel, Kunal N., additional, Mahdi, Ahmad, additional, Greene, Amelia, additional, Tadros, Peter, additional, Wiley, Mark A., additional, and Gupta, Kamal, additional

Published
2023
Full Text
View/download PDF

44. Prevalence, trends, and outcomes of cardiovascular diseases in pregnant patients in the USA: 2010–19.

Author

Majmundar, Monil, Doshi, Rajkumar, Patel, Kunal N, Zala, Harshvardhan, Kumar, Ashish, and Kalra, Ankur

Subjects
CARDIOVASCULAR diseases, HEART valve diseases, HOSPITAL mortality, AORTIC dissection, MORTALITY
Abstract

Aims Contemporary data on the prevalence, trends, and outcomes of cardiovascular diseases (CVDs) in pregnant patients are limited. This study aimed to analyse the prevalence, trends, and outcomes of CVD and their subtypes in hospitalized pregnant patients in the USA. Methods and results This retrospective population-based cohort study used the Nationwide Readmission Database to identify all hospitalized pregnant patients from 1 January 2010, to 31 December 2019. Data analyses were conducted from January to February 2022. Pregnancy-associated hospitalizations were identified. The main outcomes were the prevalence and trend of CVD in pregnant patients. 39 212 104 hospitalized pregnant patients were identified: 4 409 924 with CVD (11.3%) and 34 802 180 without CVD (88.8%). The annual age-adjusted CVD prevalence increased from 9.2% in 2010 to 14.8% in 2019 (P < 0.001). Hypertensive disorder of pregnancy (1069/10 000) was the most common, and aortic dissection (0.1/10 000) was the least common CVD. The trends of all CVD subtypes increased; however, the trend of valvular heart disease decreased. Age-adjusted in-hospital all-cause mortality was 8.2/10 000 in CVD, but its trend decreased from 8.1/10 000 in 2010 to 6.5/10 000 in 2019 (P < 0.001). CVD was associated with 15.51 times higher odds of in-hospital all-cause mortality compared with non-CVD patients [odds ratio (OR): 15.51, 95% confidence interval (CI)13.22–18.20, P < 0.001]. CVD was associated with higher 6-week postpartum readmission (OR: 1.97, 95% CI: 1.95–1.99), myocardial infarction (OR: 3.04, 95% CI: 2.57–3.59), and stroke (OR: 2.66, 95% CI: 2.41–2.94)(P < 0.001 for all). Conclusion There is an increasing age-adjusted trend in overall CVD and its subtypes among pregnant patients in the USA from 2010 to 2019. Pregnant patients with CVD had higher odds of in-hospital mortality than those without CVD. However, in-hospital all-cause mortality among patients with and without CVD has decreased over the past 10 years. CVD was associated with higher 6-week postpartum all-cause readmission, myocardial infarction, and stroke rates. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results