Alexandra Schwann, MD
she/her/hers
Clinical FellowCards
About
Research
Publications
2026
Associations Between Admission C-Reactive Protein and In-Hospital Mortality Amongst Patients with Cardiogenic Shock
Mendelsohn S, Ambrosini A, Safiriyu I, Schwann A, Charif O, Mirabile J, Jacobs M, Ali T, Notarianni A, Senman B, Katz J, Elliott A, Gage A, Miller P. Associations Between Admission C-Reactive Protein and In-Hospital Mortality Amongst Patients with Cardiogenic Shock. European Heart Journal Acute Cardiovascular Care 2026, zuag083. PMID: 42290192, DOI: 10.1093/ehjacc/zuag083.Peer-Reviewed Original ResearchInverse probability weightingIn-Hospital MortalityC-reactive proteinAdmission C-reactive proteinDischarge diagnosisCardiogenic shockPrimary diagnosis of heart failurePrimary diagnosisAbsolute mortality riskAssociated with higher in-hospital mortalityHospital lengthAssociated with in-hospital mortalityHigher In-Hospital MortalityHospital length of stayDays of hospital admissionElevated C-reactive proteinDiagnosis of cardiogenic shockLength of stayDiagnosis of heart failureC-reactive protein measurementMortality riskHospital admissionSecondary outcomesTertile 2TertilePerioperative Extracardiac Management in Low-flow States
Ambrosini A, Jaramillo-Restrepo V, Schwann A, Safiriyu I, Alviar C, Miller P. Perioperative Extracardiac Management in Low-flow States. Cardiology Clinics 2026 DOI: 10.1016/j.ccl.2026.05.007.Peer-Reviewed Original ResearchFrom risk to results: Multi-arterial coronary bypass approaches in high-risk cohorts
Schwann A, Hameed I, Schwann T. From risk to results: Multi-arterial coronary bypass approaches in high-risk cohorts. Asian Cardiovascular And Thoracic Annals 2026, 34: 507-514. PMID: 42132370, DOI: 10.1177/02184923261450018.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsBypass grafting techniqueInternal thoracic arteryBypass GraftingThoracic arterySupplemental saphenous vein graftsBilateral internal thoracic arteryCoronary artery bypass grafting techniqueLeft internal thoracic arterySurgical coronary revascularizationPatient sub-cohortsHigh-risk cohortArtery Bypass GraftingGrafting techniqueSaphenous vein graftsSurvival benefitPatient cohortCoronary revascularizationPatient populationVein graftsSub-cohortPatient outcomesRadial arteryGraftArteryPatientsImpact of right heart failure in patients with cardiogenic shock
Arroyo R, Khosla P, Caraballo C, Jimenez J, Schwann A, Gage A, Brusca S, Barnett C, Jacobs M, Ali T, Miller P. Impact of right heart failure in patients with cardiogenic shock. European Heart Journal Acute Cardiovascular Care 2026, 15: 415-423. PMID: 41863824, DOI: 10.1093/ehjacc/zuag041.Peer-Reviewed Original ResearchConcomitant cardiogenic shockRight heart failurePrimary admission diagnosisInverse probability of treatment weightingSCAI shock stageIn-Hospital MortalityAcute myocardial infarctionAdmission diagnosisOut-of-hospital cardiac arrestHeart failureInverse probabilityPatients admitted with CSMarkers of acuityCardiogenic shockDiagnosis of right heart failureClinical data basePresence of right heart failureProbability of treatment weightingSociety of Cardiovascular AngiographyDiagnosis of CSAbsolute mortalityCardiac arrestCardiovascular AngiographyHospital mortalityTreatment weightingCardiogenic Shock and the Role of Critical Care Cardiology: Evidence, Models of Care, and Future Directions
Schwann A, Ambrosini A, Ali T, Jacobs M, Gage A, Dudzinski D, Miller P. Cardiogenic Shock and the Role of Critical Care Cardiology: Evidence, Models of Care, and Future Directions. Journal Of The Society For Cardiovascular Angiography & Interventions 2026, 5: 104278. PMID: 42111094, PMCID: PMC13154620, DOI: 10.1016/j.jscai.2026.104278.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsCritical care cardiologyCardiogenic shockNoncardiac critical illnessHighest prevalenceSpectrum of illnessDelivery of therapyCoronary care unitCritical care cardiologistCritical care intensivistsHemodynamic supportHemodynamic dataCare unitHeterogeneous syndromeCritical illnessCICUIntensive care unit staffing modelMultidisciplinary careIllness severityEarly identificationModels of careNoninvasive monitoringPatientsDemands of patientsCardiologyProcedural skillsAtrial Wall FDG Uptake on Sarcoid FDG PET Corresponding with Right Atrial Appendage Thrombus
Wright C, Schwann A, Mulinski T, Tegtmeyer K, Huber S, Sadeghi M. Atrial Wall FDG Uptake on Sarcoid FDG PET Corresponding with Right Atrial Appendage Thrombus. Journal Of Nuclear Cardiology 2026, 102683. PMID: 41812857, DOI: 10.1016/j.nuclcard.2026.102683.Peer-Reviewed Case Reports and Technical Notes
2024
Sequencing Quadruple Therapy for Heart Failure with Reduced Ejection Fraction: Does It Really Matter?
