DETECTION OF AORTIC ROOT DILATION IN PATIENTS WITH HYPERTENSION
Morgenstern Ann; Bowman Savannah; Dadlani Akanksha; Mikolich Brandon; Mikolich J Ronald
Journal of the American College of Cardiology
2020
2020-03-24
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a href="https://doi.org/10.1016/S0735-1097(20)32786-8">10.1016/S0735-1097(20)32786-8</a>
AORTIC ROOT DILATION IS UNDERDETECTED IN WOMEN
Bowman Savannah; Morgenstern Ann; Mikolich Brandon; Metcalf Randy; Mikolich J Ronald
Journal of the American College of Cardiology
2020
2020-03-24
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a class="doi" href="https://doi.org/10.1016/S0735-1097(20)32233-6" target="_blank" title="Persistent link using digital object identifier" rel="noreferrer noopener">10.1016/S0735-1097(20)32233-6</a>
DETECTION OF SUB-CLINICAL LEFT VENTRICULAR DYSFUNCTION IN MYOCARDITIS
Kulifay Samuel L; Lattanzio Dominic; Callow Alex; Mikolich Brandon; Mikolich J Ronald
Journal of the American College of Cardiology
2020
2020-03-24
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
journalArticle
<a class="doi" href="https://doi.org/10.1016/S0735-1097(20)31552-7" target="_blank" title="Persistent link using digital object identifier" rel="noreferrer noopener">10.1016/S0735-1097(20)31552-7</a>
PERICARDITIS AND PERSISTENT CHEST PAIN IN WOMEN.
Morgenstern Daniel; Mikolich Brandon; Boniface Nicholas; Burley Michael; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2016
2016-04-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(16)31682-5" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(16)31682-5</a>
OUT-PATIENT CHEST PAIN: ECONOMIC IMPACT OF INITIAL DIAGNOSTIC TESTING CHOICE.
Boniface Nicholas; Matthews Julianne; Mikolich Brandon; Morgenstern Daniel; Lisko John; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2016
2016-04-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(16)31574-1" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(16)31574-1</a>
INITIAL CARDIAC DIAGNOSTIC TESTING: A RADIATION PERSPECTIVE WITH IMPLICATIONS FOR WOMEN.
Matthews Julianne; Boniface Nicholas; Mikolich Brandon; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2016
2016-04-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(16)31695-3" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(16)31695-3</a>
LEFT VENTRICULAR LONGITUDINAL FIBER DYSFUNCTION IN LEFT VENTRICULAR NON-COMPACTION CARDIOMYOPATHY.
Tandon Navdeep; Morgenstern Daniel; Mikolich Brandon; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2018
2018-03-21
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(18)31275-0" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(18)31275-0</a>
DETECTION OF ANEURYSM OF THE ASCENDING AORTA IN PATIENTS WITH AORTIC REGURGITATION.
Tondapu Venkat; Long Jordan; Boland Sebastian; Raghavendran Rohith; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2018
2018-03-21
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(18)32556-7" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(18)32556-7</a>
DETECTION OF ANEURYSM OF THE ASCENDING AORTA IN HYPERTENSIVE PATIENTS.
Long Jordan; Burley Michael; Morgenstern Daniel; Saikumar Rohith; Mikolich J Ronald
Journal of the American College of Cardiology (JACC)
2018
2018-03-21
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/S0735-1097(18)32139-9" target="_blank" rel="noreferrer noopener">10.1016/S0735-1097(18)32139-9</a>
Cardiac computed tomographic angiography and the primary care physician.
