Providence Center for Cardiovascular Analytics, Research + Data Science (CARDS) is dedicated to leveraging our data and research infrastructure to accelerate innovation and discovery in heart and vascular health for the betterment of patient care. To support Providence Heart Institute’s research and quality efforts, the CARDS center includes analytics, registries, biostatistics, publications, and clinical trials. CARDS investigates the treatments, technologies and processes that lead to the best patient outcomes in service to high-value cardiovascular care. CARDS conducts research ‘in the context of clinical practice’, asking and answering important questions that will shape patient care and influence how our health care delivery systems are organized. CARDS leverages Providence’s real-world health care experience to create new knowledge.

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Submissions from 2024

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Heart failure related cardiogenic shock: An ISHLT consensus conference content summary., Manreet K Kanwar, Filio Billia, Varinder Randhawa, Jennifer A Cowger, Christopher M Barnett, Sharon Chih, Stephan Ensminger, Jaime Hernandez-Montfort, Shashank S Sinha, Esther Vorovich, Alastair Proudfoot, Hoong S Lim, Vanessa Blumer, Douglas L Jennings, A Reshad Garan, Maria F Renedo, Thomas C Hanff, David A Baran, Consensus Conference participants, and Jacob Abraham (Consensus Conference participants)

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Valvular Heart Disease in the Cardiac Intensive Care Unit., Emily K Zern, Rachel C Frank, and Evin Yucel

Submissions from 2023

Best Practices in Cardiogenic Shock, Jacob Abraham

Remote Monitoring in Heart Failure, Jacob Abraham

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Home-Based Care Workbook, NP Amin, S Gandhi, Tyler J Gluckman, CJ Beavers, LP Cerbin, S Reddy Pitta, and BN Tehrani

Sociodemographic determinants of oral anticoagulant prescription in patients with atrial fibrillations: findings from the PINNACLE registry using machine learning., Zahra Azizi, Andrew T Ward, Donghyun J Lee, Sanchit S Gad, Kanchan Bhasin, Robert J Beetel, Tiago Ferreira, Sushant Shankar, John S Rumsfeld, Robert A Harrington, Salim S Virani, Tyler J Gluckman, Rajesh Dash, and Fatima Rodriguez

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Sociodemographic determinants of oral anticoagulant prescription in patients with atrial fibrillations: findings from the PINNACLE registry using machine learning., Zahra Azizi, Andrew T Ward, Donghyun J Lee, Sanchit S Gad, Kanchan Bhasin, Robert J Beetel, Tiago Ferreira, Sushant Shankar, John S Rumsfeld, Robert A Harrington, Salim S Virani, Tyler J Gluckman, Rajesh Dash, and Fatima Rodriguez

Translating Pressure Into Practice: Operational Characteristics of Ambulatory Hemodynamic Monitoring Program in the United States., Arvind Bhimaraj, Terrie-Ann Benjamin, Maya Guglin, Elizabeth Volz, Hirak Shah, Ashrith Guha, Kunjan Bhatt, Mosi Bennett, Andrew Sauer, Marat Fudim, Monique Robinson, Evan D Muse, Thomas J Heywood, Orvar Jonsson, and Jacob Abraham

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Translating Pressure Into Practice: Operational Characteristics of Ambulatory Hemodynamic Monitoring Program in the United States., Arvind Bhimaraj, Terrie-Ann Benjamin, Maya Guglin, Elizabeth Volz, Hirak Shah, Ashrith Guha, Kunjan Bhatt, Mosi Bennett, Andrew Sauer, Marat Fudim, Monique Robinson, Evan D Muse, Thomas J Heywood, Orvar Jonsson, and Jacob Abraham

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Difficult Conversations: Outcomes of Emergency Department Nurse-Directed Goals-of-Care Discussions., Suzanne Bigelow, Ron Medzon, Mari Siegel, and Ruyun Jin

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If the Fates Allow: The Zero-Sum Game of ISCHEMIA-EXTEND., Steven M Bradley and Tyler J Gluckman

MINI INTENSIVE: APP: Creating a Sustainable and Achievable Culture Independence Salons F-H, Denise K. Busman, Tyler J Gluckman, and See full list of authors in comments

