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Kahwash, Rami MD


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473 W 12th Ave
Columbus, OH 43210

Phone: (614) 293-4967

Email: kahwash.4@osu.edu

 

Current OSU Appointments

Assistant Professor-Clinical, Cardiovascular Medicine

Physician, FGP-Cardiovascular Medicine

 

Clinical Interest

Advanced Management of Acute and Chronic Heart Failure

Cardiac Critical Care

Cardiac Transplantation Evaluation and Post-transplant Care

Pre-implant Evaluation and Post-implant Care of Patients with Ventricular Assit Devices

Endomyocardial Biopsy

Diagnostic Coronary Angiography

Advising Narrative

I have advised Daniel Moussa who is currently a senior at the Ohio State University. In 2014, Daniel spent time with me in the cardiac catheterization laboratory observing a variety of cardiac procedures including: right and left heart catheterizations and endomyocardial biopsies. He was deeply touched by the rewarding experience of caring for patients who were heart transplant recipients and those who underwent implantation of mechanical circulatory support devices. He considered this early exposure to clinical cardiology as a turning point in his academic journey as he decided to pursue a future career in medicine shortly after that. As a student in the Biomedical Science Undergraduate program, he conducted research in neuroimmunology and neurotrauma in the Institute for Behavioral Medicine Research. During the summer of 2014, he was fully funded to conduct research on his proposed topic through an Undergraduate Research Office Fellowship and was awarded additional grants to cover research expenses. This research (studying the short-term neuroprotective effects of methylene blue administration following a traumatic brain injury) was incorporated into a publication (J Neurotrauma. 2015 Jan 15;32(2):127-38. doi: 10.1089/neu.2014.3514. Epub 2014 Nov 13). Furthermore, in summer of 2015, he was invited to collaborate on a thesis titled “Microglia and TGFb in the context of neurodegenerative diseases” at the Institute for Anatomy and Cell Biology at the University of Freiburg, Germany through an international research internship provided by the DAAD RISE. Daniel, as part of a small cohort of biomedical science students, was selected by the Internal Medicine department to serve as an undergraduate Internal Medicine intern during summer of 2015.

Academic Advising

February 2011, May 2011. Preceptor of Third and Fourth Year Medical Students rounding on heart failure service. Including post round designated interactive sessions on pulmonary artery catheter indication, interpretation and management of hemodynamic data, acute decompensated heart failure, heart failure with preserved ejection fraction, and device therapy for heart failure. Students were also allowed to observe procedures in the cath lab.



February 2010 - June 2011. Preceptor of medical student Spencer Trooboff. The Ohio State University College of Medicine (Columbus, OH). Precepting in the heart failure clinic included close exposure to heart failure presenting symptoms, exam findings, heart failure staging, and evidence based therapy for each stage. Activities also included allowing the student to closely observe invasive procedures such as left and right heart catheterizations, cardiac biopsies, and interpretation of hemodynamic data.

Clinical Interest

Invasive Hemodynamic Evaluation

Implant of Cardiac Devices

Biographical

After concluding my Internal Medicine residency at the University of Kentucky, I settled on Cardiology as a subspecialty because it offered opportunities to treat illness in a variety of settings including the clinic, inpatient wards, and the heart catheterization lab. Inspired by the advancement in device and surgical based-therapy of heart failure, I pursued further subspecialized training in Advanced Heart Failure, Cardiac Transplantation, Invasive Cardiology, and Cardiac Device Implantation and Management at the Ohio State University (OSU). Upon completion, I accepted an offer to join the faculty in the Division of Cardiology at OSU in July of 2009. This decision was based on my strong belief that OSU would provide me with a rich environment in which I could grow, while promoting the high values in patient care, education, and research that I experienced during my training. My goal has been to pursue excellence in in the arenas of clinical services, innovation, and teaching, all while serving clinically as an integral part of the Heart Failure/Transplant program.



Being one of a handful of Heart Failure specialists in the U.S. who are also trained in invasive cardiology and cardiac device implantation and management, I have developed a unique heart failure practice at OSU that offers clinical services extending beyond the national standard. My practice pattern addresses all aspects of heart failure patients’ care and extends beyond medical treatment into performing diagnostic and therapeutic procedures, including innovative techniques that are only available at OSU and one other center in the nation. This unique and comprehensive practice model available only at OSU has excelled in several quality indicators that include exceptional patient satisfaction scores.



As a demonstration of clinical excellence in Heart Failure and Transplantation, I have received the Certificate of Excellence for Outstanding Achievement in Patient Service recognition from the OSU Medical Center twice (2010 and 2014). I was named in the prestigious Best Doctors in America in 2013 and 2014. Notably, I was in the top 10% of all OSU physicians in the HCHAPS national survey on patient satisfaction in 2014 and the top cardiologist in the same survey in 2015. I achieved regional recognition as evident by my referral base extending into several neighboring states. I recently attained national standing in the area of invasive heart failure device monitoring and cardiac resynchronization therapy by being invited to chair several sessions on those topics at the 36th Heart Rhythm Society (HRS) International Conference 2015.



