Robert E Eckart
Affiliation: Walter Reed Army Medical Center
- Causes of sudden death in young female military recruitsRobert E Eckart
Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts, USA
Am J Cardiol 97:1756-8. 2006..9 to 18.9). The rate was significantly higher for African-American female recruits (risk ratio 10.2, p <0.001). Sudden death with a structurally normal heart was the leading cause of death in female recruits during military training...
- Surface electrocardiography and histologic rejection following orthotopic heart transplantationRobert E Eckart
Cardiology, Department of Medicine, Brooke Army Medical Center, San Antonio, Texas, USA
Ann Noninvasive Electrocardiol 10:60-4. 2005..We sought to determine the incidence of increased QT(c) dispersion (QT(c-d)) relative to biopsy grade of severity of rejection...
- Sudden death in young adults: a 25-year review of autopsies in military recruitsRobert E Eckart
Brooke Army Medical Center, San Antonio, Texas, USA
Ann Intern Med 141:829-34. 2004..Because extensive medical data are available on this cross-sectional and diverse population, identification of the underlying causes of sudden death may promote health care policy to reduce the incidence of sudden death...
- Mortality following defibrillator implantation in patients with renal insufficiencyRobert E Eckart
Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
J Cardiovasc Electrophysiol 17:940-3. 2006..Due to under-representation of patients with renal disease in large clinical trials, outcomes of implantable cardioverter defibrillator (ICD) implantation in this group remain unclear...
- Complete heart block following penetrating chest trauma in operation Iraqi freedomRobert E Eckart
28th Combat Support Hospital, Task Force North, Ibn Sina Hospital, Baghdad, Iraq
Pacing Clin Electrophysiol 31:635-8. 2008..Of course, the only source they knew of a pacemaker was halfway around the world. We discuss the management of this injury in an austere combat environment...
- Association of electrocardiographic morphology of exercise-induced ventricular arrhythmia with mortalityRobert E Eckart
Brooke Army Medical Center, San Antonio, Texas 78234, USA
Ann Intern Med 149:451-60, W82. 2008..The prognostic importance of exercise-induced ventricular arrhythmia (EIVA) may be confounded by the presence of lower-risk idiopathic right ventricular outflow tract arrhythmias with left bundle-branch block (LBBB) morphology...
- Incidence and follow-up of inflammatory cardiac complications after smallpox vaccinationRobert E Eckart
U S Army Medical Command, Brooke Army Medical Center, Fort Sam Houston, Texas 78234 6200, USA
J Am Coll Cardiol 44:201-5. 2004..The purpose of this study was to assess the follow-up of patients with vaccinia-associated myocarditis...
- Comparison of clinical presentation of acute myocarditis following smallpox vaccination to acute coronary syndromes in patients <40 years of ageRobert E Eckart
Brooke Army Medical Center, Fort Sam Houston, Texas, USA
Am J Cardiol 95:1252-5. 2005..There was a trend toward earlier elevation of troponin-I and creatine kinase in patients with myocarditis compared with ACS...
- Differential manifestation of cardiovascular complaints as a function of utilization of ergogenic supplementsRobert E Eckart
San Antonio Military Medical Center, San Antonio, Texas, USA
Pacing Clin Electrophysiol 33:286-9. 2010..Cardiovascular symptoms represent one of the leading nontraumatic causes of aeromedical evacuation from a combat zone. Whether the use of supplements is associated with a differential presentation to cardiovascular complaint is unknown...
- Sudden death in young adults: an autopsy-based series of a population undergoing active surveillanceRobert E Eckart
Cardiovascular Division, Brooke Army Medical Center, San Antonio, Texas 78234, USA
J Am Coll Cardiol 58:1254-61. 2011..The purpose of this study was to define the incidence and characterization of cardiovascular cause of sudden death in the young...
- Pulmonary arterial embolization of pacemaker lead electrode tipRobert E Eckart
Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
Pacing Clin Electrophysiol 29:784-7. 2006..Computed tomography and pulmonary arteriography suggested a near immediate thrombogenic process. A multidisciplinary approach was utilized to identify management strategies that allowed for a satisfactory patient outcome...
- Sudden death associated with anomalous coronary origin and obstructive coronary disease in the youngRobert E Eckart
Cardiac Arrhythmia Service, Cardiovascular Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
Cardiol Rev 14:161-3. 2006..Sudden cardiac deaths resulting from ACO were more likely to be associated with premortem exertional chest discomfort and/or syncope compared with deaths resulting from CAD...
- Sustained ventricular tachycardia associated with corrective valve surgeryRobert E Eckart
Brigham and Women s Hospital and Harvard Medical School, Boston, Mass, USA
Circulation 116:2005-11. 2007..The causes of sustained monomorphic ventricular tachycardia (VT) after cardiac valve surgeries have not been studied extensively, although bundle-branch reentry has been reported...
- Thermogenic supplement use does not alter characteristics of sudden death in the youngDavid A Appel
Wright Patterson Air Force Base, Dayton, Ohio San Antonio Military Medical Center, San Antonio, TX 78234, USA
Pacing Clin Electrophysiol 35:1332-7. 2012..To evaluate supplement use, most notably ephedra, which has been temporally associated with sudden death. Animal models suggest increased myocardial irritability may predispose to primary arrhythmic death...
