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Narasaraju T, Ravi Y, Jonsson CB, Chow VTK. High-dose corticosteroid therapy in COVID-19: the RECOVERY trial. Lancet 2024; 403:1338-1339. [PMID: 38582562 DOI: 10.1016/s0140-6736(23)02884-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2023] [Accepted: 12/21/2023] [Indexed: 04/08/2024]
Affiliation(s)
- Teluguakula Narasaraju
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
| | - Yazhini Ravi
- Department of Surgery, University of Connecticut Health, Farmington, CT, USA
| | - Colleen B Jonsson
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Vincent T K Chow
- Infectious Diseases Translational Research Program, Department of Microbiology and Immunology, Yong Loo Lin School of Medicine, National University of Singapore, National University Health System, Singapore
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Zoni CR, Dean M, Copeland LA, Silverman JR, Lemoine C, Mahajan A, Perna ER, Ravi Y, Sai Sudhakar CB. Relationship between donor ejection fraction, left ventricular wall thickness and mortality in heart transplants recipients. Curr Probl Cardiol 2024; 49:102463. [PMID: 38346610 DOI: 10.1016/j.cpcardiol.2024.102463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 02/09/2024] [Indexed: 02/16/2024]
Abstract
This study explored the impact of donor left ventricular ejection fraction (EF) and left ventricular wall thickness (LVWT) on mortality among heart transplant (HTx) recipients. Utilizing data from the United Network for Organ Sharing (UNOS) registry, adult HTx recipients between 2006-2022 were analyzed. Patients were categorized into four groups based on donor EF(>50 % or ≤50 %) and LVWT(<1.4 cm or ≥1.4 cm). 21,012 patients were included. There were significant differences in baseline characteristics among the groups. Unadjusted mortality was 6.3 %, 6.0 %, 6.0 %, and 2.4 %(p=0.86) at 30-days; 16.2 %, 13.5 %, 16.8 %, and 7.3 %(p=0.08) at 1-year; and 32.2 %, 29.2 %, 35.4 %, and 29.0 %(p=0.18) at 5-years, respectively. In addition, adjusted mortality did not differ across the groups. There were no significant differences in recipient mortality in groups based on donor EF and LVWT. Expanding the donor selection criteria would allow for increase in the donor pool and assist in decreasing the mortality, while on the waitlist for HTx.
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Affiliation(s)
- Cesar Rodrigo Zoni
- University of Connecticut School of Medicine, Connecticut, United States; Department of Surgery-Division of Cardiothoracic Surgery, UConn Health, Connecticut, United States
| | - Matthew Dean
- Virginia Commonwealth University Health System Internal Medicine Residency, Virginia, United States
| | - Laurel A Copeland
- VA Central Western Massachusetts Healthcare System, Massachusetts, United States; Department of Population Health and Quantitative Health Sciences, University of Massachusetts Medical School, Massachusetts, United States
| | - Julia R Silverman
- University of Connecticut School of Medicine, Connecticut, United States
| | | | - Aviral Mahajan
- University of Connecticut School of Medicine, Connecticut, United States
| | - Eduardo R Perna
- Instituto de Cardiología de Corrientes "Juana F. Cabral", Corrientes, Argentina
| | - Yazhini Ravi
- University of Connecticut School of Medicine, Connecticut, United States; Department of Surgery-Division of Cardiothoracic Surgery, UConn Health, Connecticut, United States.
| | - Chittoor B Sai Sudhakar
- University of Connecticut School of Medicine, Connecticut, United States; Department of Surgery-Division of Cardiothoracic Surgery, UConn Health, Connecticut, United States
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Zoni CR, D'Imperio H, Zapata G, Charask A, Macín SM, Castillo Costa Y, Ravi Y, Gagliardi J, Perna ER. Heart Failure at Admission Complicating ST-Elevation Myocardial Infarction in a Middle-Income Country. Experience of the ARGEN-IAM-ST Registry. Curr Probl Cardiol 2024; 49:102076. [PMID: 37716540 DOI: 10.1016/j.cpcardiol.2023.102076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 09/11/2023] [Indexed: 09/18/2023]
Abstract
Despite advances in the management of ST-elevation myocardial infarction (STEMI), when associated with heart failure (HF) its prognosis remains ominous. This study assessed the differences in admission and mortality of HF complicating STEMI at admission (HFad) in a middle-income country. Data from the National Registry of STEMI of Argentina (ARGEN-IAM-ST) from January 1, 2016, to September 30, 2020, were analyzed. HFad was defined by the identification of Killip/Kimball ≥2 at admission. About 3174 patients were analyzed (22.3% had HFad). Patients with HFad were older, more often women, hypertensive, and diabetic. Received less reperfusion (87.6% vs 92.6%, P < 0.001) and had increased in-hospital mortality (28.4% vs 3.0%, P < 0.001). In multivariate analysis HFad was an independent predictor of death (OR: 4.88 [95%CI: 3.33-7.18], P < 0.001) and reperfusion adjusted to HFad was associated with lower mortality (OR: 0.57 [95%CI: 0.34-0.95], P = 0.03). HFad in STEMI is associated with a worse clinical profile, receives fewer reperfusion strategies, and carries a higher risk of in-hospital mortality while reperfusion reduces mortality.
