Experience cardiac care with nationally recognized outcomes at a local level. Dr. Longoria understands that being diagnosed with any cardiac condition can be overwhelming for patients and families. His goals are to alleviate you and your families concerns and guide you through the process. From structural heart interventions to complex cardio-thoracic procedures, Dr. Longoria offers world-class cardiac care to return to you to your optimal health.
Common Procedures Performed
Heart Valve Surgery
Take the Heart Valve Clinical Trial Survey for Patients!
by Adam Pick on October 13, 2020 at 9:48 pm
Amazing! Jerome Flashes a Heart-Felt “Thumbs-Up” From the ICU!
by Adam Pick on October 7, 2020 at 3:30 pm
After Heart Surgery, Lee Feels Very Grateful!
by Adam Pick on October 2, 2020 at 3:01 pm
Association of household income and adverse outcomes in patients with atrial fibrillation
by LaRosa, A. R., Claxton, J., O'Neal, W. T., Lutsey, P. L., Chen, L. Y., Bengtson, L., Chamberlain, A. M., Alonso, A., Magnani, J. W. on October 12, 2020 at 8:00 am
BackgroundSocial determinants of health are relevant to cardiovascular outcomes but have had limited examination in atrial fibrillation (AF). ObjectivesThe purpose of this study was to examine the association of annual household income and cardiovascular outcomes in individuals with AF. MethodsWe analysed administrative claims for individuals with AF from 2009 to 2015 captured by a health claims database. We categorised estimates of annual household income as <$40 000; $40–$59 999; $60–$74 999; $75–$99 999; and ≥$100 000. Covariates included demographics, education, cardiovascular disease risk factors, comorbid conditions and anticoagulation. We examined event rates by income category and in multivariable-adjusted models in reference to the highest income category (≥$100 000). ResultsOur analysis included 336 736 individuals (age 72.7±11.9 years; 44.5% women; 82.6% white, 8.4% black, 7.0% Hispanic and 2.1% Asian) with AF followed for median (25th and 75th percentile) of 1.5 (95% CI 0.6 to 3.0) years. We observed an inverse association between income and heart failure and myocardial infarction (MI) with evidence of progressive risk across decreased income categories. Individuals with household income <$40 000 had the greatest risk for heart failure (HR 1.17; 95% CI 1.05 to 1.30) and MI (HR 1.18; 95% CI 0.98 to 1.41) compared with those with income ≥$100 000. ConclusionsWe identified an association between lower household income and adverse outcomes in a large cohort of individuals with AF. Our findings support consideration of income in the evaluation of cardiovascular risk in individuals with AF.
Cardiovascular risk factors and the risk of major adverse limb events in patients with symptomatic cardiovascular disease
by Hageman, S. H. J., de Borst, G. J., Dorresteijn, J. A. N., Bots, M. L., Westerink, J., Asselbergs, F. W., Visseren, F. L. J., on behalf of the UCC-SMART Study Group, Asselbergs, Nathoe, de Borst, Bots, Geerlings, Emmelot, de Jong, Leiner, Lely, van der Kaaij, Kappelle, Ruigrok, Verhaar, Visseren, Westerink on October 12, 2020 at 8:00 am
AimTo determine the relationship between non-high-density lipoprotein cholesterol (non-HDL-c), systolic blood pressure (SBP) and smoking and the risk of major adverse limb events (MALE) and the combination with major adverse cardiovascular events (MALE/MACE) in patients with symptomatic vascular disease. MethodsPatients with symptomatic vascular disease from the Utrecht Cardiovascular Cohort - Secondary Manifestations of ARTerial disease (1996–2017) study were included. The effects of non-HDL-c, SBP and smoking on the risk of MALE were analysed with Cox proportional hazard models stratified for presence of peripheral artery disease (PAD). MALE was defined as major amputation, peripheral