In the area of practice development, I established the OSU Cardiac Sarcoidosis Program that includes a multidisciplinary clinic, novel device based monitoring, imaging services, and diagnostic procedural support. This program is the only cardiac sarcoidosis clinic in the region and has drawn referrals from surrounding states.



In the area of clinical excellence and innovation, I have advanced the practice of heart failure and transplantation at OSU on several levels. In the field of diagnostic and invasive testing, I developed a novel method for enhancing the selectivity of myocardial biopsy using voltage mapping techniques. I am the only physician performing this procedure at OSU, distinguishing the institution as one of two centers in the U.S who provide this diagnostic approach. Drawing on my Heart Failure and Transplantation subspecialty, as well as my advanced training in Invasive Cardiology and Cardiac Device Implantation, I invented a new procedure and innovative catheter-based delivery system for the wireless pulmonary artery monitoring sensor, CardioMEMS. This invention (U.S. Patent and Trademark Office-USPTO # 62/174,267; June 11, 2015) was endorsed by the OSU Technology and Commercialization Office.



An important focus of my academic career has been excellence in education. I contributed to the recent revision of the College of Medicine Core Curriculum. I teach various lectures and courses to medical students, residents, and fellows. In recognition of my effort in education, I received two Teaching Excellence Awards from the College of Medicine (2011, 2012), selected by students ranking of clinical faculty. Recently, I was awarded the prestigious Charles F. Wooley Transmission of Excellence Teaching Award in recognition of dedication to the cardiovascular fellowship program. This award is selected by the cardiovascular fellows voting on excellence of teaching quality.

Continuing Education, Extension, and Other Courses Taught

As vice president of the National Arab American Medical Association in 2011, I organized, directed and presented in a CME conference titled "Updates in Medicine for the Referring Physicians". The conference was held at the Blackwell in downtown Columbus, Ohio and attended by > 150 physicians from multiple subspecialties including an international audience.



As president of the National Arab American Medical Association in 2012, I organized and directed a CME conference titled "An ounce of prevention is worth a pound of cure". The conference was held at the BRT building located in OSU campus, Ohio and attended by > 150 physicians from multiple subspecialties including an international audience.



I was invited to speak on various topics of heart failure and moderated the heart failure sessions at the 3rd and 4th Annual Contemporary Multidisciplinary Cardiovascular Medicine Conference in Orlando, Fl. in the years 2011 and 2012.



I organized and presented at a CME conference titled "New Therapies for Advanced Heart Failure". The conference was held at the Hilton in downtown Columbus, Ohio in January 2014. The audience included cardiologists from the regional area.



I also presented at several grand rounds in several regional hospitals and provided educational events including one aimed at teaching nursing staff from the University of Kentucky on the use of ultrafiltration in the treatment of diuretic resistant heart failure patients.

Noteworthy Graduate Narrative

I have advised Dr. Sakima Smith during his Advanced Heart Failure and Heart Transplant Fellowship in 2013-2014. Dr. Smith joined the academic faculty at the Ohio State University in July of 2014 as a clinical cardiologist. His scholarly achievements during his fellowship year were impressive. He won the James V. Warren Research Fellowship Award and the NIH Loan Repayment Award for Clinical Research in 2014. He was awarded the Robert Wood Johnson Faculty Development Grant with four years of funding in 2015. He published several articles in Circulation, Circulation Research, and Journal of Surgical Research in 2014-2015. I have continued to precept Dr. Smith in areas of career development, clinical and invasive cardiology while he is serving as a junior faculty member in the section of heart failure and transplant.

Academic Advising

2013 - present Adam Pleister, The Ohio State University. Graduated 2014.
2013 - present Sakima Smith, The Ohio State University. Graduated 2014.
2014 - present Khadija Breathett, The Ohio State University.
2015 - present Andrew Pederzolli, The Ohio State University.
2010 - 2011 Spencer Trooboff, The Ohio State University College of Medicine. Graduated 2011.
2011 - 2012 Madhukar Kollengode,, The Ohio State University. Graduated 2013.
2012 Lori Hage, The Ohio State University. Graduated 2013.
2012 - 2013 Sitaramesh Emani,, The Ohio State University. Graduated 2013.
2013 - 2014 Jason Evanchan, The Ohio State University. Graduated 2014.
2014 Daniel Moussa, The Ohio State University.
2014 Nkechi Ijioma, The Ohio State University. Graduated 2014.
 

