2022
Tricuspid and mitral remodelling in atrial fibrillation: a three-dimensional echocardiographic study
Ortiz-Leon XA, Posada-Martinez EL, Trejo-Paredes MC, Ivey-Miranda JB, Pereira J, Crandall I, DaSilva P, Bouman E, Brooks A, Gerardi C, Houle H, Hur DJ, Lin BA, McNamara RL, Lombo-Lievano B, Akar JG, Arias-Godinez JA, Sugeng L. Tricuspid and mitral remodelling in atrial fibrillation: a three-dimensional echocardiographic study. European Heart Journal - Cardiovascular Imaging 2022, 23: 944-955. PMID: 35243501, DOI: 10.1093/ehjci/jeac045.Peer-Reviewed Original ResearchConceptsAtrial fibrillationMitral annulusVentricular functionLV functionSinus rhythmThree-dimensional echocardiographic studyImpact of AFNon-valvular atrial fibrillationNormal left ventricular functionTricuspid annulus dilationLV systolic dysfunctionNormal LV functionLeft ventricular functionAbnormal ventricular functionMA dilationTA dilationSystolic dysfunctionFunctional regurgitationAtrial enlargementEchocardiographic studyTransoesophageal echocardiographyAF groupAnnulus dilationAtrioventricular valvePatients
2021
Patient Awareness and Clinical Inertia: Obstacles to Hypertension Control in Rural Communities in the Dominican Republic
Castro-Dominguez Y, Paredes M, Mones P, Spatz ES, Lombo B, Sepulveda P, Reyes-Uribe O, Otero J, Ramirez G, Urena P, Lopez E, Dominguez B, McNamara RL. Patient Awareness and Clinical Inertia: Obstacles to Hypertension Control in Rural Communities in the Dominican Republic. American Journal Of Hypertension 2021, 34: 939-947. PMID: 33822861, DOI: 10.1093/ajh/hpab054.Peer-Reviewed Original ResearchConceptsPrimary care clinicsUncontrolled blood pressureBlood pressureClinical inertiaHypertension controlMedical historyAdequate hypertension controlHealth care visitsTherapeutic intensificationUndiagnosed hypertensionCare visitsHypertension prevalenceCare clinicsPharmacological treatmentFemale sexPatient awarenessPCC patientsHypertensionClinical actionsHealth care informationPhysician actionPrivate insuranceCI rateRural communitiesPopulation awareness
2020
Understanding Non-P2 Mitral Regurgitation Using Real-Time Three-Dimensional Transesophageal Echocardiography: Characterization and Factors Leading to Underestimation
Posada-Martinez EL, Ortiz-Leon XA, Ivey-Miranda JB, Trejo-Paredes MC, Chen W, McNamara RL, Lin BA, Lombo B, Arias-Godinez JA, Sugeng L. Understanding Non-P2 Mitral Regurgitation Using Real-Time Three-Dimensional Transesophageal Echocardiography: Characterization and Factors Leading to Underestimation. Journal Of The American Society Of Echocardiography 2020, 33: 826-837. PMID: 32387034, DOI: 10.1016/j.echo.2020.03.011.Peer-Reviewed Original ResearchConceptsSevere mitral regurgitationTransthoracic echocardiographyDegenerative mitral regurgitationMitral regurgitationTransesophageal echocardiographyMR jetThree-dimensional (3D) TEESevere degenerative mitral regurgitationTwo-dimensional transthoracic echocardiographyPercent of patientsThree-dimensional transesophageal echocardiographyMR jet directionP2 prolapseEchocardiographic characteristicsProlapse groupMR severityCommon causeMR groupPatientsEchocardiographyProlapseSubstantial discordanceP2 groupRegurgitationSubgroupsUnderstanding tricuspid valve remodelling in atrial fibrillation using three-dimensional echocardiography.
Ortiz-Leon XA, Posada-Martinez EL, Trejo-Paredes MC, Ivey-Miranda JB, Pereira J, Crandall I, DaSilva P, Bouman E, Brooks A, Gerardi C, Ugonabo I, Chen W, Houle H, Akar JG, Lin BA, McNamara RL, Lombo-Lievano B, Arias-Godinez JA, Sugeng L. Understanding tricuspid valve remodelling in atrial fibrillation using three-dimensional echocardiography. European Heart Journal - Cardiovascular Imaging 2020, 21: 747-755. PMID: 32372089, DOI: 10.1093/ehjci/jeaa058.Peer-Reviewed Original ResearchConceptsLeft heart diseaseSevere tricuspid regurgitationTricuspid regurgitationAtrial fibrillationTransoesophageal echocardiographyBiatrial dilatationHigher systolic pulmonary artery pressureNormal right ventricular sizeSystolic pulmonary artery pressureImpact of AFSevere functional tricuspid regurgitationTricuspid annulus dilationPulmonary artery pressureRight ventricular sizeFunctional tricuspid regurgitationFractional area changeTA fractional area changeThree-dimensional echocardiographyRV enlargementArtery pressureBiventricular functionTricuspid valveVentricular sizeAF groupSinus rhythm
2019
Differentiating spontaneous echo contrast, sludge, and thrombus in the left atrial appendage: Can ultrasound enhancing agents help?
Posada‐Martinez E, Trejo‐Paredes C, Ortiz‐Leon X, Ivey‐Miranda J, Lin BA, McNamara RL, Arias‐Godinez J, Lombo B, Sugeng L. Differentiating spontaneous echo contrast, sludge, and thrombus in the left atrial appendage: Can ultrasound enhancing agents help? Echocardiography 2019, 36: 1413-1417. PMID: 31260135, DOI: 10.1111/echo.14405.Peer-Reviewed Original Research
2015
Prevalence of Metabolic Syndrome in Patients with HIV in the Era of Highly Active Antiretroviral Therapy.
Lombo B, Alkhalil I, Golden MP, Fotjadhi I, Ravi S, Virata M, Lievano M, Diez J, Ghantous A, Donohue T. Prevalence of Metabolic Syndrome in Patients with HIV in the Era of Highly Active Antiretroviral Therapy. Connecticut Medicine 2015, 79: 277-81. PMID: 26245015.Peer-Reviewed Original ResearchConceptsCombination antiretroviral therapyInternational Diabetes FederationMetabolic syndromeProtease inhibitor darunavirAntiretroviral therapyNational Cholesterol Education Program Adult Treatment Panel III criteriaAdult Treatment Panel III criteriaDuration of cARTHighly Active Antiretroviral TherapyActive antiretroviral therapyATP III criteriaMetabolic syndrome prevalenceStandard of careUrban community hospitalLogistic regression analysisHIV patientsStudy patientsHIV diseaseIDF criteriaDiabetes FederationHIV infectionSyndrome prevalenceCommunity hospitalHigh prevalenceObservational study