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Advance Care Planning and End-of-Life Education in Heart Failure: Insights From the NCDR PINNACLE Registry., Casey E Cavanagh, Lindsey Rosman, Philip Chui, Karl Minges, Nihar R Desai, Sarah Goodlin, Savitri Fedson, John A Spertus, Tyler J Gluckman, Yang Song, Luke Zheng, Alexander Turchin, Gheorghe Doros, Jane J Lee, and Matthew M Burg

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Direct Oral Anticoagulants and Warfarin Safety in Rural Patients with Obesity., Zachary R Caverley, Ross J Bindler, Pamela Soh, and Sherri Mendelson

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Spontaneous coronary artery dissection: An underrecognized cause of ACS., Zachary R Caverley and Lori Tam

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Order Set Usage is Associated With Lower Hospital Mortality in Patients With Sepsis., chris dale, Shelley Schoepflin Sanders, Shu-Ching Chang, Omar Pandhair, Naomi G Diggs, Whitney Woodruff, David N Selander, Nicholas M Mark, Sarah Nurse, Mark David Sullivan, Liga Mezaraups, and D Shane O'Mahony

Assessing Competencies and Giving Feedback, CH Davies

What About Other Non-Invasive (Non-Pharmacologic) Therapies for Refractory Angina?, CH Davies

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Frailty is Not Associated with Worse Outcomes following Lower Extremity Angiograms for Limb Ischemia in Nonagenarians., Jaclyn DeRieux, Dina Obed, Arianne Johnson, Michael Paisley, Michelle Wang, and Kevin M Casey

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Characterization of Individuals With Apparent Resistant Hypertension Using Contemporary Guidelines: Insights From CV-QUIC., Joseph E Ebinger, Tyler J Gluckman, Jose Magraner, Shih-Ting Chiu, Deanna Rider, Chelsey Thomas, Sandeep R Das, P Michael Ho, Satya Shreenivas, and Steven Bradley

Characterization of Individuals With Apparent Resistant Hypertension Using Contemporary Guidelines: Insights From CV-QUIC., Joseph E Ebinger, Tyler J Gluckman, Jose Magraner, Shih-Ting Chiu, Deanna Rider, Chelsey Thomas, Sandeep R Das, P Michael Ho, Satya Shreenivas, and Steven Bradley

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Chapter: High-sensitivity C-reactive protein, DI Feldman, RS Blumenthal, and Tyler J Gluckman

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Outcomes of Patients Transferred to Tertiary Care Centers for Treatment of Cardiogenic Shock: A Cardiogenic Shock Working Group Analysis., A Reshad Garan, Rachna Kataria, Borui Li, Shashank Sinha, Manreet K Kanwar, Jaime Hernandez-Montfort, Song Li, VAN-Khue Ton, Vanessa Blumer, E Wilson Grandin, Neil Harwani, Peter Zazzali, Karol D Walec, Gavin Hickey, Jacob Abraham, Claudius Mahr, Sandeep Nathan, Esther Vorovich, Maya Guglin, Shelley Hall, Wissam Khalife, Paavni Sangal, Yijing Zhang, Ju H Kim, Andrew Schwartzman, Alec Vishnevsky, Daniel Burkhoff, and Navin K Kapur

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Retrospective comparison of traditional and artificial intelligence-based heart failure phenotyping in a US health system to enable real-world evidence., Arthur Reshad Garan, Keri L Monda, Ricardo E Dent-Acosta, Daniel J Riskin, and Tyler J Gluckman

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Safety and Outcomes of Outpatient Pleural Drainage in Symptomatic Postoperative Cardiac Surgery Patients., Christopher R Gilbert, Austin M Meggyesy, Adam J Bograd, Shih Ting Chiu, Candice L Wilshire, and Jed A Gorden

Coding Pearls for the Cardiovascular Service Line, Ty J. Gluckman (Moderator), Linda Gates-Striby, and Nicole Knight

Bring’em out to the clinic - Con virtual visits, Quality of Care and Outcomes Research (QCOR) Sessions, Tyler Gluckman

CV Health System Opening Discussion: Rapid Insights, Tyler Gluckman

Frontiers of Cardiovascular Risk Assessment: Moderator of Digital Poster Session, Tyler Gluckman

Hot takes: Contemporary discussions in cardiac care, Quality of Care and Outcomes Research (QCOR) Sessions, Tyler Gluckman

