Neil Keshvani

Dec 2, 2024 | onlinelibrary.wiley.com | Neil Keshvani |Syed M. Rizvi |Matthew W. Segar |James Miller

Introduction Intravenous (IV) diuretics are the primary treatment strategy in acute decompensated heart failure (ADHF).1 However, the response to diuretic therapy varies, with 20–50% of ADHF patients noted to have diuretic resistance (DR), defined as failure to increase urine or sodium output sufficiently in response to loop diuretics.2, 3 DR is associated with prolonged hospital stays, higher residual congestion at discharge, and an increased risk of readmission and mortality.4-6 Thus, there...

Oct 7, 2024 | jamanetwork.com | James Miller |Neil Keshvani |Juan David Coellar

A 62-year-old woman with hypertension, hyperlipidemia, coronary artery disease, and 7.5–pack-year smoking history presented to cardiology clinic with bilateral, aching leg pain triggered by walking and relieved by rest. After several months of worsening pain, she became unable to walk to her mailbox without symptoms. She had no pain at rest or nonhealing extremity wounds. Lower extremity pulses were nonpalpable.

Jun 1, 2024 | jacc.org | Amgad Mentias |Neil Keshvani |Andrew Sumarsono |Rohan Desai

References1. "Call to action: rural health: a presidential advisory from the American Heart Association and American Stroke Association". Circulation . 2020;141:e615-e644. 2. "Trends in heart failure-related cardiovascular mortality in rural versus urban United States counties, 2011-2018: a cross-sectional study". PLoS One . 2021;16:e0246813. 3. "Rural-urban differences in mortality from ischemic heart disease, heart failure, and stroke in the United States". Circ Cardiovasc Qual Outcomes .

Mar 4, 2024 | onlinelibrary.wiley.com | Zainali S. Chunawala |Neil Keshvani |Matthew W. Segar |Kershaw V. Patel

Research Letter Association of diabetes-specific heart failure risk score with presence of subclinical cardiomyopathy among individuals with diabetes: A prospective study Zainali S. Chunawala,  Zainali S.

Aug 26, 2023 | onlinelibrary.wiley.com | Neil Keshvani |Sonia Shah |Iyanuoluwa Ayodele |Karen Chiswell

Introduction Sex differences in heart failure (HF) characteristics, risk factors, and phenotypes have been well described.1 Female patients with HF tend to be older and are more likely to have HF with preserved ejection fraction (HFpEF), while male patients are more likely to have reduced ejection fraction (EF) and HF of ischaemic aetiology.2 Several traditional cardiovascular risk factors are more strongly associated with the risk of HF in females than males.3, 4 Specifically, obesity is...