Aiman Smer

Aiman Smer
Creighton University · Cardiovascular Medicine

MBBCh

About

86
Publications
7,735
Reads
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286
Citations
Additional affiliations
August 2016 - July 2017
Creighton University
Position
  • Professor

Publications

Publications (86)
Article
Full-text available
Background While aortic valve replacement (AVR) is indicated for symptomatic severe aortic stenosis (AS), the appropriate management of asymptomatic severe AS remains unclear. We conducted an updated meta-analysis to compare the outcomes of surgical AVR (SAVR) versus conservative treatment in patients with asymptomatic severe AS. Methods We search...
Article
We describe the role of three-dimensional echocardiography in the assessment of the aortic valve and the aorta. The manuscript is heavily illustrated with figures and movie clips.
Article
Background: Type 2 myocardial infarction (T2MI) is commonly encountered in clinical practice, yet little is known about this challenging condition. Outpatient cardiac rehabilitation (CR) is an integral component in the care of patients with MI. However, specific recommendations for CR, information on the feasibility of participation, and outcome m...
Article
Full-text available
Objective Although the standard treatment of infective endocarditis (IE) is antimicrobial therapy, surgical intervention is required in some cases. However, the optimal timing of surgery remains unclear. Hence, we conducted a population‐based analysis using the National Inpatient Sample (NIS) database to assess the outcomes of early versus late sur...
Article
Background Cardiac troponin (cTn) is mainly used to diagnose acute coronary syndrome (ACS). However, cTn can also be elevated in critically ill patients secondary to demand ischemia or myocardial injury. The impact of cardiology consultation on the clinical outcomes of patients admitted to medical intensive care unit (ICU) with elevated cTn is uncl...
Article
Full-text available
Bronchogenic cysts are rare incidental findings, but they can have life-threatening complications. Herein, we report a case of a 44-year-old man who presented with complaints of left-sided chest pain, intermittent dyspnea, and pink-tinged sputum. Computed tomography angiography of the chest revealed a large cystic mediastinal mass in the subcarinal...
Article
Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia encountered in clinical practice. However, the outcomes associated with AF in hospitalized patients with liver cirrhosis are unknown. Aim: To determine the outcomes of hospitalized patients with liver cirrhosis and AF. Methods: In this study, we examined morbidity and m...
Article
Background Acquired thrombocytopenia (aTP) is associated with a high frequency of bleeding and ischemic complications in patients undergoing percutaneous coronary intervention (PCI). Herein, we report a meta-analysis evaluating the adverse effects of aTP on cardiovascular outcomes and mortality post-PCI. Methods A literature search was performed u...
Article
Over the last decade, three-dimensional echocardiography (3DE) has become an important diagnostic modality in the evaluation and management of patients with heart diseases. The recent advancements in transducer and computer technologies have been very instrumental in implementing 3D technology in routine clinical practice. Moreover, we anticipate t...
Article
Full-text available
Antiphospholipid syndrome is an autoimmune disorder that presents clinically with venous and/or arterial thrombosis and can affect any organ. Coronary artery involvement and left ventricular thrombus are rare presentations. We report the case of a 23-year-old male smoker with a strong family history of premature coronary artery disease who presente...
Article
Full-text available
Background The role of catheter ablation (CA) is increasingly recognized as a reasonable therapeutic option in patients with atrial fibrillation (AF) and heart failure (HF). Hypothesis We aimed to compare CA to medical therapy in AF patients with HF with reduced ejection fraction (HFrEF). Methods We searched the literature for randomized clinical...
Article
Chronic kidney disease (CKD) is an independent risk factor for cardiovascular disease. Coronary angiography (CAG) and percutaneous coronary intervention (PCI) are frequently performed in patients presenting with a non-ST elevation myocardial infarction (NSTEMI). Utilizing the National Inpatient Sample database, we assessed the trends in utilization...
Article
The optimal management of patients with cryptogenic stroke (CS) and patent foramen ovale (PFO) remains controversial. We conducted a meta-analysis to assess the effect of PFO closure for secondary prevention of stroke in patients with CS. We searched the literature for randomized clinical trials (RCTs) assessing the recurrence of stroke after PFO c...
Article
Background Development of atrial fibrillation after certain cardiac procedures is a common medical problem. The inflammatory process plays an important role in the pathogenesis of post-cardiac procedure atrial fibrillation (PCP-AF). Colchicine, a potent anti-inflammatory agent, has been used in several studies to reduce the risk of PCP-AF. This met...
Article
Full-text available
Purpose: Exercise-based cardiac rehabilitation (EBCR) has been demonstrated to improve functional capacity in heart failure (HF). However, there are limited data on the effect of EBCR in patients with advanced HF and left ventricular assist devices (LVADs). This meta-analysis sought to evaluate the effects of EBCR on functional capacity in patient...
Article
Full-text available
Repetitive nonreentrant ventriculo-atrial synchrony (RNRVAS) is an arrhythmia which occurs in patients with dual-chamber devices and requires an intact ventriculo-atrial conduction. It can present with symptoms similar to those of pacemaker-mediated endless loop tachycardia and is an example of functional atrial undersensing and functional loss of...