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Affiliation(s)
- Cesar Rodrigo Zoni
- Division of Cardiothoracic Surgery-Department of Surgery, UConn Health, Farmington CT; Argentine Federation of Cardiology, Buenos Aires, Argentina.
| | - Heraldo D'Imperio
- Hospital El Cruce, Florencio Varela, Buenos Aires, Argentina; Argentine Society of Cardiology, Argentina
| | - Gerardo Zapata
- Argentine Federation of Cardiology, Buenos Aires, Argentina; Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
| | - Adrián Charask
- Argentine Society of Cardiology, Argentina; Clínica Bazterrica, Clínica Santa Isabel, Ciudad Autónoma de Buenos Aires, Argentina
| | - Stella M Macín
- Argentine Federation of Cardiology, Buenos Aires, Argentina; Instituto de Cardiología de Corrientes "Juana F. Cabral", Corrientes, Argentina
| | - Yanina Castillo Costa
- Argentine Society of Cardiology, Argentina; Clínica Bazterrica, Clínica Santa Isabel, Ciudad Autónoma de Buenos Aires, Argentina
| | - Yazhini Ravi
- Division of Cardiothoracic Surgery-Department of Surgery, UConn Health, Farmington CT
| | - Juan Gagliardi
- Argentine Society of Cardiology, Argentina; Hospital General de Agudos Dr. Cosme Argerich, Ciudad Autónoma de Buenos Aires, Argentina
| | - Eduardo R Perna
- Argentine Federation of Cardiology, Buenos Aires, Argentina; Instituto de Cardiología de Corrientes "Juana F. Cabral", Corrientes, Argentina
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Dean M, Díaz FDV, Lemoine C, Copeland L, Silverman J, Raines T, Sai-Sudhakar C, Ravi Y, Zoni R. Left Ventricular Hypertrophy and Reduced Ejection Fraction in Donor Hearts - Contraindications to Transplantation. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Del Valle Diaz F, Dean M, Lemoine C, Copeland L, Silverman J, Zoni C, Raines T, Ravi Y, Sai-Sudhakar C. Donor Cause of Death and Ejection Fraction in Heart Transplant Recipients. J Heart Lung Transplant 2023. [DOI: 10.1016/j.healun.2023.02.1297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
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Dean MR, Zoni R, Copeland L, Diaz FADV, Sudhakar CBS, Ravi Y. PACEMAKERS IN HEART TRANSPLANT - A RETROSPECTIVE ANALYSIS OF OUTCOMES AND CLINICAL CHARACTERISTICS AMONG RECIPIENTS. J Am Coll Cardiol 2023. [DOI: 10.1016/s0735-1097(23)01127-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
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Ravi Y, Vethamoni IP, Saxena SN, Velmurugan S, Santanakrishnan VP, Raveendran M, Bariya H, Harsh M. Guesstimate of thymoquinone diversity in Nigella sativa L. genotypes and elite varieties collected from Indian states using HPTLC technique. Open Life Sci 2023; 18:20220536. [PMID: 36816805 PMCID: PMC9922057 DOI: 10.1515/biol-2022-0536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 11/10/2022] [Accepted: 11/13/2022] [Indexed: 02/10/2023] Open
Abstract
Thymoquinone is a valuable metabolite derived from the Nigella sativa L. seeds and has a variety of therapeutic properties. Thymoquinone was estimated using n-hexane:ethyl acetate (8:2, v/v) green solvent system and computed at a wavelength of 254 nm using the high-performance thin-layer chromatography densitometry method in distinct varieties and genotypes congregated from different geographical regions. Genotype Ajmer Nigella-13 has the paramount thymoquinone content (247.60 µg/100 mg seed) followed by Ajmer Nigella 19 (244.5 µg/100 mg seed), while the lowest amount of thymoquinone was recorded in the genotype Ajmer Nigella-6 (42.88 µg/100 mg seed). The hierarchical cluster analysis found that the collected genotypes and elite varieties were classified into four broad clusters, and the identified chemotypes with elevated thymoquinone proportion were positioned in cluster D. Significant genotypic variation in thymoquinone content is available, that can be used in exploiting pharmaceutical applications of N. sativa L. as well as a breeding programme for specific metabolite improvement perspective.
