Zaher Fanari 331 Justison St Apt#405 Wilmington, DE 19801 Cell phone: 314-808-1610 zfanari@gmail.com zfanari@christianacare.org Medical Education: September 2000 – March 2007: Aleppo University, Faculty Of Medicine, Aleppo, Syria. Medical Doctor of Medicine Diploma (M.D.), March 2007 (Valedictorian). Medical Training: Internal Medicine Residency August 2009 – July 2012: St Louis University, St. Louis, MO, USA. Cardiovascular Medicine Fellowship August 2012 – July 2015: Jefferson Medical College/Christiana Care Health System, Newark, DE, USA. Interventional Cardiology Fellowship August 2015-2016: University Of Kansas School of Medicine, Kansas City, KS, USA. Licensure: Delaware Temporary License: July 2012 – Present ECFMG Certified: February 2008 ACLS/BLS Certificate: August 2012 ABIM August 2012 Examinations: USLME Step1 August 2007: Passed 99% (253). USLME Step2CK February 2007: Passed 99% (251). USLME Step2CS November 2007: Passed USMLE Step 3 April 2012: Passed (235) ABIM: August 2012: Passed (550) ECFMG Certified: February 2008 Medical School Honors/Awards: Valedictorian of March 2007 class by the results of February semester session of academic year 2006/2007 Ranked 2nd of 365 students at the end of academic year 2002/2003 Top 10 student (top 1 Percentile) in all academic years (2000-2007) Residency Awards: Winner of Saint Louis University 6th Annual Graduate Medical Education Poster Competition Fellowship Awards: Finalist at the Young Investigator Awards (YIA) Competition at The American College of Cardiology 61st Annual Scientific Session 2015, San Diego , CA. Finalist at The Mid-Atlantic Capital Best Poster Contest (CBPC) at the Mid-Atlantic Capital Cardiology Symposium (MACCS) 2014 Finalist at The Mid-Atlantic Capital Best Poster Contest (CBPC) at the Mid-Atlantic Capital Cardiology Symposium (MACCS) 2013 Publications/Thesis: Books: Shuraih M, Fanari Z. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Book Chapters: Fanari Z, Weiss SA, Weintraub WS. Medical Economics in Interventional Cardiology. In: Topol EJ, Teirstein PS. Textbook of Interventional Cardiology. 7th Edition ed. Philadelphia: Elsevier Saunders; 2016 Fanari Z, Shuraih M. ST Segment Elevation Myocardial Infarction Trial In: Shuraih M, Fanari Z., 1st ed. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Fanari Z, Shuraih M. Unstable Angina and Non- ST Elevation Myocardial Infarction Trial In: Shuraih M, Fanari Z., 1st ed. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Fanari Z, Shuraih M. Miscellaneous Trials In: Shuraih M, Fanari Z., 1st ed. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Shuraih M, Fanari Z,. Electrophysiology Trial In: Shuraih M, Fanari Z., 1st ed. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Hadid M, Fanari Z,. Heart Failure Trials In: Shuraih M, Fanari Z., 1st ed. Land Mark Clinical Trials in Cardiology. 1st ed. Houston: Mo Medical Consulting LLC; 2013. Peer Reviewed Journal Articles: Fanari Z, Weiss SA, Zhang W, Sonnad SS, Weintraub WS. Meta-analysis of three randomized controlled trials comparing coronary artery bypass grafting with percutaneous coronary intervention using drug-eluting stenting in patients with diabetes. Interact Cardiovasc Thorac Surg. 2014 Sep 3. PMID: 25185569 Fanari Z, Weiss SA, Zhang W, Sonnad SS, Weintraub WS. Short, Intermediate and long term outcomes of CABG vs. PCI with DES in Patients With Multivessel Coronary Artery Disease. Meta-Analysis of Six Randomized Controlled Trials. Eur J Cardiovasc Med. 2014 September 8; 3(1): 382–389. PMCID: PMC4234175 Fanari Z, Kennedy KK, Lim MJ, Laddu AA, Stolker JM. Comparison of InHospital Outcomes for Beta-Blocker Use Versus Non-Beta Blocker Use in Patients Presenting With Cocaine-Associated Chest Pain. Am J Cardiol. 2014 Jun 1; 113(11): 1802-6. PMID: 24742472 Fanari Z, Weiss SA, Weintraub WS. Comparative effectiveness of revascularization strategies in stable ischemic heart disease: current perspective and literature review. Expert Rev Cardiovasc Ther. 2013 Oct;11(10):1321-36. PMID: 24138520. Fanari Z, Abraham N, Hammami S, Qureshi WA. High-risk acute coronary syndrome in a patient with coronary subclavian steal syndrome secondary to critical subclavian artery stenosis. Case Rep Cardiol. 