Hu J, Schwann A, Tan J, Riello R, Nuqali A, Beasley M. Sequencing Quadruple Therapy for Heart Failure with Reduced Ejection Fraction: Does It Really Matter? Heart Failure Clinics 2024, 20: 373-386. PMID: 39216923, PMCID: PMC12261985, DOI: 10.1016/j.hfc.2024.06.004.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsLong-term outcomes of ischaemia with no obstructive coronary artery disease (INOCA): a systematic review and meta-analysis
Odanović N, Schwann A, Zhang Z, Kapadia S, Kunnirickal S, Parise H, Tirziu D, Ilic I, Lansky A, Pietras C, Shah S. Long-term outcomes of ischaemia with no obstructive coronary artery disease (INOCA): a systematic review and meta-analysis. Open Heart 2024, 11: e002852. PMID: 39353703, PMCID: PMC11448144, DOI: 10.1136/openhrt-2024-002852.Peer-Reviewed Original ResearchConceptsCoronary Vasomotor Disorders International Study GroupRate of MACEReduced coronary flow reserveCoronary flow reservePrognosis of patientsVasospastic anginaPatient yearsMyocardial infarctionPrimary outcomeIncidence of primary outcomeLong-term prognosis of patientsSystematic reviewMeta-analysisLong-term prognosisInternational Study GroupAdverse cardiovascular eventsLong-term outcomesImaging stress testsMeta-analysis of studiesRandom-effects modelWeb of ScienceINOCACardiovascular eventsFollow-upVasomotor disordersDiagnostic Yield and Clinical Utility of Coronary Angiography Versus Coronary Function Testing in Women With Angina and Nonobstructive Coronary Arteries
Cigarroa N, Latif N, Maayah M, Khokhar A, Kunnirickal S, Schwann A, Maciejewski K, Odanovic N, Mazure C, Spatz E, Pfau S, Lansky A, Shah S. Diagnostic Yield and Clinical Utility of Coronary Angiography Versus Coronary Function Testing in Women With Angina and Nonobstructive Coronary Arteries. Journal Of The American Heart Association 2024, 13: e035852. PMID: 39291500, PMCID: PMC11681466, DOI: 10.1161/jaha.124.035852.Peer-Reviewed Original ResearchCoronary function testingNonobstructive coronary arteriesInvasive coronary angiographyCoronary microvascular dysfunctionCoronary angiographyVasomotor disordersFunction testsCoronary arteryAntianginal therapyDiagnostic yieldVasospastic anginaMicrovascular dysfunctionDiagnostic yield of invasive coronary angiographyNonobstructive coronary artery diseaseSuspected ischemic heart diseaseCalcium channel blockersCoronary vasomotor disordersSymptomatic myocardial bridgingCoronary artery diseaseIschemic heart diseaseChannel blockersAnatomic diagnosisEndothelial dysfunctionArtery diseaseMyocardial bridgingEarly Initiation of Guideline-Directed Medical Therapy for Heart Failure After Cardiac Surgery
Schwann A, Jaffe L, Givertz M, Wood K, Engelman D. Early Initiation of Guideline-Directed Medical Therapy for Heart Failure After Cardiac Surgery. The Annals Of Thoracic Surgery 2024, 118: 792-800. PMID: 38878947, DOI: 10.1016/j.athoracsur.2024.05.034.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsGuideline-directed medical therapyInitiation of guideline-directed medical therapyCardiac surgeryHeart failureEjection fractionMedical therapyBenefits of guideline-directed medical therapyEarly initiationSodium-glucose cotransporter-2 inhibitorsRenin-angiotensin system inhibitorsMineralocorticoid receptor antagonistsCotransporter-2 inhibitorsHeart failure therapyImmediate postoperative periodNeprilysin inhibitorReceptor antagonistFailure therapySodium-glucoseB-blockersSystem inhibitorsPostoperative periodDrug classesPharmacological agentsSurgeryTherapy