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Affiliation(s)
- Y. Ravi
- Department of Spices, Plantation, Medicinal and Aromatic Crops, Horticulture College and Research Institute, Tamil Nadu Agricultural University, Coimbatore, 641003, India,Division of Crop Improvement, Indian Council of Agricultural Research, National Research Centre on Seed Spices, Ajmer, Rajasthan, 305206, India
| | - Irene P. Vethamoni
- Department of Spices and Plantation crops, Horticulture College and Research Institute, Tamil Nadu Agricultural University, Coimbatore, 641003, India
| | - Shailendra N. Saxena
- Division of Crop Improvement, Indian Council of Agricultural Research, National Research Centre on Seed Spices, Ajmer, Rajasthan, 305206, India
| | - S. Velmurugan
- Department of Spices and Plantation crops, Horticulture College and Research Institute, Tamil Nadu Agricultural University, Coimbatore, 641003, India
| | - V. P. Santanakrishnan
- Department of Biochemistry, Centre for Plant Molecular Biology and Biotechnology, Tamil Nadu Agricultural University, Coimbatore, 641003, India
| | - M. Raveendran
- Department of Biochemistry, Centre for Plant Molecular Biology and Biotechnology, Tamil Nadu Agricultural University, Coimbatore, 641003, India
| | - Himanshu Bariya
- Department of Bio-Technology, Hemchandracharya North Gujarat University, Patan, Gujarat 384265, India
| | - Mistry Harsh
- Department of Bio-Technology, Hemchandracharya North Gujarat University, Patan, Gujarat 384265, India
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Dean M, Zoni CR, Copeland LA, Pickett C, Sudhakar CBS, Ravi Y. Retrospective analysis of the impact of pre-transplant implantable cardioverter-defibrillator status on long-term prognosis in heart transplant patients. Clin Transplant 2023; 37:e14842. [PMID: 36346070 DOI: 10.1111/ctr.14842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 10/07/2022] [Accepted: 10/21/2022] [Indexed: 11/11/2022]
Abstract
BACKGROUND Sudden cardiac death (SCD) post-heart transplantation affects 8%-35% of patients; however, the risk profile remains to be completely elucidated. While pre-transplant ICDs are typically removed during transplantation, no information exists to suggest if this pre-transplant risk stratification is also associated with post-transplant outcomes. The objective of this study was to assess the impact of pre-transplant ICD status on long-term prognosis post-heart transplant. METHODS The United Network for Organ Sharing registry was queried for all adult heart transplant recipients from 2010 to 2018. Patients were categorized as with versus without ICD prior to heart transplantation. Survival was compared using Kaplan-Meier analysis. Proportional hazards regression analysis assessed the impact of ICDs adjusting for clinical and demographic covariates. RESULTS Of 19 026 patients included, 78.6% (n = 14 960) had received an ICD at time of registration. Patients with an ICD were older [54.9 (±11.6) years vs. 48.6 (±15.3) years, p < .001], less likely to be female [25.7% (n = 3842) vs. 31.2% (n = 1269), p < .001], and more commonly diabetic [29.3% (n = 4376) vs 23.5% (n = 954), p < .001]. Kaplan-Meier analysis showed no difference in unadjusted survival trajectory by ICD status (chi-square = .48, p = .49). Survival was unrelated to ICD status in the multivariable model (HR = .98; 95% CI .90-1.07). CONCLUSIONS Patients receiving an ICD pre-transplant had a higher prevalence of risk factors for SCD than non-ICD patients, yet ICD status prior to heart transplantation was not associated with a change in long-term prognosis post-heart transplantation.
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Affiliation(s)
- Matthew Dean
- University of Connecticut School of Medicine, Farmington, Connecticut, USA.,Virginia Commonwealth University Health System Internal Medicine Residency, Richmond, Virginia, USA
| | - Cesar Rodrigo Zoni
- University of Connecticut School of Medicine, Farmington, Connecticut, USA.,Department of Cardiothoracic Surgery-Department of Surgery UConn Health, Farmington, Connecticut, USA
| | - Laurel A Copeland
- VA Central Western Massachusetts Healthcare System, Northampton, Massachusetts, USA.,Department of Population Health and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA
| | - Christopher Pickett
- University of Connecticut School of Medicine, Farmington, Connecticut, USA.,Calhoun Cardiology Center, University of Connecticut Health Center, Farmington, Connecticut, USA
| | - Chittoor B Sai Sudhakar
- University of Connecticut School of Medicine, Farmington, Connecticut, USA.,Department of Cardiothoracic Surgery-Department of Surgery UConn Health, Farmington, Connecticut, USA
| | - Yazhini Ravi
- University of Connecticut School of Medicine, Farmington, Connecticut, USA.,Department of Cardiothoracic Surgery-Department of Surgery UConn Health, Farmington, Connecticut, USA
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Xue Y, Yang D, Vogel P, Stabenow J, Zalduondo L, Kong Y, Ravi Y, Sai-Sudhakar CB, Parvathareddy J, Hayes E, Taylor S, Fitzpatrick E, Jonsson CB. Cardiopulmonary Injury in the Syrian Hamster Model of COVID-19. Viruses 2022; 14:v14071403. [PMID: 35891384 PMCID: PMC9316644 DOI: 10.3390/v14071403] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Revised: 06/21/2022] [Accepted: 06/25/2022] [Indexed: 02/04/2023] Open
Abstract
The Syrian hamster has proved useful in the evaluation of therapeutics and vaccines for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). To advance the model for preclinical studies, we conducted serial sacrifice of lungs, large pulmonary vessels, and hearts from male and female Syrian hamsters for days 1–4, and 8 post-infection (dpi) following infection with a high dose of SARS-CoV-2. Evaluation of microscopic lung histopathology scores suggests 4 and 8 dpi as prime indicators in the evaluation of moderate pathology with bronchial hyperplasia, alveolar involvement and bronchiolization being key assessments of lung disease and recovery, respectively. In addition, neutrophil levels, red blood cell count and hematocrit showed significant increases during early infection. We present histological evidence of severe damage to the pulmonary vasculature with extensive leukocyte transmigration and the loss of endothelial cells and tunica media. Our evidence of endothelial and inflammatory cell death in the pulmonary vessels suggests endothelialitis secondary to SARS-CoV-2 epithelial cell infection as a possible determinant of the pathological findings along with the host inflammatory response. Lastly, pathological examination of the heart revealed evidence for intracardiac platelet/fibrin aggregates in male and female hamsters on 8 dpi, which might be indicative of a hypercoagulative state in these animals.