2014;2014:175235, 1-5. PMID: 25161771 Fanari Z, Hadid M, Hammami S, Qureshi W. Traumatic Myocardial Infarction in a Young Athletic Patient after a Football Game. Del Med J, July 2014, Vol 86 No 7, 211-213. PMID: 25244725 Fanari Z, Haq W, Kadikoy H, Pacha O, Abdellatif A. Medical Management Of Primary Hyperparathyroidism With Concomenant Multiple Myeloma. Intern. Med. 49: 581-584, 2010. PMID: 20228595. Fanari Z, Weiss SA, Weintraub WS. Routine Nuclear Stress Testing and Subsequent Revascularization in Asymptomatic Patients Following Coronary Revascularization. International Circulation. 2054 No. 116. Peer Reviewed Journal Articles under submission/ review: Fanari Z, Cheema O, Shuraih M. The Effects of Transvenous Pacemaker And Implantable Cardioverter Defibrillator on Mitral and Tricuspid Regurgitation. Submitted at: JICS. Fanari Z, Weiss SA. Academic vs. Private Cardiology: Preparing for Successful Career after Fellowship. Submitted at: JACC. Peer Reviewed Online Journal Articles: Fanari Z. OSA: An Important, Yet Missed Risk Factor for SCD. http://apnea.cardiosource.org/. October 2, 2013. http://apnea.cardiosource.org/Article-of-the-Month/2013/10/OSA-An-ImportantYet-Missed-Risk-Factor-for-SCD.aspx Fanari Z. The Role of Sleep Apnea Clinical Trials and CV Outcomes. http://apnea.cardiosource.org/. December 14, 2013. http://apnea.cardiosource.org/Article-of-the-Month/2013/12/The-Role-of-SleepApnea-Clinical-Trials-and-CV-Outcomes.aspx Fanari Z. Recognizing The Prevalence of Sleep-Disordered Breathing (SDB) in the Hispanic Community. http://apnea.cardiosource.org/. March 17, 2014. http://apnea.cardiosource.org/Article-of-the-Month/2014/03/Prevalence-of-SDBin-the-Hispanic-Community.aspx. Fanari Z. The impact of CPAP, Weight Loss, or Both on the metabolic syndrome profile in patients with OSA. http://apnea.cardiosource.org/. Auguest 1, 2014. http://apnea.cardiosource.org/Article-of-the-Month/2014/08/Impact-of-CPAPWeight-Loss-or-Both-on-the-Metabolic-Syndrome-Profile-in-Patients-WithOSA.aspx Fanari Z. Anticoagulation in the setting of Atrial Fibrillation and Cardiac amyloidosis. http://afibprofessional.cardiosource.org/. June 25, 2014. http://afibprofessional.cardiosource.org/CaseChallenges/2014/06/Anticoagulationin-the-Setting-of-AFib-and-Cardiac-Amyloidosis.aspx Fanari Z, Hammami S. The impact of age and OSA on heart rate variability and cardiorespiratory coupling. http://apnea.cardiosource.org/. November 14, 2014. http://apnea.cardiosource.org/Article-of-the-Month/2014/11/The-Impact-of-Ageand-OSA-on-Heart-Rate-Variability-and-Cardiorespiratory-Coupling.aspx Peer Reviewed Journal Abstracts Fanari Z, Weiss SA, Zhang W, Hadid M, Weintraub WS. Meta-Analysis of Three Randomized Controlled Trials Comparing Coronary Artery Bypass Grafting With Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Diabetes. Circulation.2013; 128: A16673. Fanari Z, Weiss SA, Zhang W, Weintraub WS. Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Multivessel Coronary Artery Disease: A Meta-Analysis of Six Randomized Controlled Trials. Circulation.2013; 128: A16641 Fanari Z, Qureshi W. Percutaneous Angioplasty and stenting of subclavian stenosis in a patient with obstructive coronary artery disease, occluded saphenous venous grafts and left main artery with the aid of impella percutaneous cardiac support device. Am Coll Cardiol. 2014;63(12_S): A 157. Fanari Z, Hadid M, Qureshi W. Traumatic Myocardial Infarction in a young athlete patient after a sport injury. J Am Coll Cardiol. 2014;63(12_S): A 170. Fanari Z, Ibrahim M, Hamilton A, Abdulhadi M, Laddu A, Lim M, Stolker J. Evaluation of the Safety of Beta Blockers in the Acute Management of Cocaine-Associated Chest Pain. J Am Coll Cardiol. 