Certifications

2007 - present M.D.: State Medical Board of Ohio
2007 - present Cardiovascular Medicine: American Board of Internal Medicine
2010 - present Advanced Heart Failure/ Transplant Cardiology: American Board of Internal Medicine
2010 - present International Board of Heart Rhythm Examiner: International Board of Heart Rhythm Examiners
2003 - 2013 Internal Medicine: American Board of Internal Medicine
 

Chapters in Books

Kahwash R. "Nuclear Cardiology, A Primer." In Specialty Board Review: Cardiology. 1st ed. Edited by Baliga, RR. -. Columbus: McGraw-Hill Professional, January 2011.

Kahwash R, Leier CV, Miller L. "Roles of the Pulmonary Artery Catheter in Diagnosis and Management of Heart Failure." In Catheterization Hemodynamics. Edited by Michael H Crawford. 281-288. Philadelphia, PA: W. B. Saunders Company, January 2011.

Kahwash, R. "Approach to Edema." In Practical Cardiology 3rd Edition. -.

Kahwash, R. "Cardiac Resynchronization Therapy (CRT) in Heart Failure." In Color Atlas on Heart Failure. -.

Kahwash R, Haas, G. "Heart Failure and Malignancy." In Heart Failure, A Practical Approach to Treatment. -.

Kahwash, R. "Implantable Cardiovertor Defibrillators (ICDs) in Heart Failure." In Color Atlas on Heart Failure. -.

 

Clinical Services

07/01/2009 Ambulatory Heart Failure Clinic (Ross Heart Hopsital Ambulatory Care Clinic)
07/01/2009 Ambulatory Heart Failure Clinic (Carepoint Gahanna)
07/01/2009 Inpatient Heart Failure and Transplant Service (Ross Heart Hospital)
07/01/2009 Cardiac Catheterization Laboratory (Ross Heart Hospital)
07/01/2009 Inpatient Heart Failure Consultation Service (OSU East Campus)
07/01/2009 Heart Translant Ambulatory Heart Failure Clinic (Ross Heart Hospital Ambulatory Care Clinic)
02/01/2014 Electrophysiology Laboratory (Ross Heart Hospital)
06/01/2014 Ambulatory Heart Failure Clinic (Carepoint Cambridge)
01/01/2015 Cardiac Sarcoid Multidisciplinary Clinic (Ross Heart Hospital Ambulatory Care Clinic)

Degrees

1997 M.D., Damascus University

 

Editorial Activities

2010 2010 Case Reports in Medicine
2011 2011 Journal of Cardiac Failure
2011 Pacing and Clinical Electrophysiology
2013 Shock by the Numbers: A beginner's guide to using the pulmonary artery catheter to assist in management of shock. Journal of Critical Care
2014 Acute Enhancement of Left Ventricular Function by Electrical Cardiac Contractility Modulation Delivered via Lead Configuration for Cardiac Resynchronization Therapy. American Heart Journal
 

Honors

2010 - present Outstanding Achievement in Patient Service. The Ohio State University Medical Center.
2011 - present Medical Students' Teaching Excellence Award 2011. The Department of Internal Medicine.
2012 - present Medical Students' Teaching Excellence Award 2012. The Department of Internal Medicine.
2013 - 2014 Best Doctor in America. Best Doctors in America.
2014 - present Top 10% in Patient Satisfaction Based on HCHAPS National Survery. HCHAPS Patient Satisfaction.
2014 - present Outstanding Achievement in Patient Service. The Ohio State University Wexner Medical Center.
2014 - 2015 Best Doctor in America. Best Doctors in America.
2015 - present Charles F. Wooley, MD Transmission of Excellence Teaching Award. The Ohio State University, Division of Cardiovascular Medicine.
 

Journal Articles

Kahwash,Rami; Rugg,Sarah,Sartini; Smith,Mikel,D. "Relapsing B-cell lymphoblastic leukemia in an adult presenting as an infiltrative cardiac mass with tamponade." JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY. Vol. 20, no. 11. (November 2007.): 1319.e1-.

Kahwash,Rami; Leier,Carl,V; Miller,Leslie. "Role of the pulmonary artery catheter in diagnosis and management of heart failure.." Heart failure clinics. Vol. 5, no. 2. (April 2009.): 241-248.

Kahwash,Rami; Kikta,Donald; Khayat,Rami. "Recognition and management of sleep-disordered breathing in chronic heart failure.." Current Heart Failure Reports. Vol. 8, no. 1. (March 2011.): 72-79.

Kahwash,Rami; Leier,Carl,V; Miller,Leslie. "Role of the Pulmonary Artery Catheter in Diagnosis and Management of Heart Failure." Cardiology Clinics. Vol. 29, no. 2. (May 2011.): 281-?.

Rami Kahwash MD. "Will CRT Super-Responders Make us Super-Selectors?." International Circulation. Vol. 12, (August 2012.): 56-.