JACC Patient Care Pathways: VA-ECMO Use After Recent Autologous Stem Cell Transplant with Pancytopenia, Tyler Gluckman

Long COVID and the Heart, Tyler Gluckman

Target: Aortic Stenosis--Advancing a new standard of care in structural heart disease, Tyler Gluckman

The Persistent Pandemic: Impact of Long Hauler Cardiovascular Related Outcomes, Tyler Gluckman

Trends and Factors Associated with Prophylactic Anticoagulation Strategies in COVID-19: an Analysis of the AHA COVID-19 CVD Registry, Tyler Gluckman

Relationship between left ventricular ejection fraction and ICD-10 codes among patients hospitalized with heart failure, Tyler Gluckman, ST Chiu, J Remick, and See full list of authors in comments

Temporal shift in heart failure diagnoses among hospitalized patients within a large US integrated health system, Tyler Gluckman, ST Chiu, J Remick, and See full list of authors in comments

Temporal Shifts In Guideline-directed Medical Therapy Prescribed At Discharge To Heart Failure Patients In A Large US Integrated Health System, Tyler Gluckman, ST Chiu, J Remick, and See full list of authors in comments

Cardiovascular Sequelae of COVID-19, Tyler J Gluckman

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Temporal Shifts In Guideline-directed Medical Therapy Prescribed At Discharge To Heart Failure Patients In A Large US Integrated Health System, Tyler J Gluckman, Shih-Ting Chiu, Deanna Rider, Phil Tseng, James O Mudd, Joshua Remick, Slaven Sikirica, Amy Carroll, Craig Granowitz, Mario Enrico Canonico, Judith Hsia, and Marc Bonaca

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Temporal shift in heart failure diagnoses among hospitalized patients within a large US integrated health system, Tyler J Gluckman, Shih-Ting Chiu, Deanna Rider, P Tseng, James O Mudd, Joshua Remick, M Canonico, and M Bonaca

363 Billion Reasons to Care: Reversing the Risking Tide of Cardiovascular Events, Tyler Gluckman and H Page

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Outcomes of transcatheter aortic valve replacement in patients with cardiogenic shock., Kashish Goel, Pinak Shah, Brandon M Jones, Ethan Korngold, Anju Bhardwaj, Biswajit Kar, Colin Barker, Molly Szerlip, Richard Smalling, and Abhijeet Dhoble

Temporal shift in heart failure medications prescribed to hospitalized patients with and without diabetes in a large US integrated health system​, C Granowitz, ST Chiu, J Remick, Tyler Gluckman, and See full list of authors in comments

Concordance between laboratory- and ICD-10 code-defined stages of chronic kidney disease among patients hospitalized with heart failure in a large US integrated health system, C Granowitz, HF Li, ST Chiu, J Remick, Tyler Gluckman, and See full list of authors in comments

Hemodynamic Profile of Obesity in Cardiogenic Shock, ME Guglin, Jacob Abraham, and See full list of authors in comments

Obesity and Outcomes in Cardiogenic Shock due to Acute Myocardial Infarction, ME Guglin, Jacob Abraham, and See full list of authors in comments

TOP8: Pharmacological and Mechanical Circulatory Support in Cardiogenic Shock: Does Obesity Put the Patients at Disadvantage? Presented at American Society for Artificial Internal Organs Annual Conference, June 14-17, 2023, San Francisco, CA, ME Guglin, Jacob Abraham, and See full list of authors in comments

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Multicenter registry and test bed for extended outpatient hemodynamic monitoring: the hemodynamic frontiers in heart failure (HF, J Thomas Heywood, Kartik Munshi, Timothy Jordan, Evan Muse, Marat Fudim, Andrew J Sauer, Margaret McDermott, Hirak Shah, Arvind Bhimaraj, Rola Khedraki, Monique R Robinson, Patrick McCann, Elizabeth Volz, Ashrith Guha, Orvar Jonsson, Kunjan A Bhatt, Mosi K Bennett, Terrie Ann Benjamin, Maya Guglin, and Jacob Abraham

Taking a PCSP to a High Performing Network, X Huang

Inside Health Care #110: Drs Xiaoyan Huang, Danielle Christensen and the Value of Patient-Centered Specialty Practice Recognition, Xiaoyan Huang and D Christensen