2012;59(13s1):E514-E514. Fanari Z, Ibrahim M, Hamilton A. Measurement of the Aortic Wall Thickness Using Transesophageal Echocardiography in Patients with Aortic Dissection. J Am Coll Cardiol. 2012;59(13s1):E2065. Rajamanickam A; Kansara A; Fanari Z; Rao AD; Hopkins J; Rahman E; Kostal M; Stillabower M, Weintraub WS. Broken Heart Syndrome-"Not so rare anymore". Circ Cardiovasc Qual Outcomes.2013; 6: A41 Rajamanickam A; Kansara A; Fanari Z; Rao AD; Hopkins J; Rahman E; Kostal M; Stillabower M, Weintraub WS. Takotsubos Cardiomyopathy-EKG presentations. Circ Cardiovasc Qual Outcomes.2013; 6: A318 Shuraih M, Cai Q, Cheema O, Garg A, Fanari Z, Masood A, Ware D, Rosanio S. The Effects of Transvenous Pacemaker And Implantable Cardioverter Defibrillator implant on the Atrial-Ventricular valvular Regurgitation. Heart Rhythm. 2010; 7: S7. Cai Q, Shuraih M, Fanari Z, Ahmad M, Ware D, Rosanio S. The Effects of Transvenous Pacemaker And Implantable Cardioverter Defibrillator Lead Placement on Tricuspid Regurgitation. Circulation. 2009; 120: S308-S309. Ibrahim M, Maselli D, Merza H, Abd Alhadi M, Fanari Z, Badawi Y, Hamilton A. Safety of Beta Blockers in the Acute Management of Cocaine-associated Chest Pain. Circulation. 2008; 118:S_1468. Elliot DJ, Fanari Z, Kolm P, Weintraub WS. Predicting Readmission Risk Following Coronary Revascularization at the Time of Admission. Cardiovascular Quality and Outcomes.2014; 7: A231 Oral Presentation: Fanari Z, Barekatain A, Kerzner R, Weintraub WS, Maheshwari V. Impact Of Multidisciplinary Team Approach On The Outcomes Of Patients In The Cardiac Care Unit. Oral Presentation presented at: The American College of Cardiology 62nd Annual Scientific Session 2015/ YIA Young Investigators Awards Competition, San Diego, CA. Shuraih M, Cai Q, Cheema O, Garg A, Fanari Z, Masood A, Ware D, Rosanio S. Univ of Texas Medical Branch, Galveston, TX/ St Louis Univ Sch of Medicine. The Effects of Transvenous Pacemaker And Implantable Cardioverter Defibrillator implant on the Atrial-Ventricular valvular Regurgitation. Oral Presentation presented at: The Heart Rhythm Society’s Resuscitation Science Symposium 2010; Denver, CO. Poster Presentation: Fanari Z, Weiss SA, Zhang W, Weintraub WS. Christiana Care Health System. Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Multivessel Coronary Artery Disease: A Meta-Analysis of Six Randomized Controlled Trials. Poster presented at: American Heart Association’s Scientific Sessions 2013, Dallas, TX. Fanari Z, Weiss SA, Zhang W, Hadid M, Weintraub WS. Christiana Care Health System. Meta-Analysis of Three Randomized Controlled Trials Comparing Coronary Artery Bypass Grafting With Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Diabetes. Poster presented at: American Heart Association’s Scientific Sessions 2013, Dallas, TX. Fanari Z, Hadid M, Qureshi W. Christiana Care Health System. Traumatic Myocardial Infarction in A Young Athletic Patient after a Sport Injury. Poster presented at: The American College of Cardiology 61st Annual Scientific Session 2014, Washington, DC. Fanari Z, Qureshi W. Christiana Care Health System. Percutaneous Angioplasty of Critical Subclavian Artery Stenosis in a Patient with Coronary Subclavian Steal Syndrome with the Support of Impella Percutaneous Left Ventricular Assist Device Poster presented at: The American College of Cardiology 61st Annual Scientific Session 2014, Washington, DC. Fanari Z, Ibrahim M, Hamilton A, Abdulhadi M, Laddu A, Lim M, Stolker J. St Louis Univ Sch of Medicine/ Univ of Texas Medical Sch at Houston. (March 2012). Evaluation of the Safety of Beta Blockers in the Acute Management of Cocaine-Associated Chest Pain. Poster presented at: The American College of Cardiology 61st Annual Scientific Session 2012 , Chicago, IL. Fanari Z, Ibrahim M, Hamilton, St Louis Univ Sch of Medicine/ Univ of Texas Medical Sch at Houston. (March 2012). Measurement of the Aortic Wall Thickness Using Transesophageal Echocardiography in Patients with Aortic Dissection. Poster presented at: The American College of Cardiology 61st Annual