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DESCRIPTION:Center for Health-System Improvement (CHI) "Works-in-Progress S
 eminar"Tuesday November 28\, 2023\,&nbsp\;12:00 - 1:00 PMHybrid Attendance
 : 4.108 JSA Conference Room or ZoomPresenter:&nbsp\;Dr. Ravi Thakker\, MD&
 ldquo\;Trends in Revascularization and Utilization of Mechanical Circulato
 ry Support in Elderly\nPatient Presenting with Acute Myocardial Infarction
  Complicated by Cardiogenic Shock&rdquo\;Acute myocardial infarction (AMI)
  complicated by cardiogenic shock carries a high morbidity and mortality r
 ate. Despite this\, there is paucity in real world data on outcomes in eld
 erly patients (&gt\;65 years) presenting with ST-elevation myocardial infa
 rction\n    (STEMI) complicated by cardiogenic shock. Therefore\, we perfo
 rmed a retrospective cohort study using the 100% Texas MEDPAR database fro
 m 2005-2021 to examine temporal trends in utilization of invasive therapie
 s such as fibrinolytics\, PCI\, CABG\, mechanical\n    circulatory support
 \, and pulmonary artery catheterization in patients 65-75 years and &gt\;7
 5 years. We also evaluated in-hospital mortality\, length of stay\, and 30
 -day readmission. We found an overall increase in the utilization of PCI\,
  Impella\, and\n    pulmonary artery catheterization with a decline in IAB
 P and CABG use. There was decreased in-hospital and 30-day mortality in el
 derly patients who underwent revascularization.Dr. Thakker is a 2nd year f
 ellow in the Division of Cardiovascular Medicine. He is an alumnus of the 
 UTMB School of Medicine and Internal Medicine Residency Program where he w
 as awarded the GME overall outstanding resident award. His clinical intere
 sts\n    are in cardiogenic shock and invasive therapies in the treatment 
 and management of AMI cardiogenic shock. His research interest(s) are focu
 sed on outcomes research and quality improvement. He has published 38 publ
 ications during his training in peer-reviewed\n    journals such as JACC C
 ardiovascular Interventions\, JAMA Network Open\, Journal of the American 
 Heart Association\, and others. Aside from his clinical and research work\
 , he is active in leadership at the national level for the American Colleg
 e of Cardiology.\n
DTEND:20231128T190000Z
DTSTAMP:20260317T063955Z
DTSTART:20231128T180000Z
LOCATION:
SEQUENCE:0
SUMMARY:CHI Seminar - Ravi Thakker\, MD
UID:RFCALITEM639093083957513604
X-ALT-DESC;FMTTYPE=text/html:<h2 style="text-align:center\;">Center for Hea
 lth-System Improvement (CHI) "Works-in-Progress Seminar"</h2><p style="tex
 t-align:center\;"><strong>Tuesday November 28\, 2023\,&nbsp\;12:00 - 1:00 
 PM</strong><br /><strong><span class="red">Hybrid Attendance: 4.108 JSA Co
 nference Room or Zoom</span></strong><br /><strong>Presenter:&nbsp\;Dr. Ra
 vi Thakker\, MD</strong></p><p style="text-align:center\;font-size:large\;
 "><img src="https://www.utmb.edu/images/centerofhealthsystemsimprovementch
 ilibraries/chi-speakers/nov-2023/ravi-thakker.jpg?sfvrsn=c93d7a56_4&amp\;s
 f_site_temp=true&amp\;sf_site=00000000-0000-0000-0000-000000000000" title=
 "Ravi Thakker\, MD" alt="Thakker\, Ravi\, MD" class="photo" sf-size="10521
 " /></p><h3 style="text-align:center\;">&ldquo\;Trends in Revascularizatio
 n and Utilization of Mechanical Circulatory Support in Elderly\nPatient Pr
 esenting with Acute Myocardial Infarction Complicated by Cardiogenic Shock
 &rdquo\;</h3><p style="text-align:left\;">Acute myocardial infarction (AMI
 ) complicated by cardiogenic shock carries a high morbidity and mortality 
 rate. Despite this\, there is paucity in real world data on outcomes in el
 derly patients (&gt\;65 years) presenting with ST-elevation myocardial inf
 arction\n    (STEMI) complicated by cardiogenic shock. Therefore\, we perf
 ormed a retrospective cohort study using the 100% Texas MEDPAR database fr
 om 2005-2021 to examine temporal trends in utilization of invasive therapi
 es such as fibrinolytics\, PCI\, CABG\, mechanical\n    circulatory suppor
 t\, and pulmonary artery catheterization in patients 65-75 years and &gt\;
 75 years. We also evaluated in-hospital mortality\, length of stay\, and 3
 0-day readmission. We found an overall increase in the utilization of PCI\
 , Impella\, and\n    pulmonary artery catheterization with a decline in IA
 BP and CABG use. There was decreased in-hospital and 30-day mortality in e
 lderly patients who underwent revascularization.</p><div style="text-align
 :center\;" class="video-embed"><iframe src="https://utmb.hosted.panopto.co
 m/Panopto/Pages/Embed.aspx?id=7281417c-a454-49fb-956c-b0c80147dc9e&amp\;au
 toplay=false&amp\;offerviewer=true&amp\;showtitle=false&amp\;showbrand=fal
 se&amp\;captions=false&amp\;start=852&amp\;interactivity=all" height="405"
  width="720" style="border:1px solid #464646\;" allow="autoplay" aria-labe
 l="Panopto Embedded Video Player"></iframe></div><hr style="text-align:cen
 ter\;" /><p style="text-align:left\;">Dr. Thakker is a 2nd year fellow in 
 the Division of Cardiovascular Medicine. He is an alumnus of the UTMB Scho
 ol of Medicine and Internal Medicine Residency Program where he was awarde
 d the GME overall outstanding resident award. His clinical interests\n    
 are in cardiogenic shock and invasive therapies in the treatment and manag
 ement of AMI cardiogenic shock. His research interest(s) are focused on ou
 tcomes research and quality improvement. He has published 38 publications 
 during his training in peer-reviewed\n    journals such as JACC Cardiovasc
 ular Interventions\, JAMA Network Open\, Journal of the American Heart Ass
 ociation\, and others. Aside from his clinical and research work\, he is a
 ctive in leadership at the national level for the American College of Card
 iology.\n</p>
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