- Matrix metalloproteinases in patients with myocardial infarction and percutaneous revascularizationRobert E Eckart
Cardiology Service ATTN MCHE MDC, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234 6200, USA
J Interv Cardiol 17:27-31. 2004..Matrix metalloproteinases (MMPs) are enzymes involved in extracellular matrix degradation. The extrapolation of the role MMPs play in the clinical setting of acute coronary syndromes has not yet been defined...
- Large, single-center, single-operator experience with transvenous lead extraction: outcomes and changing indicationsSamuel O Jones
Arrhythmia Service, Department of Cardiovascular Medicine, Brigham and Women s Hospital, and Harvard Medical School, Boston, Massachusetts, USA
Heart Rhythm 5:520-5. 2008..Lead extraction is increasingly necessary given the exponential growth in cardiac device implantation. Meanwhile, the tools, indications, and outcomes of this procedure continue to change...
- Smallpox vaccination and ischemic coronary events in healthy adultsRobert E Eckart
Brooke Army Medical Center, Fort Sam Houston, TX, United States
Vaccine 25:8359-64. 2007..7 after adopting pre-vaccination cardiac screening (RR 1.4 [95% CI: 0.8-2.7]). Implementation of pre-vaccination cardiac risk factor screening was not associated with a reduction in cardiac events...
- Myopotentials leading to ventricular fibrillation detection after advisory defibrillator generator replacementRobert E Eckart
Cardiac Arrhythmia Service, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
Pacing Clin Electrophysiol 29:1273-6. 2006..Frequently the complication requires reoperation to examine the system. What do you do when everything seems to be working fine?..
- Addition of right-sided and posterior precordial leads during stress testingEric A Shry
Cardiology Division, Brooke Army Medical Center, San Antonio, Tex 78234 6200, USA
Am Heart J 146:1090-4. 2003..Recently, there has been interest in using nonstandard electrocardiographic (ECG) leads during exercise testing...
- Management of central venous gradient using excimer laser lead extraction of chronic indwelling pacemaker leads in the setting of ipsilateral arteriovenous fistulaAlexies Ramirez
Brooke Army Medical Center, San Antonio, TX 78234, USA
Vasc Endovascular Surg 46:414-7. 2012..Coexisting need for arteriovenous (AV) fistula placement is often contemplated relative to device placement. We describe the excimer laser lead extraction of a malfunctioning chronic atrial pacemaker lead ipsilateral to an AV fistula...
- Resource utilization in the management of young patients with syncope in a combat theater of operationsJonathan A Bolles
Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA
Mil Med 175:324-8. 2010..Clinical features of young patients presenting with syncope have been underreported...
- Cardiopulmonary and mental health diagnoses surrounding the September 11 terrorist acts in a military populationRobert E Eckart
Cardiology Service, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA
Mil Med 169:675-80. 2004....
- Appreciation of precordial cardiac murmur on examination relative to knowledge of valvular heart diseaseCindy A Codispoti
Department of Medicine, Cardiology Division, Brooke Army Medical Center, San Antonio, Texas 78234, USA
Cardiol Rev 13:147-51. 2005..Our study sought to determine if documentation of valvular heart disease on echocardiography resulted in an increased appreciation and documentation of precordial murmur...
- Intensive education on evidence-based evaluation of syncope increases sudden death risk stratification but fails to reduce use of neuroimagingJoseph J Sclafani
Department of Medicine MCHE M DC, San Antonio Military Medical Center Brooke Army Medical Center, Fort Sam Houston, Texas 78234 6200, USA
Arch Intern Med 170:1150-4. 2010..We sought to determine whether aggressive education on evidence-based guidelines would affect the use of resources. Specifically, we sought to educate providers about the role of neuroimaging as well as sudden death risk stratification...
- Peripheral blood levels of matrix metalloproteinases in patients referred for percutaneous balloon mitral valve commissurotomyRobert J Garr
Wilford Hall Medical Center, Lackland Air Force Base, Texas, USA
J Heart Valve Dis 15:369-74. 2006..The present study was designed to examine whether systemic evidence of ECM turnover was present in advanced stenotic mitral valve disease...
- Relation of QTc duration heterogeneity to mortality following orthotopic heart transplantationMark W Kolasa
Cardiology Services of Wilford Hall Medical Center, Lackland Air Force Base, Texas, USA
Am J Cardiol 95:431-2. 2005..009). Ventricular repolarization heterogeneity may serve as a marker of identifying high-risk patients after OHT...
- High-velocity penetrating thoracic trauma with suspected cardiac involvement in a combat support hospitalFrancisco Dominguez
Cardiology Service MCHE MDC, Brooke Army Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234 6200, USA
Gen Thorac Cardiovasc Surg 59:547-52. 2011..During military conflict, high-velocity injuries, including gunshot wounds (GSW) and fragment injury from improvised explosive devices (IED), are relatively more common...