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Affiliation(s)
- Yi Xue
- Department of Microbiology, Immunology and Biochemistry, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (Y.X.); (Y.K.); (E.H.); (E.F.)
| | - Dong Yang
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
| | - Peter Vogel
- Animal Resources Center and Veterinary Pathology Core, St. Jude Children’s Research Hospital, Memphis, TN 38105, USA;
| | - Jennifer Stabenow
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
| | - Lillian Zalduondo
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
| | - Ying Kong
- Department of Microbiology, Immunology and Biochemistry, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (Y.X.); (Y.K.); (E.H.); (E.F.)
| | - Yazhini Ravi
- Department of Surgery, University of Connecticut Health Center, Farmington, CT 06085, USA; (Y.R.); (C.B.S.-S.)
| | - Chittoor B. Sai-Sudhakar
- Department of Surgery, University of Connecticut Health Center, Farmington, CT 06085, USA; (Y.R.); (C.B.S.-S.)
| | - Jyothi Parvathareddy
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
| | - Ernestine Hayes
- Department of Microbiology, Immunology and Biochemistry, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (Y.X.); (Y.K.); (E.H.); (E.F.)
| | - Shannon Taylor
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
| | - Elizabeth Fitzpatrick
- Department of Microbiology, Immunology and Biochemistry, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (Y.X.); (Y.K.); (E.H.); (E.F.)
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
- Institute for the Study of Host-Pathogen Systems, University of Tennessee Health Science Center, Memphis, TN 38163, USA
| | - Colleen B. Jonsson
- Department of Microbiology, Immunology and Biochemistry, College of Medicine, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (Y.X.); (Y.K.); (E.H.); (E.F.)
- Regional Biocontainment Laboratory, University of Tennessee Health Science Center, Memphis, TN 38163, USA; (D.Y.); (J.S.); (L.Z.); (J.P.); (S.T.)
- Institute for the Study of Host-Pathogen Systems, University of Tennessee Health Science Center, Memphis, TN 38163, USA
- College of Pharmacy, University of Tennessee Health Science Center, Memphis, TN 38163, USA
- Correspondence:
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Zaver S, Zaver H, Copeland L, Raines T, Wan J, Dong L, Whitson B, Balasubramaniyan J, Emani S, Ravi Y, Sai-Sudhakar C. Improving Heart Transplant Outcomes in the African American Population? Are We There Yet? J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Zaver S, Ravi Y, Copeland L, Zaver H, Raines T, Emani S, Dong L, Whitson B, Wan J, Sai-Sudhakar C. Education and Its Impact on Post-Heart Transplant Survival? J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Ravi Y, Zaver S, Raines T, Zaver H, Copeland L, Chinta V, Balasubramaniyan J, Emani S, Dong L, Wan J, Sai-Sudhakar C. Does Post-Heart Transplantation Placement of Permanent Pacemakers Affect Survival? J Heart Lung Transplant 2022. [DOI: 10.1016/j.healun.2022.01.1749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Ravi Y, Raines T, Copeland L, Zaver S, Zaver H, Vila M, Pacific M, Sai-Sudhakar C, Calderia C. Independent and Combined Effects of Age and COVID on Patient Outcomes. J Heart Lung Transplant 2022. [PMCID: PMC8988568 DOI: 10.1016/j.healun.2022.01.666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Zaver S, Chinta V, Wan J, Lei D, Emani S, Sai-Sudhakar C, Ravi Y. Can Pre-Transplant Renal Function Predict Short-Term and Long-Term Post-Transplant Survival? J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Ravi Y, Zaver S, Emani S, Lei D, Whitson B, Wan J, Sai-Sudhakar C. Education and Its Impact on Post-Heart Transplant Survival. J Heart Lung Transplant 2020. [DOI: 10.1016/j.healun.2020.01.646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Barani R, Seshan V, Ravi Y, Soundararajan P, Palani G, Srikanth P. Detection of cytomegalovirus disease by real-time quantitative PCR targeting immediate early gene (ppUL83) in different samples among post-renal-transplant recipients. Indian J Med Microbiol 2019; 37:281-284. [PMID: 31745032 DOI: 10.4103/ijmm.ijmm_19_364] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Renal transplantation is a treatment option for end-stage renal disease (ESRD). Cytomegalovirus (CMV) infection was analysed among symptomatic and asymptomatic post-renal-transplant recipients (PRTRs). A total of 30 PRTRs were enrolled. DNA was extracted and quantitative real-time PCR for CMV (CMV R-Gene, France) targeting ppUL83 gene was performed on whole blood, urine and saliva. The detection rate of CMV was found to be 27% (n = 8) in different samples, including whole blood, urine and saliva. Among 30 PRTRs, 53% (n = 16) of the PRTRs did not shed virus in saliva. About 7% of CMV was detected only in saliva among PRTRs who were symptomatic.