Scientific Session 2012, Chicago, IL. Fanari Z, Thapa J, Persad K, Hammami S, Kostal M, Marshal E, West J, Doorey A. Discrepancies Between Direct Catheter And Echocardiography Based Values In Aortic Stenosis And Impact On Clinical Decision. Poster presented at: The Cardiovascular Research Technologies Annual Scientific Session 2015, Washington, DC. Fanari Z, Rajamanickam A, Grove a, Hammami S, Doorey A. Cardiac Output Confusion. Why Your Cardiac Catheterization Lab Computer System May Not Give You The Results You Expect And Need? Poster presented at: The Cardiovascular Research Technologies Annual Scientific Session 2015, Washington, DC. Fanari Z, Barekatain A, Kerzner R, Weintraub WS, Maheshwari V. Impact Of Multidisciplinary Team Approach On The Outcomes Of Patients In The Cardiac Care Unit. . Poster presented at: Mid-Atlantic Capital Cardiology Symposium 2014, Washington, DC. Fanari Z, Weiss SA, Zhang W, Weintraub WS. Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Multivessel Coronary Artery Disease: A Meta-Analysis of Six Randomized Controlled Trials. Poster presented at: 3rd Annual Symposium, Delaware Cardiovascular Research Center, Newark, DE. Fanari Z, Weiss SA, Zhang W, Hadid M, Weintraub WS. Christiana Care Health System. Meta-Analysis of Three Randomized Controlled Trials Comparing Coronary Artery Bypass Grafting With Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Diabetes. Poster presented at: 3rd Annual Symposium, Delaware Cardiovascular Research Center, Newark, DE. Fanari Z, Weiss SA, Zhang W, Weintraub WS. Coronary Artery Bypass Grafting vs. Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Multivessel Coronary Artery Disease: A Meta-Analysis of Six Randomized Controlled Trials. Poster presented at: Mid-Atlantic Capital Cardiology Symposium 2013, Washington, DC. Fanari Z, Weiss SA, Zhang W, Hadid M, Weintraub WS. Christiana Care Health System. Meta-Analysis of Three Randomized Controlled Trials Comparing Coronary Artery Bypass Grafting With Percutaneous Coronary Intervention Using Drug-Eluting Stenting in Patients With Diabetes. Poster presented at: Mid-Atlantic Capital Cardiology Symposium 2013, Washington, DC. Elliot DJ, Fanari Z, Kholm P, Weintraub WS. Predicting Readmission Risk Following Coronary Revascularization at the Time of Admission. Poster presented at: Quality of Care and Outcomes Research QCOR 2014 Scientific Sessions, Baltimore, MD. Cai Q, Shuraih M, Fanari Z, Ahmad M, Ware D, Rosanio S. Univ of Texas Medical Branch, Galveston, TX/ St Louis Univ Sch of Medicine. (2009, November).The Effects of Transvenous Pacemaker And Implantable Cardioverter Defibrillator Lead Placement on Tricuspid Regurgitation. Poster presented at: The American Heart Association's Annual Scientific Session 2009; Orlando, FL. Rajamanickam A; Kansara A; Fanari Z; Rao AD; Hopkins J; Rahman E; Kostal M; Stillabower M, Weintraub WS. Christiana Care Health System. Broken Heart Syndrome-"Not so rare anymore". Poster presented at: The Cardiovascular Quality Outcomes Meeting 2013; Baltimore, MD. Rajamanickam A; Kansara A; Fanari Z; Rao AD; Hopkins J; Rahman E; Kostal M; Stillabower M, Weintraub WS. Christiana Care Health System. Takotsubos Cardiomyopathy-EKG presentations. Poster presented at: The Cardiovascular Quality Outcomes Meeting 2013; Baltimore, MD. Ibrahim M, Maselli D, Merza H, Abd Alhadi M, Fanari Z, Badawi Y, Hamilton A. Univ of Texas Medical Sch at Houston, Houston, Tx. (2008, November). Safety of Beta Blockers in the Acute Management of Cocaine-associated Chest Pain. Poster presented at: The American Heart Association's Annual Scientific Session 2008; New Orleans, LA. Ibrahim M, Fanari Z, Moturi R, Hamilton A. Univ of Texas Medical Sch at Houston, Houston, TX. (2009, April). Measurement of Aortic Wall Thickness Using Transesophageal Echocardiography in Patients with Aortic Dissection. Poster presented at: The Associate American College of Physicians (ACP) Meeting 2009; Houston, TX. Fanari Z, Mir F, Castillo R. St Louis University