- Review of subacute stent thrombosis following percutaneous coronary intervention at a low-volume catheterization laboratorySamuel O Jones
Wilford Hall Medical Center, Lackland Air Force Base, Texas, USA
J Interv Cardiol 18:11-5. 2005..We sought to determine the incidence and outcomes of SAT following PCI with stent placement at a low-volume catheterization laboratory...
- Effect of monitoring of physician performance on door-to-balloon time for primary angioplasty in acute myocardial infarctionEric A Shry
Cardiology Service, Brooke Army Medical Center, San Antonio, Texas 78234 6200, USA
Am J Cardiol 91:867-9. 2003
- Fluoroscopic localization of the femoral head as a landmark for common femoral artery cannulationPaul D Garrett
Cardiology Service, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA
Catheter Cardiovasc Interv 65:205-7. 2005..8 +/- 1.6 cm). The CFA overlies the femoral head in 92% of cases. The femoral head has a consistent relationship to the CFA, and localization using fluoroscopy is a useful landmark...
- Ascending aortic hemodynamics and one-year clinical events following percutaneous coronary interventionRobert E Eckart
Cardiology Division, Brooke Army Medical Center, San Antonio, TX 78234 6200, USA
J Invasive Cardiol 16:568-70. 2004....
- Glycoprotein IIb/IIIa inhibitor-associated thrombocytopenia: clinical predictors and effect on outcomeBenjamin J George
Department of Internal Medicine, Cardiology Service, Brooke Army Medical Center, San Antonio, TX 78234 6200, USA
Cardiology 102:184-7. 2004..6 +/- 11.3 vs. 2.1 +/- 2.2 days, p < 0.001). Of the 5.4% of patients who developed thrombocytopenia, only 2 patients (7.1%) required platelet or blood cell transfusion...
- Percutaneous coronary intervention in the elderly: procedural success and 1-year outcomesRobert E Eckart
Brooke Army Medical Center, San Antonio, TX, USA
Am J Geriatr Cardiol 12:366-8. 2003..Excess postpercutaneous coronary intervention mortality in the elderly may be due to underlying comorbidities and not due to subsequent myocardial infarction or revascularization...
- Utility of magnetic resonance imaging in cardiac venous anatomic variantsRobert E Eckart
Cardiology Service, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, Texas 78234 6200, USA
Cardiovasc Intervent Radiol 26:309-11. 2003..Suggestive findings were demonstrated on cardiac catheterization and definitive diagnosis was made by magnetic resonance imaging. The use of MRI for the diagnosis of asymptomatic adult congenital heart disease will be reviewed...
- Unusual QRS morphology on ECG: a rare condition and an interesting response to pacingLorne J Gula
Division of Cardiology, Boston Veterans Affairs Healthcare System, Massachusetts, USA
Pacing Clin Electrophysiol 28:851-4. 2005..Atrial pacing consistently resulted in further widening of the first conducted QRS complex, and the physiology underlying this unusual finding is explored...
- Empiric immunization versus serologic screening: developing a cost-effective strategy for the use of hepatitis A immunization in travelersJoel T Fishbain
Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
J Travel Med 9:71-5. 2002....
- Myopericarditis following smallpox vaccinationMark K Arness
Army Medical Surveillance Activity, Washington, DC, USA
Am J Epidemiol 160:642-51. 2004..The cases were predominantly male (58/59; 98.3%) and White (51/59; 86.4%), both statistically significant associations (p = 0.0147 and p = 0.05, respectively)...
- Modified temporary cardiac pacing using transvenous active fixation leads and external re-sterilized pulse generatorsPaul C Zei
J Am Coll Cardiol 47:1487-9. 2006
- Direct admission to cardiology for patients hospitalized for atrial fibrillation reduces length of stay and increases guideline adherenceSamuel O Jones
Wilford Hall Medical Center, Lackland Air Force Base, TX 78236, USA
Mil Med 171:567-71. 2006..We hypothesized that a clinical pathway for inpatient management of atrial fibrillation on a cardiology service would result in improved resource utilization...
- Usefulness of programmed ventricular stimulation in predicting future arrhythmic events in patients with cardiac sarcoidosisAnthony Aizer
The Zena and Michael A Wiener Cardiovascular Institute, Mount Sinai School of Medicine and the Mount Sinai Medical Center, New York, NY, USA
Am J Cardiol 96:276-82. 2005..ICDs effectively terminate life-threatening arrhythmias in high-risk patients, with significant survival after first appropriate therapy...
- Myopericarditis following smallpox vaccination among vaccinia-naive US military personnelJeffrey S Halsell
The University of Virginia, Charlottesville, USA
JAMA 289:3283-9. 2003..Although many viruses have been reported to cause myopericarditis, it has been a rare or unrecognized event after vaccination with the currently used strain of vaccinia virus (New York City Board of Health)...
- The cardiovascular patient's perceptions of complementary and alternative medicineRichard A Krasuski
Department of Cardiovascular Medicine, Wilford Hall Medical Center, Lackland AFB, USA
Clin Cardiol 29:161-4. 2006..The attitudes of these patients regarding these therapies and their perceptions of safety and efficacy have not been well defined...