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Affiliation(s)
- Ramya Barani
- Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Vigna Seshan
- Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | - Yazhini Ravi
- Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
| | | | - Gunasekaran Palani
- King Institute of Preventive Medicine and Research, Chennai, Tamil Nadu, India
| | - Padma Srikanth
- Department of Microbiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
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Ravi Y, Srikanth N, Paul I, Whitson B, Emani S, Sai-Sudhakar C. Heart Transplant Recipient and Donor Age: Should the Younger Recipient Be Matched with the Younger Donor? J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.386] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Srikanth P, Barani R, Ravi Y, Seshan V, Reju S, Soundararajan P, Palani G. Epstein–Barr Virus DNAemia and co-occurrence with cytomegalovirus dnaemia in postrenal transplant recipients from a tertiary care center. Indian J Transplant 2018. [DOI: 10.4103/ijot.ijot_1_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Katsnelson J, Whitson BA, Tumin D, Ravi Y, Kilic A, Tobias JD, Sai-Sudhakar CB, Hayes D. Lung transplantation with lungs from older donors: an analysis of survival in elderly recipients. J Surg Res 2017. [DOI: 10.1016/j.jss.2017.02.059] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Ravi Y, Stock E, Lella S, Balasubramaniyan J, Nikloidis L, Copeland L, Emani S, Sai-Sudhakar C. Does a History of Malignancy Affect Long-Term Survival in Heart Transplant Recipients? J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Lella S, Zolfaghari K, Copeland L, Sai-Sudhakar C, Ravi Y. The Effect of Donor Anticonvulsant Use within 24 Hours of Aortic Cross-Clamp on 1-Year Recipient Survival. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Ravi Y, Stock E, Lella S, Balasubramaniyan J, Emani S, Sai-Sudhakar C. Does Distance from Donor Hospital Impact Survival in Heart Transplant Recipients? J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
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Ravi Y, Stock E, Lella S, Balasubramaniyan J, Copeland L, Emani S, Sai-Sudhakar C. Does Functional Status at Listing and Time of Heart Transplant Influence Survival in Heart Transplant Recipients? J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Caddell B, Yelverton B, Tippett JC, Ravi Y, Sai-Sudhakar CB, Culp WC. Management of Massive Hemoptysis After Pulmonary Thromboembolectomy Using a Double Bronchial Blocker System. J Cardiothorac Vasc Anesth 2016; 31:633-636. [PMID: 27884607 DOI: 10.1053/j.jvca.2016.09.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2016] [Indexed: 11/11/2022]
Affiliation(s)
- Brandon Caddell
- Department of Anesthesiology, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX.
| | - Bryan Yelverton
- Department of Anesthesiology, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX
| | - Jason C Tippett
- Department of Anesthesiology, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX
| | - Yazhini Ravi
- Division of Cardiothoracic Surgery, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX
| | - Chittoor B Sai-Sudhakar
- Division of Cardiothoracic Surgery, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX
| | - William C Culp
- Department of Anesthesiology, Baylor Scott & White Health, The Texas A&M University Health Science Center College of Medicine, Temple, TX
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Lella SK, Copeland LA, Ravi Y, Sai-Sudhakar CB. Donor Cause of Death in Heart Transplantation and Its Effect on Post-Transplant Survival—A UNOS Database Review. J Card Fail 2016. [DOI: 10.1016/j.cardfail.2016.06.336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ravi Y, Bansal S, Rosas PC, Mazzaferri EL, Sai-Sudhakar CB. Surgical considerations for the explantation of the Parachute left ventricular partitioning device and the implantation of the HeartMate II left ventricular assist device. Proc (Bayl Univ Med Cent) 2016; 29:176-7. [PMID: 27034560 DOI: 10.1080/08998280.2016.11929406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Chronic heart failure is the leading cause of death in the world. With newer therapies, the burden of this disease has decreased; however, a significant number of patients remain refractive to existing therapies. Myocardial infarction often leads to ventricular remodeling and eventually contributes to heart failure. The Parachute™ (Cardiokinetix, Menlo Park, CA) is the first device designed for percutaneous ventricular restoration therapy, which reduces left ventricular volume and minimizes the risk of open surgical procedures. For the first time, we report a case of explantation of the Parachute ventricular partitioning device and transition to a HeartMate II™ left ventricular assist device and the surgical considerations for a successful outcome.
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Affiliation(s)
- Yazhini Ravi
- Division of Cardiothoracic Surgery, Department of Surgery, Baylor Scott and White Health, Temple, Texas (Ravi, Sai-Sudhakar); Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida (Bansal); Department of Medical Physiology, Texas A&M University Health Science Center, College of Medicine, Temple, Texas (Rosas); and Department of Cardiology, The Ohio State University, Columbus, Ohio (Mazzaferri)
| | - Shelley Bansal
- Division of Cardiothoracic Surgery, Department of Surgery, Baylor Scott and White Health, Temple, Texas (Ravi, Sai-Sudhakar); Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida (Bansal); Department of Medical Physiology, Texas A&M University Health Science Center, College of Medicine, Temple, Texas (Rosas); and Department of Cardiology, The Ohio State University, Columbus, Ohio (Mazzaferri)
| | - Paola C Rosas
- Division of Cardiothoracic Surgery, Department of Surgery, Baylor Scott and White Health, Temple, Texas (Ravi, Sai-Sudhakar); Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida (Bansal); Department of Medical Physiology, Texas A&M University Health Science Center, College of Medicine, Temple, Texas (Rosas); and Department of Cardiology, The Ohio State University, Columbus, Ohio (Mazzaferri)
| | - Ernest L Mazzaferri
- Division of Cardiothoracic Surgery, Department of Surgery, Baylor Scott and White Health, Temple, Texas (Ravi, Sai-Sudhakar); Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida (Bansal); Department of Medical Physiology, Texas A&M University Health Science Center, College of Medicine, Temple, Texas (Rosas); and Department of Cardiology, The Ohio State University, Columbus, Ohio (Mazzaferri)