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Impella as Bridge to Closure in Post-infarct VSD, Sandeep Jalli, Eric B Kirker, Ashok Venkataraman, Kateri Spinelli, and Jacob Abraham

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Impella as a bridge-to-closure in post-infarction ventricular septal defect: a case series., Sandeep Jalli, Kateri Spinelli, Eric B Kirker, Ashok Venkataraman, and Jacob Abraham

Impella as Bridge to Closure in Post-infarct VSD, S Jalli, Eric Kirker, A Venkataraman, Kateri Spinelli, and Jacob Abraham

Advancing Heart Failure Knowledge and Therapies Through a Multicenter Registry and Innovative Platform for Extended Outpatient Hemodynamic Monitoring: The Hemodynamic Frontiers in Heart Failure (HF2), T Jordan, Jacob Abraham, and See full list of authors in comments

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Pulmonary Artery Catheter Use and Risk of In-hospital Death in Heart Failure Cardiogenic Shock., Manreet K Kanwar, Vanessa Blumer, Yijing Zhang, Shashank S Sinha, Arthur R Garan, Jaime Hernandez-Montfort, Adnan Khalif, Gavin W Hickey, Jacob Abraham, Claudius Mahr, Borui Li, Paavni Sangal, Karol D Walec, Peter Zazzali, Rachna Kataria, Mohit Pahuja, VAN-Khue Ton, Neil M Harwani, Detlef Wencker, Sandeep Nathan, Esther Vorovich, Shelley Hall, Wissam Khalife, Song Li, Andrew Schwartzman, J U Kim, Oleg Alec Vishnevsky, Ludovic Trinquart, Daniel Burkhoff, and Navin K Kapur

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Patterns of Respiration Rate Reactivity in Response to a Cognitive Stressor Associate With Self-Reported Mental Health Outcomes., Josh Kaplan, Dana Dharmakaya Colgan, Daniel Klee, Douglas Hanes, and Barry S Oken

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Use of Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention., Judit Karacsonyi, Karen Deffenbacher, Keith H Benzuly, James D Flaherty, Khaldoon Alaswad, Mir Basir, Michael S Megaly, Farouc Jaffer, Darshan Doshi, Paul Poommipanit, Jaikirshan Khatri, Mitul Patel, Robert Riley, Abdul Sheikh, Jason R Wollmuth, Ethan Korngold, Barry F Uretsky, Robert W Yeh, Raj H Chandwaney, Ahmed M Elguindy, Khalid Tammam, Nidal AbiRafeh, Christian W Schmidt, Brynn Okeson, Spyridon Kostantinis, Bahadir Simsek, Bavana V Rangan, Emmanouil S Brilakis, and Daniel R Schimmel

The Effects of Pulmonary Artery Catheter Usage and Treatment Intensity on Mortality in Patients With Cardiogenic Shock by Etiology, W Khalife, Jacob Abraham, and See full list of authors in comments

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Impact of exercise on pulmonary artery pressure in patients with heart failure using an ambulatory pulmonary artery pressure monitor., Rola Khedraki, Jacob Abraham, Orvar Jonsson, Kunjan Bhatt, Hesham R Omar, Mosi Bennett, Arvind Bhimaraj, Ashrith Guha, Patrick McCann, Evan D Muse, Monique Robinson, Andrew J Sauer, Andrew Cheng, Samantha Bagsic, Marat Fudim, J Thomas Heywood, and Maya Guglin

Real-World Outcomes of Impella 5 in Patients with Cardiogenic Shock: Analysis of the SURPASS Registry, A Kilic, Jacob Abraham, and See full list of authors in comments

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Real-World Outcomes of Impella 5.5 in Patients with Cardiogenic Shock: Analysis of the SURPASS Registry, Arman Kilic, Jacob Abraham, Vanessa Blumer, David D'Alessandro, Scott Silvestry, Fardad Esmailian, Masahiro Ono, Danny Ramzy, and Mark Anderson

Aortic Innovations and Cases, Ethan Korngold

It Isn’t Always That Easy: Challenging Access Strategies, Including Intravascular Lithotripsy, Ethan Korngold

Ultimate Balloon Valve Fracturing, Ethan Korngold

Transcatheter Aortic Valve Replacement Outcomes in End-Stage Renal Disease Patients on Hemodialysis Requiring Midodrine., Ethan C Korngold, Ruyun Jin, Kateri Spinelli, V Kumar, Brydan Curtis, Sameer Gafoor, Derek Phan, Daniel Spoon, Aidan Raney, Lisa McCabe, and Brandon Jones

