Priyanka Bhattacharya

Aorto-right ventricular fistula: a rare complication of Abiotrophia Endocarditis

Abstract A 41-year-old African male presented with worsening dyspnea and cachexia concerning for congestive heart failure. Transesophageal echocardiogram revealed a large mass attached to the aortic valve leaflet, mass attached to the flail anterior mitral valve leaflet, severe pulmonary hypertension and dilatation of the aortic root along with fistula between the right coronary aortic cusp and the right ventricular (RV) outflow tract. Blood cultures grew Abiotrophia Defectiva (AD) sensitive to vancomycin. Patient underwent emergent surgical closure of aorto RV fistula and aortic root replacement along with pulmonary and mitral valve replacement. Endocarditis caused by AD has been reported to result in heart failure, septic embolization and destruction of the valve despite use of appropriate antibiotics. To our knowledge, this is the only case of AD endocarditis without any identified entrance route; requiring replacement of pulmonary, mitral and aortic valve due to extensive valvular damage and large vegetations.

RVOT-VTI/PASP: A NOVEL NON-INVASIVE METRIC OF PULMONARY ARTERIAL COMPLIANCE AND DIASTOLIC PRESSURE GRADIENT STATUS IN HEART FAILURE WITH PRESERVED EJECTION FRACTION

Background: Pulmonary hypertension (PH) due to heart failure with preserved ejection fraction (HFpEF) is a leading cause of PH. Within this population, the diastolic pressure gradient (DPG) distinguishes those with combined post- and pre-capillary PH (DPG ≥7 mm Hg; CpcPH), and isolated post-

PREDICTIVE RISK STRATIFICATION USING HEART AND THROMBOLYSIS IN MYOCARDIAL INFARCTION SCORES IN LOW RISK CHEST PAIN PATIENTS: AN URBAN COMMUNITY BASED HOSPITAL STUDY

Background: Differentiating acute coronary syndromes from other causes of chest pain via risk scoring systems help with cardiac risk stratification. We utilized HEART and TIMI scores to predict major adverse cardiology events (MACE) in low cardiovascular risk African-American patients.nnMethods: A