| | - Chittoor B Sai-Sudhakar
- Division of Cardiothoracic Surgery, Department of Surgery, Baylor Scott and White Health, Temple, Texas (Ravi, Sai-Sudhakar); Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida (Bansal); Department of Medical Physiology, Texas A&M University Health Science Center, College of Medicine, Temple, Texas (Rosas); and Department of Cardiology, The Ohio State University, Columbus, Ohio (Mazzaferri)
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Ravi Y, Stock E, Rosas P, Hasan A, Nikolaidis L, Bansal S, Whitson B, Scott R, Sai-Sudhakar C. Immunosuppressant Regimen over Time and Their Association with Rejection, Graft Failure, and Mortality. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Madias JE, Y-Hassan S, Ravi Y, Hughes L, Gore T, Woods J, Marynick SP. Reader Comments. Proc (Bayl Univ Med Cent) 2016. [DOI: 10.1080/08998280.2016.11929427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
| | | | - Yazhini Ravi
- Division of Cardiothoracic Surgery Baylor Scott & White Healthcare, Temple, Texas
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Ravi Y, Stock E, Rosas P, Whitson B, Amulraj E, Scott R, Emani S, Bansal S, Sai-Sudhakar C. The Obesity Epidemic and Its Effect on Donor Body Mass Index and Recipient Survival-A UNOS Database Review of Heart Transplantation. J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
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31
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Rosas P, Stock E, Amulraj E, Emani S, Scott R, Sai-Sudhakar C, Ravi Y. Does Pulmonary Hypertension Affect Survival after Heart Transplantation Based on Recipient Body Mass Index? J Heart Lung Transplant 2016. [DOI: 10.1016/j.healun.2016.01.606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ravi Y, Campagna R, Rosas PC, Essa E, Hasan AK, Higgins RSD, Emani S, Sai-Sudhakar CB. Successful heart transplantation using a donor heart afflicted by takotsubo cardiomyopathy. Proc (Bayl Univ Med Cent) 2016; 29:73-4. [PMID: 26722178 DOI: 10.1080/08998280.2016.11929367] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
Takotsubo cardiomyopathy, also known as apical ballooning syndrome, stress cardiomyopathy, or broken heart syndrome, is a disease characterized by transient ventricular dysfunction in the absence of obstructive coronary artery disease. Herein, we present a case in which a heart with mild takotsubo cardiomyopathy was utilized as the donor organ for an orthotopic heart transplant.
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Affiliation(s)
- Yazhini Ravi
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Ryan Campagna
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Paola C Rosas
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Essa Essa
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Ayesha K Hasan
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Robert S D Higgins
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Sitaramesh Emani
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
| | - Chittoor B Sai-Sudhakar
- Division of Cardiothoracic Surgery, Baylor Scott & White Healthcare, Temple, Texas (Ravi, Sai-Sudhakar); the College of Medicine, The Ohio State University, Columbus, Ohio (Campagna); the Department of Medical Physiology, Texas A&M Health Science Center, Temple, Texas (Rosas); the Division of Cardiology, The Ohio State University, Columbus, Ohio (Essa, Hasan, Emani); and the Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland (Higgins)
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Boudoulas KD, Wolfe B, Ravi Y, Lilly S, Nagaraja HN, Sai-Sudhakar CB. The aortic stenosis complex: aortic valve, atherosclerosis, aortopathy. J Cardiol 2015; 65:377-82. [DOI: 10.1016/j.jjcc.2014.12.021] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2014] [Revised: 12/20/2014] [Accepted: 12/31/2014] [Indexed: 11/25/2022]
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Aluganti Narasimhulu C, Nandave M, Bonilla D, Singaravelu J, Ravi Y, Parthasarathy S, Chittoor Bhaskar SS. Abstract 601: Circulating Platelet Aggregate Damages Endothelial Cells in Culture. Arterioscler Thromb Vasc Biol 2015. [DOI: 10.1161/atvb.35.suppl_1.601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background:
The presence of circulating endothelial cells (CECs) in systemic circulation might be an indicator of endothelial damage and/or denudation, and thus the body’s response to repair and revascularization. Thus, we hypothesized that aggregated platelets (AgPlts) can disrupt and denude the endothelium, and contribute to the presence of CEC and EC-derived particles (ECDP). In this study, we used endothelial cells and sheep carotid artery segments.
Methods:
Endothelial cells (sheep aortic and human umbilical vein) were grown in glass tubes and tagged with/without 0.5 μm fluorescent beads. These glass tubes as well as sheep carotid artery segments were connected to a Mini-Pump Variable Flow System to study the effect of circulating AgPlts on the endothelium. ECs in glass tube/artery segment were exposed to medium alone, non-aggregated platelets (NAgPlts), AgPlts and 90 micron polystyrene beads at a flow rate of 20-85 ml/minute for various time intervals (0, 30 seconds, 1, and 5 min). Collected effluents were cultured and incubated for 72 hrs to analyze the growth potential of dislodged but intact ECs. Inflammatory genes of the damaged endothelium were analyzed by RT-PCR and the presence of ECDP was further assessed by western blot analysis using an antibody to human von Willebrand factor (VWF).
Results:
No ECs and ECDP were observed in effluents collected after injecting medium alone or medium and NAgPlts, whereas AgPlts and Polybeads drastically dislodged ECs and released ECs and ECDP in effluents. There were no ECs and ECDP in samples collected at 0 and 30 seconds. However, the number of ECs and EDCP in samples collected at 1 and 5 minutes was proportionately increased. Effluents collected when endothelial cell damage was seen showed an increased presence of VWF as compared to control effluents.
Conclusion:
Our study demonstrates that circulating AgPlts denude the endothelium and release ECs and ECDP. Direct mechanical disruption and shear stress caused by circulating AgPlts could be the underlying mechanism of the observed endothelial damage. Moreover, a major source of the CECs in the blood circulation could be the damaged endothelium.
