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Journal of Geriatric Cardiology 2022年第6期19卷 485-486页

作者： jose ruiz-Morales Maedeh Ganji Rohan Goswami Division of Advanced Heart Failure&Transplant Cardiology Mayo ClinicJacksonvilleFloridaUSA Cardiology Department University of FloridaJacksonvilleFloridaUSA

Thrombotic microangiopathy(TMA)is potentially life-threatening condition caused by small-vessel microthrombi and is associated with schistocyte formation,low platelets and end-organ damage that may not be reversible.[1,2]As a life-threatening condition,TMA recognition in hospitalized patients after organ transplantation is key to improving ***-associated TMA(TATMA)can occur after both solid organ or hematopoietic stem cell transplantation and often mimics other disease processes such as thrombotic throm-bocytopenic purpura(TTP)with similar constellation of symptoms during *** present a rare case of a patient with TATMA after orthotopic heart transplantation.

关键词： thrombotic microangiopathy orthotopic

Acute lymphocytic myocarditis

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Journal of Geriatric Cardiology 2018年第7期15卷 527-528页

作者： Maedeh Ganji jose ruiz-Morales Saif Ibrahim Cardiology Department University of Florida Jacksonville FL USA Internal Medicine Department University of Florida Jacksonville FL USA Interventional Cardiology Department University of Alabama-Birmingham Birmingham AL USA

Myocarditis is an inflammatory disease of the myocardium. The clinical presentation of myocarditis may range from subclinical to sudden death. The incidence of fatal myocarditis, which often presents with sudden or rapid death, has been estimated at 0.15/100.000 in the general population and is highest in infants and young adults （but may affect any age group）. However, diffuse myocarditis in autopsies of sudden death is 〈 2% in adult.

关键词： Cardiomyopathy Myoearditis Heart attack STEMI Sudden cardiac death

Recurrent ventricular tachycardia secondary to severe coronary artery ectasia

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Journal of Geriatric Cardiology 2020年第10期17卷 647-648页

作者： William Kogler jose ruiz Maedeh Ganji Ismael Ortiz Department of Internal Medicine University of Florida College of Medicine-JacksonvilleFloridaUSA Department of Cardiology University of Florida College of Medicine-JacksonvilleFloridaUSA

A 64-year-old male with a history of thoracic aortic ulcer s/p thoracic endovascular aortic repair presented to the hospital with typical chest *** initial physical exam was *** biomarkers were negative on admission a... 详细信息

关键词： Coronary artery ectasia

Left ventricular non-compaction presenting as cardio-embolic stroke

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Journal of Geriatric Cardiology 2020年第10期17卷 645-646页

作者： Andres Martinez Michael Omar Fadi Kandah jose ruiz Ahsan Niazi Department of Internal Medicine University of Florida College of Medicine-JacksonvilleFloridaUSA Department of Cardiology University of Florida College of Medicine-JacksonvilleFloridaUSA Department of Neurology University of Florida College of Medicine-JacksonvilleFloridaUSA

A 39-year-old male with no known comorbidities presented with sudden onset right-sided *** examination,blood pressure was 128/79 mmHg,National Institutes of Health Stroke Scale score was 4 and there were no signs of heart *** computerized tomography demonstrated an ischemic infarct of the left middle cerebral artery distribution and brain magnetic resonance imaging later confirmed it(Figure 1).

关键词： Cardio-embolic Cardiomyopathy Non-compaction Trabeculae

Coxsackievirus B infection presenting as a hemorrhagic pericardial effusion causing tamponade

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Journal of Geriatric Cardiology 2020年第10期17卷 642-644页

作者： Fadi Kandah Pooja Dhruva jose ruiz Andres Martinez William Kogler Internal Medicine University of Florida Health JacksonvilleJacksonvilleUSA

The coxsackievirus is well known for its vastly differing clinical *** with coxsackievirus usually present with a viral prodrome which can then progress to the cardiac symptoms of chest pain and/or *** patients improv... 详细信息

关键词： Cardiac tamponade Coxsackievirus Pericarditis

Macular atrophy after combined intravitreal triamcinolone and photodynamic therapy to treat choroidal neovascularization

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International Journal of Ophthalmology(English edition) 2010年第2期3卷 161-163页

作者： jose M ruiz-Moreno Javier A Montero Pedro Amat Francisco Lugo Department of Ophthalmology Albacete Medical SchoolUniversity of Castilla La ManchaSpain Alicante Institute of Ophthalmology Vitreo-Retinal Unit.Spain Pio del Rio Hortega University Hospital Ophthalmology UnitValladolidSpain

AIMTo report the appearance of choriocapillaris atrophy after combined high dose intravitreal triamcinolone acetonide (TA) and photodynamic therapy (PDT) to treat choroidal neovascularization (CNV) associated with age... 详细信息

关键词： age related macular degeneration choriocapillaris atrophy intravitreous triamcinolone photodynamic therapy retinal pigment epithelium atrophy

Anterior myocardial pseudoinfarction in a patient with diabetic ketoacidosis

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Journal of Geriatric Cardiology 2018年第3期15卷 238-240页

作者： jose ruiz-Morales Catarina Canha Farah Al-Saffar Saif Ibrahim Internal medicine department University of Florida Jacksonville FL USA Cardiology Department Mayo Clinic Scottsdale AZ USA Cardiology Department University of Florida Jacksonville FL USA

Diabetic ketoacidosis remains one of the most serious complications of diabetes mellitus. Among its precipitating factors is myocardial ischemia, responsible for 1% of the cases of diabetic *** Diabetic ketoacidosis both with and without hyperkalemia has been reported to mimic a myocardial infarction pattem on ECG with ST segment elevation, described as pseudoinfarction pattern. Thus, it is important to raise awareness among physicians, as subjecting patients to invasive medical management can be avoided. We present a case of a 47-year-old female with diabetic ketoacidosis and hyperkalemia with initial ECG findings of ST segment elevation, but an urgent left heart catheterization revealed non-obstructive coronary disease.