Adult; Female; Humans; Male; Middle Aged; Aged; Risk Assessment/methods; Primary Health Care/*methods; Chest Pain/diagnosis/etiology; Coronary Artery Disease/*diagnosis/pathology; Coronary Vessels/*pathology; Stroke Volume; Tomography; *Physicians; Ventricular Function; Left; Primary Care; X-Ray Computed/*instrumentation
Through advancements in computer processing speed and storage capacity, new cardiac imaging modalities have become clinically feasible and useful. Cardiac computed tomographic angiography, a new diagnostic imaging modality, is capable of assessing coronary artery disease and left ventricular function on a par with invasive coronary arteriography in selected patients who meet appropriate use criteria. This imaging modality is of clinical value in the assessment of patients with chest pain who have an intermediate risk of coronary atherosclerosis. The purpose of the present report is to educate primary care physicians about the basic principles of advanced cardiac imaging techniques and to convey a useful strategy for their appropriate use in the current environment of medical economics.
Mikolich J Ronald
The Journal of the American Osteopathic Association
2012
2012-05
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Cardiovascular Magnetic Resonance Imaging-Incremental Value in a Series of 361 Patients Demonstrating Cost Savings and Clinical Benefits: An Outcome-Based Study.
Cardiac-Gated Imaging Techniques; Cardiovascular Diseases – Diagnosis; Clinical Effectiveness; clinical impact; Cost Benefit Analysis; Cost Savings; Descriptive Statistics; Health Care Costs – Evaluation; Human; Magnetic resonance imaging; Magnetic Resonance Imaging – Evaluation; Outcome Assessment; Patients; Quality of Health Care; Retrospective Design
BACKGROUND: This study was designed to assess the clinical impact and cost-benefit of cardiovascular magnetic resonance imaging (CMR). In the face of current health care cost concerns, cardiac imaging modalities have come under focused review. Data related to CMR clinical impact and cost-benefit are lacking. METHODS AND RESULTS: Retrospective review of 361 consecutive patients (pts) who underwent CMR exams was conducted. Indications for CMR were tabulated for appropriateness criteria. Components of the CMR exam were identified along with evidence of clinical impact. The cost of each CMR exam was ascertained along with cost savings attributable to the CMR exam for calculation of an incremental cost-effectiveness ratio. A total of 354 of 361 pts (98%) had diagnostic quality studies. Of the 361 pts, 350 (97%) had at least 1 published Appropriateness Criterion for CMR. A significant clinical impact attributable to CMR exam results was observed in 256 of 361 pts (71%). The CMR exam resulted in a new diagnosis in 69 of 361 (27%) pts. Cardiovascular magnetic resonance imaging results avoided invasive procedures in 38 (11%) pts and prevented additional diagnostic testing in 26 (7%) pts. Comparison of health care savings using CMR as opposed to current standards of care showed a net cost savings of $833 037, ie, per patient cost savings of $2308. CONCLUSIONS: Cardiovascular magnetic resonance imaging provides diagnostic image quality in \textgreater98% of cases. Cardiovascular magnetic resonance imaging findings have documentable clinical impact on patient management in 71% of pts undergoing the exam, in a cost beneficial manner.
Hegde Vinayak A; Biederman Robert Ww; Mikolich J Ronald
Clinical Medicine Insights. Cardiology
2017
1905-7
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<a href="http://doi.org/10.1177/1179546817710026" target="_blank" rel="noreferrer noopener">10.1177/1179546817710026</a>
Images in cardiovascular medicine. Right ventricular diastolic collapse by cardiac magnetic resonance imaging.
*Magnetic Resonance Imaging; Aged; Cardiovascular/*standards; Diagnostic Techniques; Diastole; Female; Humans; Mitral Valve/pathology; Right/*diagnosis; Ventricular Dysfunction
Mikolich J Ronald
Circulation
2008
2008-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1161/CIRCULATIONAHA.108.767335" target="_blank" rel="noreferrer noopener">10.1161/CIRCULATIONAHA.108.767335</a>
Images in cardiovascular medicine. Constrictive pericarditis diagnosed by cardiac magnetic resonance imaging in a pacemaker patient.