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Affiliation(s)
| | - Mukesh Nandave
- Burnett Sch of Biomedical Sciences, College of Medicine, The Univ of Central Florida, Orlando, FL
| | | | | | - Yazhini Ravi
- Cardiovascular Surgery, Scott and White Healthcare, Temple, TX
| | - Sampath Parthasarathy
- Burnett Sch of Biomedical Sciences, College of Medicine, The Univ of Central Florida, Orlando, FL
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Ravi Y, Bansal S, Jeong K, Emani S, Whitson B, Tong C, Sai-Sudhakar C. Do Donor Lifestyle Choices and Polysubstance Abuse Affect Long Term Survival in Heart Transplant Recipients? J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Whitson B, Ravi Y, Pope-Harman A, Kilic A, Tobias J, Sai-Sudhakar C, Higgins R, Hayes D. Elderly Lung Transplant Recipient Long-Term Survival Is Not Impacted By Donor Age. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Boudoulas KD, Wolfe B, Ravi Y, Lilly S, Nagaraja H, Sai-Sudhakar C. THE AORTIC STENOSIS COMPLEX: AORTIC VALVE, ATHEROSCLEROSIS, AORTA. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61970-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ravi Y, Selvendiran K, Meduru S, Citro L, Naidu S, Khan M, Rivera BK, Sai-Sudhakar CB, Kuppusamy P. Dysregulation of PTEN in cardiopulmonary vascular remodeling induced by pulmonary hypertension. Cell Biochem Biophys 2014; 67:363-72. [PMID: 22205501 DOI: 10.1007/s12013-011-9332-z] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Pulmonary hypertension (PH) is a disorder of lung vasculature characterized by arterial narrowing. Phosphatase-and-tensin homolog on chromosome 10 (PTEN), associated in the progression of multiple cancers, is implicated in arterial remodeling. However, the involvement of PTEN in PH remains unclear. The objective of the present study was to determine the role of PTEN in pulmonary vascular remodeling using established models of PH. The study used rat models of PH, induced by monocrotaline (MCT) administration (60 mg/kg) or continuous hypoxic exposure (10% oxygen) for 3 weeks. Pulmonary artery smooth muscle cells (SMCs) were used for in vitro confirmation. Development of PH was verified by hemodynamic, morphological and histopathology analyses. PTEN and key downstream proteins in pulmonary and cardiac tissues were analyzed by western blotting and RT-PCR. PTEN was significantly decreased (MCT, 53%; Hypoxia, 40%), pAkt was significantly increased (MCT, 42%; Hypoxia, 55%) in tissues of rats with PH. Similar results were observed in SMCs exposed to hypoxia (1% oxygen) for 48 h. Ubiquitination assay showed that PTEN degradation occurs via proteasomal degradation pathway. Western blotting demonstrated a significant downregulation of cell-cycle regulatory proteins p53 and p27, and upregulation of cyclin-D1 in the lungs of both models. The results showed that PTEN-mediated modulation of PI3K pathway was independent of the focal adhesion kinase and fatty acid synthase. The study, for the first time, established that PTEN plays a key role in the progression of pulmonary hypertension. The findings may have potential for the treatment of pulmonary hypertension using PTEN as a target.
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Affiliation(s)
- Yazhini Ravi
- Department of Internal Medicine, Davis Heart and Lung Research Institute, The Ohio State University, Columbus, OH, 43210, USA
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Ravi Y, Whitson B, Boyer P, Emani S, Hasan A, Franco V, Kahwash R, Crestanello J, Haas G, Higgins R, Sai-Sudhakar C. Has the Survival in Heart Transplant Recipients Older > 65years Improved Over the Decades? J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Ravi Y, Emani S, Kilic A, Lampert B, Bansal S, Haas G, Hasan A, Higgins R, Sai-Sudhakar C, Whitson B. Elderly Heart Transplant Recipient Long-Term Survival Is Not Dependent on Donor Age: A Conditional Survival Analysis. J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Whitson B, Ravi Y, Emani S, Lampert B, Kilic A, Hasan A, Higgins R, Sai Sudhakar C. Heart Transplant Recipient and Donor Age Mismatching: Should the Older Recipient Be Paired with the Older Donor? J Heart Lung Transplant 2014. [DOI: 10.1016/j.healun.2014.01.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Boudoulas KD, Ravi Y, Garcia D, Saini U, Sofowora GG, Gumina RJ, Sai-Sudhakar CB. Type of Valvular Heart Disease Requiring Surgery in the 21st Century: Mortality and Length-of-Stay Related to Surgery. Open Cardiovasc Med J 2013; 7:104-9. [PMID: 24339838 PMCID: PMC3856389 DOI: 10.2174/1874192420130902001] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2013] [Revised: 08/20/2013] [Accepted: 08/26/2013] [Indexed: 12/31/2022] Open
Abstract
Aim: While the incidence of rheumatic heart disease has declined dramatically over the last half-century, the number of valve surgeries has not changed. This study was undertaken to define the most common type of valvular heart disease requiring surgery today, and determine in-hospital surgical mortality and length-of-stay (LOS) for isolated aortic or mitral valve surgery in a United States tertiary-care hospital. Methods: Patients with valve surgery between January 2002 to June 2008 at The Ohio State University Medical Center were studied. Patients only with isolated aortic or mitral valve surgery were analyzed. Results: From 915 patients undergoing at least aortic or mitral valve surgery, the majority had concomitant cardiac proce-dures mostly coronary artery bypass grafting (CABG); only 340 patients had isolated aortic (n=204) or mitral (n=136) valve surgery. In-hospital surgical mortality for mitral regurgitation (n=119), aortic stenosis (n=151), aortic insufficiency (n=53) and mitral stenosis (n=17) was 2.5% (replacement 3.4%; repair 1.6%), 3.9%, 5.6% and 5.8%, respectively (p=NS). Median LOS for aortic insufficiency, aortic stenosis, mitral regurgitation, and mitral stenosis was 7, 8, 9 (replacement 11.5; repair 7) and 11 days, respectively (p<0.05 for group). In-hospital surgical mortality for single valve surgery plus CABG was 10.2% (p<0.005 compared to single valve surgery).