School of Medicine. (2011, September). Intermittent Mobitz I 2nd Degree AV Block after short Term Low-Dose Carbamazepine Therapy with a Serum Concentration Less than the Therapeutic Level. Poster presented at: The Associate American College of Physicians (ACP) Meeting 2011; Lake Ozok, MO Fanari Z, Ibrahim MG , Assioun B, Touma W, Castillo R. St Louis University School of Medicine. (2010, September). Lemierre’s syndrome: The "forgotten disease". Poster presented at: The Associate American College of Physicians (ACP) Meeting 2010; Lake Ozok, MO. Fanari Z, Assioun B, Ibrahim MG , Castillo R. St Louis University School of Medicine. (2011, November) Acute Renal Failure secondary to Hepatorenal Syndrome and Tenofovir Toxicity in patient with Acute Fluminant Hepatitis B. Poster presented at: The American Medical Association National Meeting 2011; New Orleans, LA Hadid M, Fanari Z, Touma W, Banerji S, Bastani B. St Louis University School of Medicine. (2010, April) Disseminated Cryptococcal Infection Presenting with Paniculitis and Negative Serological Markers Poster presented at: The American College of Physicians National Meeting 2010; Toronto, Canada. Fanari Z, Touma W, Ghadban R, El-Aneed W, Castillo R. St Louis University School of Medicine. (2011, September). Synchronous multiple primary lung cancer: An increasing clinical occurrence requiring attention and follow-up. Poster presented at: The Associate American College of Physicians (ACP) Meeting 2011; Lake Ozok, MO. Hadid M, Fanari Z, Touma W, Banerji S, Bastani B. St Louis University School of Medicine. (2009, September) Disseminated Cryptococcal Infection Presenting with Paniculitis and Negative Serological Markers . Poster presented at: The Associate American College of Physicians (ACP) Meeting 2009; Lake Ozok, MO Fanari Z, Touma W, Castillo R. St Louis University School of Medicine. (2011, September). Almost Fatal Bacteremia in a Unique Cancer Presentation. Poster presented at: The Associate American College of Physicians (ACP) Meeting 2011; Lake Ozok, MO. Ibrahim M, Maselli D, Fanari Z. Univ of Texas Medical Sch at Houston, Houston, TX. (2008, April). Acute Renal Failure, Hepatitis, Rhabdomyolysis and Left Ventricular Decompensation Induced by Olanzapine. Poster presented at: The Associate American College of Physicians (ACP) Meeting; Houston, TX. Ibrahim M, Maselli D, Fanari Z. Univ of Texas Medical Sch at Houston, Houston, TX. (2008, April). Churg-Strauss Syndrome Complicated with Severe Mononeuritis Multiplex. Poster presented at: The Associate American College of Physicians (ACP) Meeting; Houston, TX. Touma W, Ibrahim MG, Fanari Z, Osman MM. St Louis University School of Medicine. (2010, September). Two uncommon metastases from adenocarcinoma of the lung. Poster presented at: The Associate American College of Physicians (ACP) Meeting 2010; Lake Ozok, MO. Research Experience: 11/2013- Present: Jefferson Medical College/Christiana Care Health System. William Weintraub, M.D. We developed models to predict 30-day inpatient readmission to our institution for a cohort of patients who were revascularized at our institution between January 2010 and December 2013. Our model would allow providers and health systems to target high-risk patients with enhanced discharge planning during the course of the hospitalization, and this may improve the ability to avoid readmissions. 11/2013- Present: Jefferson Medical College/Christiana Care Health System. William Weintraub, M.D. We developed a model where a care management team that includes social workers, nurses, a pharmacist, a health ambassador, a care management supervisor and a physician adviser works with more than 2,200 patients with ischemic heart disease to make the transition from hospital to home a safe, efficient and successful. The team explains medication, schedules future doctor appointments and makes sure other services are in place. At home, daily readings of weight, blood pressure and oxygen saturation may be collected. The readings alert Care Link Services to potential problems. Ongoing data collection helps the care team to adjust treatments as needed. This project is providing an opportunity to partner with our patients to improve their health. The program is showing potential to improve our patient’s health status, and reduce emergency room visits and hospitalizations. This in turn drives down costs and improves value. 