关键词： Anterior STEMI DKA Heart attack Pseudoinfarction STEMI

A case series of precipitous cardiac tamponade from suspected perimyocarditis in COVID-19 patients

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Journal of Geriatric Cardiology 2021年第5期18卷 403-406,I0002-I0004页

作者： William Kogler Michael Omar Naji Maaliki Shaorinkumar Patel Sam Foldy jose ruiz Department of Internal Medicine University of Florida JacksonvilleJacksonvilleFLUSA Department of Cardiology University of Florida JacksonvilleFLUSA

A 71yearold well controlled hypertensive female presented on day 4 of acute COVID19 illness with atypical chest pain and worsening exertional *** examination,heart rate was 110 beats/min,blood pressure was 125/82 mmHg and there were decreased heart sounds with visible jugular venous *** was not in respiratory distress at rest and was not requiring supplemental *** radiography showed bilateral diffuse opacities(Figure 1).transthoracic echocardiography(TTE)confirmed a moderate pericardial effusion with right ventricular systolic compression,paradoxical right ventricular septal motion,enddiastolic right atrial collapse,and a plethoric inferior vena cava(IVC)with no respiratory *** ejection fraction(EF)was 55%.Initial workup revealed mildly elevated troponin T levels of 0.14 ng/mL,NTPro BNP of 2500 pg/mL.

关键词： hypertensive distress elevated

Integrity and resilience in the face of multiple crises:commentary from Puerto Rico

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Forensic Sciences Research 2021年第3期6卷 316-319页

作者： Richard J.Noel Jr jose A.Torres-ruiz Department of Basic Sciences School of MedicinePonce Health Sciences UniversityPoncePRUSA Office of the Chancellor Ponce Health Sciences UniversityPoncePRUSA

Since 2010,the population of Puerto Rico has declined by 11.8%and is currently 3.3 million peo-ple[1].This worrisome trend is a result of a pleth-ora of island-wide challenges spanning financial difficulties,natural disasters,and *** over a decade of economic hardship and debt,incapacitating hurricanes,Irma and Maria,destroyed large swaths of the island in *** still recovering from that disaster,a magnitude 6.4 earthquake centered about 5 miles off the south-western coast on January 7,2020,destroying build-ings and roads in southwestern Puerto *** event,and subsequent aftershocks that continue until today,further aggravate an already stressed *** the mix,viral epidemics have brought fur-ther economic,social,and health-related *** Rico was the centre of the 2016-2017 Zika virus infections,representing over 85%of the US infections in 2016[2].

关键词： island disaster southwestern

Pancreatic cancer,autoimmune or chronic pancreatitis,beyond tissue diagnosis:Collateral imaging and clinical characteristics may differentiate them

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World Journal of Gastrointestinal Oncology 2023年第6期15卷 925-942页

作者： Ana I Tornel-Avelar jose Antonio Velarde ruiz-Velasco Mario Pelaez-Luna Department of Gastroenterology Hospital Civil of Guadalajara“Fray Antonio Alcalde”Guadalajara 44340JaliscoMexico Research Division School of Medicine/Department of Gastroenterology Universidad Nacional Autonoma de México/National Institute of Medical Sciences and Nutrition“Salvador Zubiran”Tlalpan 14000Mexico CityMexico

Pancreatic ductal adenocarcinoma(PDAC)is one of the most lethal malignancies and is developing into the 2nd leading cause of cancer-related ***,the clinical and radiological presentation of PDAC may be mirrored by other inflammatory pancreatic masses,such as autoimmune pancreatitis(AIP)and massforming chronic pancreatitis(MFCP),making its diagnosis *** AIP and MFCP from PDAC is vital due to significant therapeutic and prognostic *** diagnostic criteria and tools allow the precise differentiation of benign from malignant masses;however,the diagnostic accuracy is *** pancreatic resections have been performed in AIP cases under initial suspicion of PDAC after a diagnostic approach failed to provide an accurate *** is not unusual that after a thorough diagnostic evaluation,the clinician is confronted with a pancreatic mass with uncertain *** those cases,a re-evaluation must be entertained,preferably by an experienced multispecialty team including radiologists,pathologists,gastroenterologists,and surgeons,looking for disease-specific clinical,imaging,and histological hallmarks or collateral evidence that could favor a specific *** aim is to describe current diagnostic limitations that hinder our ability to reach an accurate diagnosis among AIP,PDAC,and MFCP and to highlight those disease-specific clinical,radiological,serological,and histological characteristics that could support the presence of any of these three disorders when facing a pancreatic mass with uncertain diagnosis after an initial diagnostic approach has been unsuccessful.

关键词： Pancreas cancer Chronic pancreatitis Autoimmune pancreatitis Pancreas mass Endoscopic ultrasound Diagnosis