Conclusions: Aortic stenosis and mitral regurgitation are the most common valvular lesions requiring surgery today. Surgery for isolated aortic or mitral valve disease has low in-hospital mortality with modest LOS. Concomitant CABG with valve surgery increases mortality substantially. Hospital analysis is needed to monitor quality and stimulate improvement among Institutions.
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Ravi Y, Whitson B, Emani S, Bansal S, Kilic A, Crestanello J, John R, Higgins R, Sai-Sudhakar C. Body Mass Index Impacts Immediate and Long-Term Survival of Heart Transplant Recipients. J Heart Lung Transplant 2013. [DOI: 10.1016/j.healun.2013.01.901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Ravi Y, Selvendiran K, Naidu SK, Meduru S, Citro LA, Bognár B, Khan M, Kálai T, Hideg K, Kuppusamy P, Sai-Sudhakar CB. Pulmonary hypertension secondary to left-heart failure involves peroxynitrite-induced downregulation of PTEN in the lung. Hypertension 2013; 61:593-601. [PMID: 23339168 DOI: 10.1161/hypertensionaha.111.00514] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Pulmonary hypertension (PH) that occurs after left-heart failure (LHF), classified as Group 2 PH, involves progressive pulmonary vascular remodeling induced by smooth muscle cell (SMC) proliferation. However, mechanisms involved in the activation of SMCs remain unknown. The objective of this study was to determine the involvement of peroxynitrite and phosphatase-and-tensin homolog on chromosome 10 (PTEN) in vascular SMC proliferation and remodeling in the LHF-induced PH (LHF-PH). LHF was induced by permanent ligation of left anterior descending coronary artery in rats for 4 weeks. MRI, ultrasound, and hemodynamic measurements were performed to confirm LHF and PH. Histopathology, Western blot, and real-time polymerase chain reaction analyses were used to identify key molecular signatures. Therapeutic intervention was demonstrated using an antiproliferative compound, HO-3867. LHF-PH was confirmed by significant elevation of pulmonary artery pressure (mean pulmonary artery pressure/mm Hg: 35.9±1.8 versus 14.8±2.0, control; P<0.001) and vascular remodeling. HO-3867 treatment decreased mean pulmonary artery pressure to 22.6±0.8 mm Hg (P<0.001). Substantially higher levels of peroxynitrite and significant loss of PTEN expression were observed in the lungs of LHF rats when compared with control. In vitro studies using human pulmonary artery SMCs implicated peroxynitrite-mediated downregulation of PTEN expression as a key mechanism of SMC proliferation. The results further established that HO-3867 attenuated LHF-PH by decreasing oxidative stress and increasing PTEN expression in the lung. In conclusion, peroxynitrite and peroxynitrite-mediated PTEN inactivation seem to be key mediators of lung microvascular remodeling associated with PH secondary to LHF.
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45
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Emani S, Brewer RJ, John R, Slaughter MS, Lanfear DE, Ravi Y, Sundareswaran KS, Farrar DJ, Sai-Sudhakar CB. Patients with low compared with high body mass index gain more weight after implantation of a continuous-flow left ventricular assist device. J Heart Lung Transplant 2013; 32:31-5. [DOI: 10.1016/j.healun.2012.09.024] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2012] [Revised: 08/07/2012] [Accepted: 09/14/2012] [Indexed: 10/27/2022] Open
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46
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Ravi Y, Emani S, Chacko SM, Kilic A, Crestanello J, Higgins R, Sai-Sudhakar CB. Is Strong Support the Key in Controlling the Incidence of Driveline Infections? J Card Fail 2012. [DOI: 10.1016/j.cardfail.2012.06.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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47
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Emani S, Talbott D, Kikta D, Ravi Y, Higgins R, Solanki P, Haas G, Sai-Sudhakar C. Successful Use of Ultrafiltration for Decompensated Heart Failure in LVAD Patients. J Card Fail 2012. [DOI: 10.1016/j.cardfail.2012.06.149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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48
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Ravi Y, Emani S, Wismann S, Hasan A, Sai-Sudhakar C, Gafford E. 739 Integrating Palliative Care in the Management of Patients Considered for Mechanical Circulatory Support. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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49
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Kay W, Emani S, Ravi Y, Franco V, Abel E, Crestanello J, Kilic A, Sai-Sudhakar C. 541 Novel Assessment of Hemolytic Anemia in Patients with Continuous Flow Left Ventricular Assist Devices. J Heart Lung Transplant 2012. [DOI: 10.1016/j.healun.2012.01.553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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50
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Ravi Y, Selvendiran K, Kuppusamy P, Sai-Sudhakar C. Is Peroxynitrite a Therapeutic Target in the Management of Pulmonary Hypertension? J Surg Res 2012. [DOI: 10.1016/j.jss.2011.11.472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
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