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Transcatheter Aortic Valve Replacement Outcomes in End-Stage Renal Disease Patients on Hemodialysis Requiring Midodrine., Ethan C Korngold, Ruyun Jin, Kateri Spinelli, V Kumar, Brydan Curtis, Sameer Gafoor, Derek Phan, Daniel Spoon, Aidan Raney, Lisa McCabe, and Brandon Jones

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Left Distal Radial Artery Access Site Pseudoaneurysm Treated with Open Surgical Repair, Ethan C Korngold, Daniel Westerdahl, and Brant Ullery

Updates in Cardio-Oncology, ME Layoun

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Trends and Factors Associated with Prophylactic Anticoagulation Strategies in COVID-19: an Analysis of the AHA COVID-19 CVD Registry, Mathew Lopes, Hsin-Fang Li, Reed Sorensen, Sandeep Das, Steven M. Bradley, James A. de Lemos, Gregory Andrew Roth, Tracy Wang, Erin Ann Bohula, and Tyler J Gluckman

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Obesity Modifies Clinical Outcomes of Right Ventricular Dysfunction., Janet I Ma, Emily K Zern, Juhi K Parekh, Ndidi Owunna, Nona Jiang, Dongyu Wang, Paula K Rambarat, Eugene Pomerantsev, Michael H Picard, and Jennifer E Ho

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Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial., Mandeep R Mehra, Ivan Netuka, Nir Uriel, Jason N Katz, Francis D Pagani, Ulrich P Jorde, Finn Gustafsson, Jean M Connors, Peter Ivak, Jennifer Cowger, John Ransom, Aditya Bansal, Koji Takeda, Richa Agarwal, Mirnela Byku, Michael M Givertz, Abbas Bitar, Shelley Hall, Daniel Zimpfer, J David Vega, Manreet K Kanwar, Omar Saeed, Daniel J Goldstein, Rebecca Cogswell, Farooq H Sheikh, Matthew Danter, Yuriy Pya, Anita Phancao, John Henderson, Daniel L Crandall, Kartik Sundareswaran, Edward Soltesz, Jerry D Estep, ARIES-HM3 Investigators, and Jacob Abraham (ARIES-HM3 Investigators)

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Medical Management and Device-Based Therapies in Chronic Heart Failure, AH Nguyen, M Hurwitz, Jacob Abraham, V Blumer, MC Flanagan, AR Garan, M Kanwar, R Kataria, JLW Kennedy, A Kochar, J Hernandez-Montfort, M Pahuja, P Shah, MW Sherwood, BN Tehrani, S Vallabhajosyula, NK Kapur, and SS Sinha

Impact of Sex on Cardiogenic Shock Outcomes: A Cardiogenic Shock Working Group Report, M Pahuja, Jacob Abraham, and See full list of authors in comments

Fellow's Course: Finding your Dream Job, MJ Paisley

Arterial, Venous and Lymphedema Management, Alejandro Perez

Lower Extremity Edema: Diagnosis and Management, Alejandro Perez

Tips For Readers: Mesenteric and Renal Arteries, Alejandro Perez

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Brief training in ultrasound equips novice clinicians to accurately and reliably measure jugular venous pressure in obese patients., Nicholas Pettit, Benjamin Pedroja, Hsin-Fang Li, and Michael G Sutcliffe

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Great mimicker: definite isolated cardiac sarcoidosis masquerading as hypertrophic cardiomyopathy., Tuan Pham, Jacob Abraham, and Farooq H Sheikh

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Real-World Effectiveness of SGLT2 Inhibitors Vs Metformin As First-Line Therapy in Type 2 Diabetes, Patricia Rodriguez, Samuel Gratzl, Ryan Lee, Sarah Gilson, Peter Smits, Nicholas L Stucky, and Tyler J Gluckman

Real-World Effectiveness of SGLT2 Inhibitors Vs Metformin As First-Line Therapy in Type 2 Diabetes, PJ Rodriguez, Tyler Gluckman, and See full list of authors in comments