05/2013- Present: Jefferson Medical College/Christiana Care Health System. Roger Kerzner, M.D. We are developed a multidisciplinary team model in Cardiac Care Intensive where a cardiologist, a medical intensivist, a cardiology fellow, internal medicine residents and interns, ICU nurses, ICU pharmacist and respiratory therapists works together in the team to coordinate the complex care of patients in the Cardiac Care Intensive Unit. This approach in expected to impact many outcomes including patients’ mortality, morbidity and length of stay in both ICU and the hospital. 10/2014- Present: Jefferson Medical College/Christiana Care Health System. Andrew Doorey, M.D. We assessed the impact of the preset cath lab computer system algorithm on the hemodynamic assessment of cardiac output and aortic valve area. We found that whichever CO calculation was done first by the CCL computer system became the determinative output, appearing on the final report and being used to calculate the official AVA. That had an intense clinical outcome as the recommendation for surgery (AVA <1.0 cm2) was different between the CO methods in 12 cases (12% of patients). 10/2014- Present: Jefferson Medical College/Christiana Care Health System. Andrew Doorey, M.D. We evaluated the safety of using pressure wire for aortic stenosis assessment. Pressure wire may offer a safe and higher quality technique to assess the validity of echo results in assessing the severity of aortic stenosis. We found that cath Assessment of the aortic valve area (AVA) was discordant with echo by more than 0.2cm2 in 48%, 0.3cm2 in 25% and 0.5cm2 in 7% of patients. Values changed to over or under the surgical threshold of AVA <1cm2 in 30% of the patients (Pearson correlation of 0.47). Mean echo gradients had better correlation with cath gradients (75%, Pearson correlation of 0.82). Urgent surgical valve replacement was avoided in 18 patients (24%). No clinical strokes or TIA were observed in the 30 days after procedure. 11/2012- Present: Jefferson Medical College/Christiana Care Health System. Michael Stillabower, M.D. In this prospective study we are trying to study the Safety and incidence of vascular complications of the implant free arterial closure against our traditional methods of implant device closure method. And whether a repeated phone checks on the patients will help in better identifying and managing these complications. 03/2013- Present: Jefferson Medical College/Christiana Care Health System. Sandra Weiss, M.D. In this prospective study we are trying to study the Value of reverse Allen’s test vs. Ultrasound in predicting Radial Artery Thrombosis after cardiac catheterization and the impact that each strategy will have on the patient’s outcome. 03/2013- Present: Jefferson Medical College/Christiana Care Health System. Sandra Weiss, M.D. In this prospective study we are trying to study the impact of radial approach have on the patency of radial artery and future impact that may have on using that artery in potential AV fistula in patient with Advanced chronic Kidney disease. Allen’s test vs. Ultrasound in predicting Radial Artery Thrombosis after cardiac catheterization and the impact that each strategy will have on the patient’s outcome. 10/2011-10/2012: Saint Louis University School of Medicine, Joshua Stolker, M.D. We were trying to investigate the Safety of Beta Blockers in the Acute Management of Cocaine-associated Acute Coronary Syndrome. We found that "In patients with cocaine-associated ACS Beta Blockers did not appear to change the incidence of the primary composite outcome of death, MI, cardiac arrhythmia or any of the secondary outcomes of individual rates of death, MI or cardiac arrhythmia”. 