*Magnetic Resonance Imaging; Aged; Arrhythmias; Artificial; Cardiac/therapy; Constrictive/*diagnosis/surgery; Humans; Male; Pacemaker; Pericardiectomy; Pericarditis
Mikolich J Ronald; Martin Edward T
Circulation
2007
2007-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1161/CIRCULATIONAHA.106.635433" target="_blank" rel="noreferrer noopener">10.1161/CIRCULATIONAHA.106.635433</a>
Cardiac magnetic resonance imaging and coronary computed tomography angiography in the diagnosis of anomalous coronary artery.
Adult; Congenital – Diagnosis; Coronary Angiography; Coronary Vessel Anomalies/*diagnosis; Female; Heart Defects; Humans; Magnetic Resonance Imaging; Tomography; X-Ray Computed
Mikolich J Ronald
Journal of the American College of Cardiology
2009
2009-02
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.jacc.2008.10.029" target="_blank" rel="noreferrer noopener">10.1016/j.jacc.2008.10.029</a>
Effects of bariatric surgery on inflammatory, functional and structural markers of coronary atherosclerosis.
*Gastric Bypass; Adult; Biological Markers – Blood; Biomarkers/blood; Blood Flow Velocity – Physiology; Blood Flow Velocity/physiology; Blood Vessels – Pathology; Body Mass Index; Brachial Artery – Ultrasonography; Brachial Artery/diagnostic imaging; C-Reactive Protein – Analysis; C-Reactive Protein/analysis; Carotid Arteries – Pathology; Carotid Arteries/pathology; Cholesterol – Blood; Cholesterol/blood; Coronary Arteriosclerosis – Blood; Coronary Arteriosclerosis – Pathology; Coronary Arteriosclerosis – Physiopathology; Coronary Artery Disease/*blood/pathology/*physiopathology; Female; Follow-Up Studies; Gastric Bypass; Human; Humans; Male; Muscle; Prospective Studies; Smooth – Pathology; Triglycerides – Blood; Triglycerides/blood; Tunica Intima/pathology; Tunica Media/pathology; Ultrasonography; Vasodilation – Physiology; Vasodilation/physiology
This study was designed to assess the effects of bariatric weight loss surgery on structural, functional, and inflammatory markers of coronary atherosclerosis. Obesity is a worldwide epidemic and an independent risk factor for coronary atherosclerosis. It remains unclear whether surgically induced weight loss reduces cardiovascular risk. This prospective study enrolled 50 consecutive subjects with morbid obesity who underwent Roux-en-Y gastric bypass surgery (GBS) after failed attempts at medical weight loss. Subjects were recruited through a comprehensive weight loss center affiliated with an academic tertiary care hospital. All subjects had body mass indexes \textgreater or =40 kg/m(2) or body mass indexes of 35 to 40 kg/m(2) with \textgreater or =2 co-morbid obesity-related conditions. Markers of coronary atherosclerosis, including brachial artery flow-mediated dilation, carotid intima-media thickness, and high-sensitivity C-reactive protein, were measured before GBS and 6, 12, and 24 months after GBS. There were statistically significant improvements in all measured markers of coronary atherosclerosis after GBS. The mean body mass index decreased from 47 to 29.5 kg/m(2) at 24 months (p \textless0.001), the mean carotid intima-media thickness regressed from 0.84 to 0.50 mm at 24 months (p \textless0.001), mean flow-mediated dilation improved from 6.0% to 14.9% at 24 months (p \textless0.05), and mean high-sensitivity C-reactive protein decreased from 1.23 to 0.65 mg/dl at 6 months (p \textless0.001) and to 0.35 mg/dl at 24 months (p \textless0.001). In conclusion, GBS results in significant improvements in inflammatory, structural, and functional markers of coronary atherosclerosis.
Habib Phillip; Scrocco John David; Terek Megan; Vanek Vincent; Mikolich J Ronald
The American journal of cardiology
2009
2009-11
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.amjcard.2009.06.042" target="_blank" rel="noreferrer noopener">10.1016/j.amjcard.2009.06.042</a>