revascularisation or thrombolysis in the lower limb. ResultsIn 8139 patients (median follow-up 7.8 years, IQR 4.0–11.8), 577 MALE (8.7 per 1000 person-years) and 1933 MALE/MACE were observed (29.1 per 1000 person-years). In patients with PAD there was no relation between non-HDL-c and MALE, and in patients with coronary artery disease (CAD), cerebrovascular disease (CVD) or abdominal aortic aneurysm (AAA) the risk of MALE was higher per 1 mmol/L non-HDL-c (HR 1.14, 95% CI 1.01 to 1.29). Per 10 mm Hg SBP, the risk of MALE was higher in patients with PAD (HR 1.06, 95% CI 1.01 to 1.12) and in patients with CVD/CAD/AAA (HR 1.15, 95% CI 1.08 to 1.22). The risk of MALE was higher in smokers with PAD (HR 1.45, 95% CI 0.97 to 2.14) and CAD/CVD/AAA (HR 7.08, 95% CI 3.99 to 12.57). ConclusionsThe risk of MALE and MALE/MACE in patients with symptomatic vascular disease differs according to vascular disease location and is associated with non-HDL-c, SBP and smoking. These findings confirm the importance of MALE as an outcome and underline the importance of risk factor management in patients with vascular disease.
Association between right ventricle dysfunction and poor outcome in patients with septic shock
by Kim, J.-s., Kim, Y.-J., Kim, M., Ryoo, S. M., Kim, W. Y. on October 12, 2020 at 8:00 am
ObjectiveSepsis-induced myocardial dysfunction (SIMD) can involve both the left and right ventricles. However, the characteristics and outcomes across various manifestations of SIMD remain unknown. MethodsThis was a retrospective cohort study using a prospective registry of septic shock from January 2011 and April 2017. Patients with clinically presumed cardiac dysfunction underwent echocardiography within 72 hours after admission and were enrolled (n=778). SIMD was classified as left ventricle (LV) systolic/diastolic and right ventricle (RV) dysfunction, which were defined based on the American Society of Echocardiography criteria. The primary outcome was 28-day mortality. ResultsOf the 778 septic shock patients who underwent echocardiography, 270 (34.7%) showed SIMD. The median age was 67.0 years old, and the male was predominant (57.3%). Among them, 67.3% had LV systolic dysfunction, 40.7% had RV dysfunction and 39.3% had LV diastolic dysfunction. Although serum lactate level and sequential organ failure assessment score were not significantly different between groups, SIMD group showed higher troponin I (0.1 vs 0.1 ng/mL; p=0.02) and poor clinical outcomes, including higher 28-day mortality (35.9 vs 26.8%; p<0.01), longer intensive care unit length of stay (5 vs 2 days; p<0.01) and prolonged mechanical ventilation (9 vs 4 days; p<0.01). Multivariate analysis showed that isolated RV dysfunction was an independent risk factor of 28-day mortality (OR 2.26, 95% CI 1.04 to 4.91). ConclusionsOne-third of patients with septic shock showed various myocardial dysfunctions. LV systolic dysfunction was common; however, only RV dysfunction was associated with short-term mortality.
Could Mom's Thyroid Levels Influence ADHD in Kids?
on October 21, 2020 at 9:06 pm
The study found that children born to mothers with low thyroid hormone levels during the first trimester of pregnancy had a 28% increased risk of being diagnosed with ADHD later.
One Big Reason Women May Be Less Prone to COVID-19
on October 21, 2020 at 7:58 pm
A survey conducted in eight countries in March and April found substantial gender differences both in numbers of people who considered COVID-19 to be a serious health crisis and who agreed with public policies to help fight the pandemic.
Cells That Drive Diabetes Seen in Healthy People
on October 21, 2020 at 7:53 pm
Scientists knew that dangerous T-cells lived in the pancreases of people with type 1 diabetes, but a new study shows they also take up residence in the pancreases of healthy individuals.