Rowlens M. Melduni
Mayo Clinic
Internal medicineRadiologySurgeryCardiologyPropensity score matchingSinus rhythmPericardiectomyBlood stasisCardioversionConstrictive pericarditisHeart failureAtrial flutterCardiac surgeryAtrial fibrillationVon Willebrand factorStenosisHeart diseaseThrombusDirect current cardioversionLeft ventricular noncompactionAtrial arrhythmiasLeft atrialIn patientIncidence (epidemiology)Proportional hazards modelStrokeDiastoleMedicineEjection fraction
75Publications
11H-index
672Citations
Publications 75
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#1Rowlens M. Melduni (Mayo Clinic)H-Index: 11
#2Vuyisile T. Nkomo (Mayo Clinic)H-Index: 34
Last. Hon-Chi Lee (Mayo Clinic)H-Index: 2
view all 9 authors...
OBJECTIVE To investigate the association of mitral regurgitation (MR) on thromboembolic risk of patients with non-valvular atrial fibrillation (NVAF) undergoing transoesophageal echocardiography (TEE)-guided cardioversion. METHODS Data for consecutive patients who underwent TEE-guided cardioversion for NVAF between 2000 and 2012 were analysed. MR severity was assessed by Doppler echocardiography and classified as ≤mild, moderate or severe. Left atrial appendage emptying velocities were averaged ...
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#1Waldemar E. Wysokinski (Mayo Clinic)H-Index: 29
#2Rowlens M. Melduni (Mayo Clinic)H-Index: 11
Last. Robert D. McBane (Mayo Clinic)H-Index: 51
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Abstract Background Von Willebrand factor (VWF) elevation correlates with the left atrial blood stasis in nonvalvular atrial fibrillation (NVAF). However, the long-term impact of elevated VWF in patients with NVAF is not well established. Methods To assess the impact of VWF and a disintegrin and metalloproteinase with a thrombospondin type 1 motif, member 13 (ADAMTS13) in conjunction with echocardiographic measures of left atrium blood stasis on clinical outcomes, 414 NVAF prospectively recruite...
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#1Vaibhav R. Vaidya (Mayo Clinic)H-Index: 14
#2Melissa Lyle (Mayo Clinic)H-Index: 7
Last. Rowlens M. Melduni (Mayo Clinic)H-Index: 11
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Background The prognosis of left ventricular noncompaction (LVNC) remains elusive despite its recognition as a clinical entity for >30 years. We sought to identify clinical and imaging characteristics and risk factors for mortality in patients with LVNC. Methods and Results 339 adults with LVNC seen between 2000 and 2016 were identified. LVNC was defined as end-systolic noncompacted to compacted myocardial ratio >2 (Jenni criteria) and end-diastolic trough of trabeculation-to-epicardium (X):peak...
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#1N Gruner-Hegge (University of Cambridge)H-Index: 1
#2Danesh Kella (Mayo Clinic)H-Index: 8
Last. Paul A. Friedman (Mayo Clinic)H-Index: 69
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Introduction Emerging data suggest that cardioversion for atrial fibrillation (AF) may be associated with acute kidney injury (AKI). However, limited data are available regarding the incidence and risk factors for AKI after direct current cardioversion (DCCV) of AF. Methods All patients undergoing DCCV at Mayo Clinic between 2001 and 2012 for AF were prospectively enrolled in a database. All patients with serum creatinine (SCR) values pre- and post-cardioversion were reviewed for AKI, defined as...
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#1Ronstan Lobo (Mayo Clinic)H-Index: 2
#2Richard D. White (Mayo Clinic)H-Index: 20
Last. Allan S. Jaffe (Mayo Clinic)H-Index: 128
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#1Rowlens M. Melduni (Mayo Clinic)H-Index: 11
#2Leslie T. Cooper (Mayo Clinic)H-Index: 74
Last. Hon-Chi Lee (Mayo Clinic)H-Index: 2
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Background Recent investigations suggest that inflammation and autoimmunity might have a role in the pathophysiology of atrial fibrillation (AF). Given that abnormal ventriculovascular coupling oft...
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#1Sri Harsha Patlolla (Mayo Clinic)H-Index: 7
#2Hon Chi Lee (Mayo Clinic)H-Index: 30
Last. Rowlens M. Melduni (Mayo Clinic)H-Index: 11
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ABSTRACT Although diabetes mellitus (DM) has been established as a risk factor for developing atrial fibrillation (AF) and is a known risk factor for stroke, it is unclear whether the presence or duration of DM is the primary adverse influence on the clinical course of AF. We retrospectively analyzed patients diagnosed with incident AF to examine the impact of DM on ischemic stroke and all-cause mortality. The diagnosis of DM was established by ICD-9 codes and review of medical records. To accou...
3 CitationsSource
#1Rowlens M. Melduni (Mayo Clinic)H-Index: 11
#2Waldemar E. Wysokinski (Mayo Clinic)H-Index: 29
Last. Hon Chi Lee (Mayo Clinic)H-Index: 30
view all 9 authors...
Objective Previous studies have postulated a causal role of patent foramen ovale (PFO) in the aetiology of embolic stroke in the general population. We hypothesised that the presence of concomitant PFO and atrial fibrillation (AF) will add incremental risk of ischaemic stroke to that linked to AF alone. Methods We analysed data on 3069 consecutive patients (mean age 69.4±12.2 years; 67.1% men) undergoing transoesophageal echocardiography-guided electrical cardioversion (ECV) for AF between May 2...
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