Article
Clinical introduction A 50-year-old white male with a history of paroxysmal atrial fibrillation presented for transoesophageal echocardiogram prior to atrial fibrillation ablation. However, an echo lucent mass was noted (figure 1A). Colour Doppler and contrast administration showed no flow across the mass or the interatrial septum (see online suppl...
Article
Purpose: To provide an overview of prescription and dietary supplement omega-3 fatty acid (OM3-FA) products and considerations for clinical use. Design: Narrative review. Methodology: The PubMed database was searched for cardiovascular-related investigations focused on eicosapentaenoic acid (EPA) and/or docosahexaenoic acid (DHA) (limit: English-on...
Article
Introduction: Surgical left atrial appendage (LAA) closure is an option in patients undergoing cardiac surgery who have a history of atrial fibrillation. Despite multiple studies, it is not clear whether LAA closure during cardiac surgery results in improved outcomes. Hypothesis: We hypothesized that LAA closure is associated with significant decre...
Article
Full-text available
In the paper titled “Acute Amiodarone Pulmonary Toxicity after Drug Holiday: A Case Report and Review of the Literature” [1], the fifth author's name (Toufik Mahfood Haddad) is corrected as follows. First name is Toufik and last name is Mahfood Haddad.
Article
Full-text available
Sinus of Valsalva aneurysm (SOVA) is a rare clinical entity. Clinical manifestations can vary from an incidental finding on an imaging study to a life-threatening emergency. We report a case of a 51-year-old female with a large symptomatic left SOVA. Echocardiogram and computed tomography angiography (CTA) of the chest revealed marked dilatation of...
Data
Video 1: Parasternal short axis view of the aortic valve. Left panel; shows markedly dilated left sinus of valsalva compared to the right and noncoronary cusps. Right panel; color flow Doppler demonstrates aortic regurgitant jet occupy > 25% of the left ventricular outflow tract area, which indicates moderate aortic regurgitation. Video 2: In right...
Article
Full-text available
Sudden cardiac arrest has been reported to occur in patients with congenital anomalous coronary artery disease. About 80% of the anomalies are benign and incidental findings at the time of catheterization. We present a case of sudden cardiac arrest caused by anomalous left anterior descending artery. 61-year-old African American female was brought...
Conference Paper
Introduction: Hyperkalemia can cause several characteristic EKG changes. Tall and tented T wave is the classically EKG abnormality. However; in rare cases ST-segment elevation mimicking ST elevation myocardial infarction (STEMI) usually called pseudoinfarction can be present. Case presentation: A 61-years old gentleman with past medical history of...
Article
Full-text available
Amiodarone is reported to cause a wide continuum of serious clinical effects. It is often challenging to detect Amiodarone-induced pulmonary toxicity (AIPT). Typically, the diagnosis is made based on the clinical settings and may be supported by histopathology results, if available. We describe a 57-year-old patient who developed severe rapidly pro...
Conference Paper
Full-text available
The effects of subcutaneous nitroglycerin on radial artery spasm during transradial coronary angiography Background: Radial artery spasm (RAS) remains an important challenge that limits the transrdial access (TRA) with an occurrence as high as 14% in some studies. Few studies suggested the use of subcutaneous vasodilating agents to help decrease...
Article
Background: Amyloid deposition in the heart is a devastating process that leads to heart failure, angina, and arrhythmias. Early treatment may improve outcomes but entails a delicate suspicion and multidisciplinary approach.
Conference Paper
Full-text available
Background: Amyloid deposition in the heart is a devastating process that leads to heart failure, angina, and arrhythmias. Early treatment may improve outcomes but entails a delicate suspicion and multidisciplinary approach. Case presentation: A 74-year-old male presented with 8 months of progressive exercise intolerance and bilateral leg swelling....
Article
Premature ventricular contractions are of common occurrence in routine clinical practice. Though generally perceived as of benign consequence in healthy people in the absence of heart disease, their presence can be a harbinger of fatal ventricular tachyarrhythmia in individuals with structural heart disease. With some of the latest insights into th...
Article
Acute purulent pericarditis is rarely caused by anaerobic bacteria and it is almost always a complication of another disease process. Esophagomediastinal fistula, odontogenic, or pleuropulmonary infections have been reported to be the primary source of purulent pericarditis. If not diagnosed and treated promptly, purulent pericarditis is usually a...
Article
Saphenous vein graft (SVG) pseudoaneurysm is a rare complication of coronary artery bypass graft (CABG) surgery. A review of literature indicates that almost one third of patients are asymptomatic at detection and a history of operative complications and need for re-exploration after the initial surgery may serve as useful predictors for the develo...
Article
Full-text available
Approximately 300,000 persons have Chagas disease in the United States, although almost all persons acquired the disease in Latin America. We examined awareness of Chagas disease among Latin American immigrants living in Los Angeles, California. We surveyed 2,677 persons (age range = 18-60 years) in Los Angeles who resided in Latin America for at l...