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Comparative Effectiveness of Semaglutide and Tirzepatide for Weight Loss in Adults with Overweight and Obesity in the US: A Real-World Evidence Study, PJ Rodriguez, BM Goodwin Cartwright, S Gratzl, R Brar, C Baker, Tyler J Gluckman, and NL Stucky

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First-Time Prescribing of GLP-1 Receptor Agonists from 2018-2023: A Descriptive Analysis, PJ Rodriguez, S Gratzl, BM Goodwin Cartwright, R Brar, Tyler J Gluckman, and NL Stucky

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One-Year Results of a Low-Profile Endograft in Acute, Complicated Type B Aortic Dissection., Peter J Rossi, Nimesh D Desai, S Chris Malaisrie, Sean P Lyden, Naiem Nassiri, T Brett Reece, Joshua D Adams, Sina L Moanie, Christian C Shults, RelayPro-D Investigators, and Brant Ullery (RelayPro-D Investigators)

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In-Person vs Virtual Interview Format for Fellowships in Cardiovascular Disease: A Nationwide Survey of Fellows-in-Training., Jonathan R Salik, Emily K Zern, Inbar R McCarthy, Paul Theriot, Kristin West, Prashanth Thakker, Gaby Weissman, and Lisa J Rose-Jones

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Hybrid repair of an innominate artery pseudoaneurysm after blunt traumatic injury in a bovine arch., Keyuree Satam, Sabina Sorondo, Michael Paisley, and Venita Chandra

Hybrid Repair of an Innominate Artery Pseudoaneurysm after Blunt Traumatic Injury in a Bovine Arch, S Sorondo, K Satam, MJ Paisley, and V Chandra

Phenotyping sub-populations of heart failure patients based on clinical and social determinants of health using unsupervised machine learning models, Kateri Spinelli, HF Li, Jacob Abraham, X Huang, and See full list of authors in comments

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The Simplified Extraction of Atrial Tumor With Targeted Loop Electricity (SEATTLE) Procedure., Zachary L Steinberg, David Elison, Logan L Vincent, Donald Oxorn, and James M McCabe

Pregnancy and Heart Health: The 9 months and beyond, LM Tam

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Use of a Pulmonary Artery Pressure Sensor to Manage Patients With Left Ventricular Assist Devices., Vinay Thohan, Jacob Abraham, Adam Burdorf, Nasir Sulemanjee, Brian Jaski, Maya Guglin, Francis D Pagani, Himabindu Vidula, David T Majure, Rebecca Napier, Thomas J Heywood, Rebecca Cogswell, Nicholas Dirckx, David J Farrar, Stavros G Drakos, and INTELLECT 2-HF Investigators

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Impact of Female Sex on Cardiogenic Shock Outcomes: A Cardiogenic Shock Working Group Report., Van-Khue Ton, Manreet K Kanwar, Borui Li, Vanessa Blumer, Song Li, Elric Zweck, Shashank S Sinha, Maryjane Farr, Shelley Hall, Rachna Kataria, Maya Guglin, Esther Vorovich, Jaime Hernandez-Montfort, A Reshad Garan, Mohit Pahuja, Saraschandra Vallabhajosyula, Sandeep Nathan, Jacob Abraham, Neil M Harwani, Gavin W Hickey, Detlef Wencker, Andrew D Schwartzman, Wissam Khalife, Claudius Mahr, Ju H Kim, Arvind Bhimaraj, Paavni Sangal, Yijing Zhang, Karol D Walec, Peter Zazzali, Daniel Burkhoff, and Navin K Kapur

Hemodynamic Predictors of In-Hospital Mortality in Cardiogenic Shock: The Trajectory Is What Matters, VK Ton, Jacob Abraham, and See full list of authors in comments

Debate - PRO: TEVAR in the subacute phase is the treatment of choice for patients with uncomplicated type B aortic dissection, Brant Ullery

Debranching techniques in the aortic arch post-thoracic branch endoprosthesis (TBE) approval, Brant Ullery

Endovascular treatment of aortoiliac occlusive disease, Brant Ullery

Evolution in the endovascular treatment of aortic arch disease, Brant Ullery

Petticoat technique: Evolution in endovascular treatment of type B aortic dissection, Brant Ullery

Reinforcing proximal seal in challenging abdominal aortic aneurysm neck anatomy: Insights from the 10-year ENGAGE Registry, Brant Ullery