01/2009-05/2009: The University of Texas Medical Branch/ Houston Methodist Debakey Heart Center, Galveston/ Houston, TX, Mossaab Shuraih, M.D. We were trying to study the effects of Transvenous pacemaker and implantable Cardioverter defibrillator on mitral (MR) and tricuspid (MR) regurgitation We found that “The implantation of Transvenous PPM or ICD worsens TR probably through direct mechanical interference. Increased MR severity was seen only in patients with high RV pacing percentage, which is likely the consequence of Interventricular dyssynchrony induced by RV pacing. " 10/2007-02/2008: The University of Texas at Houston/ Saint Louis University School of Medicine. We were trying to prove the significance of Transesophageal Echocardiography use in the prediction of the occurrence of Aortic Dissection depending on the measurements of Aorta wall thickness in patients with significant risk factors in addition to the Aorta diameter, which is being used. We found that "The aortic wall thickness and intimal/medial thickness detected by TEE at the level of 40cm beyond incisors is greater in patients with aortic dissection compared with PFO patients independent of aortic diameter. This may be useful in identifying patients with an increase risk of developing aortic dissection". 10/2007-02/2008: The University of Texas at Houston/ Saint Louis University School of Medicine. We were trying to investigate the Safety of Beta Blockers in the Acute Management of Cocaine-associated Chest Pain. We found that "In patients with cocaine-associated chest pain Beta Blockers did not appear to change the incidence of troponin rise. Beta 1-Selective Beta Blockers did not appear to worsen troponin levels compared to mixed Beta 1/Alpha adrenergic antagonists. There were no cases of unopposed alpha activity reported”. Volunteer Experience: 12/2013- 02/2014: ACC Delaware Chapter FIT Leader. ACC. Works with the ACC leadership to enhance fellows’ involvement in the ACC communities and activities. 3/2014: ACC Patient Navigator Program working group, ACC The ACC developed the ACC Patient Navigator Program to address these issues through a personalized approach focused on meeting the needs of heart disease patients before and after they leave the hospital. The program will support a team of caregivers dedicated to helping patients overcome challenges during their hospital stay and in the weeks following discharge when they are most vulnerable. The ultimate goal of the program is to develop and support a culture of patientcentered care that can be implemented in other hospitals. 07/2013- Present: ACC FIT Quality Improvement working group, ACC The ACC has a number of quality initiatives, such as Hospital to Home and Door to Balloon. ACC Science and Quality staff would like to better engage Fellows in Training and get their help implementing these initiatives at their training programs. 07/2013- 07/2014: ACC FIT CardioSource Communities Working Group The purpose of this working group is to manage and sometimes develop for the biomarkers and sleep apnea communities as well as for CardioSource hot topics and cases for CardioSource. 08/2014- Present: Christiana Care Quality and Safety Council: I am representing the cardiology section in this collaborative council among all section and department to coordinate effort over all inpatient and outpatient effort to improve the quality of care and guarantee the safety of our patients. 07/2013- Present: Annals of Internal Medicine. I am recurrent reviewer for cardiology manuscripts in Annals of internal medicine. 07/2013- Present: BMC medical Ethics. I am recurrent reviewer at BMC medical Ethics. Membership Societies: American College of Physicians. American College of Cardiology. American Heart Association. Syrian Medical Association. Syrian Health Association. National American Arab Medical Association. Syrian American Medical Association.