Kahwash, Rami; Burkhoff; Abraham, William. "Cardiac contractility modulation in patients with Advanced Heart Failure." Expert Review of Cardiovasuclar Therapy. Vol. 11, no. 5. (May 2013.): 635-645.

Rami Kahwash. "Aggressive salt and water restriction in acutely decompensated heart failure: is it worth its weight in salt?." Expert Rev Cardiovasc Ther. Vol. 11, no. 9. (September 2013.): 1125-1128.

Kahwash,Rami; Daoud,Emile,G. "Just because you can, does that mean you should?." Journal of cardiovascular electrophysiology. Vol. 24, no. 10. (October 2013.): 1130-1131.

Das A.M., Kahwash R., Kayat R.. "The current management of patients with syndromes associated with obstructive and central apnea." Minerva Pneumologica. Vol. 3, (September 2014.): 87-103.

Pleister,Adam; Kahwash,Rami; Haas,Garrie; Ghio,Stefano; Cittadini,Antonio; Baliga,Ragavendra,R. "Echocardiography and Heart Failure: A Glimpse of the Right Heart." ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES. Vol. 32, (January 2015.): 95-107.

 

Softwares

January 2013 Rami Kahwash."Device Therapy For Heart Failure"

Inventions and Patents

Rami Kahwash, MD. "SYSTEMS AND METHODS FOR DELIVERING AN IMPLANTABLE DEVICE." Filed June 2015.

 

Presentations

"Portal Hypertesion." Presented at Internal Medicine Grand Rounds, Lexington, KY. (April 2002)

"Unusual case of Pancreatic AVM." Presented at American College of Physicians American Society of Internal Medicine, Louisville, KY. (March 2002)

"Target study and Cardiovascular Risks of COX2 inhibitors." Presented at Cardiology Grand Rounds, Lexington. (March 2005)

"Discussion of VMAC and OPTIME-CHF Studies Review of CHF Management." Presented at Cardiology Grand Rounds, Lexington, KY. (May 2005)

"Charisma trial discussion and its clinical implications in current practice, Review of Plavix Trials." Presented at Cardiology Grand Rounds, Lexington. (March 2006)

"Anticoagulation in Prevention of Mural Thrombus and Stroke after Acute Anterior Myocardial Infarction." Presented at Cardiology Grand Rounds, Lexington, KY. (March 2006)

"Future of Health Care in the US." Presented at First Annual Central Ohio NAAMA Chapter Scientific Symposium, Columbus. (March 2011)

"Sleep Apnea in the Heart Failure Patient: Diagnosis and Management." Presented at 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference 2011, Orlando, FL, US|USA. (October 2011)

"Hypertrophic Cardiomyopathy: What's new in 2011?." Presented at 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference 2011, Orlando, FL, US|USA. (October 2011)

"Diastolic Heart Failure: Easy Diagnosis, Difficult Management." Presented at 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference, Orlando, FL, US|USA. (October 2011)

"Approach to end-of-life care." Presented at 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference 2011, Orlando, FL, US|USA. (October 2011)

"Overview of Surgical Heart Failure Therapy." Presented at First Annual Central Ohio NAAMA Chapter Scientific Symposium, Columbus. (March 2011)

"Ventricular Assist Devices and Heart Transplant: When to Refer." Presented at First Annual Central Ohio NAAMA Chapter Scientific Symposium, Columbus, Ohio. (March 2011)

"Cardiac Transplantation Breakout Session." Presented at Transplantation in 2011: Defining & Meeting the Challenges of a New Decade, Columbus, OH. (June 2011)

"Cardiac Transplantation Indication, Work Up and Referral Process including overview of Ohio State University Heart Transplant Program Experience." Presented at Ohio State's Comprehensive Transplant Center Conference: Transplantation in 2011: Defining & Meeting the Challenges of a New Decade, Columbus. (June 2011)

"Diabetes Complications Prevention." Presented at National Arab American Medical Association (NAAMA) Scientific Symposium, Columbus, OH, US|USA. (March 2012)

"Ultrafiltration in the Management of Heart Failure." Presented at The 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference, Orlando, FL, US|USA. (September 2012)

"Challenging Cases in Heart Failure." Presented at The 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference, Orlando, FL, US|USA. (September 2012)

"Practical Approach to Hypertrophic Cardiomyopathy." Presented at The 3rd Annual Contemporary Multi-Disciplinary Cardiovascular Medicine Conference, Orlando, FL, US|USA. (September 2012)

"Pulmonary Artery Pressure Guided Management of Ambulatory Heart Failure Patients." Presented at The Heart Rhythm Society's 36th International Annual Scientific Sessions, Boston, MA, US|USA. (May 2015)

"Devices for Monitoring and Managing Heart Failure." Presented at Heart Rhythm Society's 36th International Annual Scientific Sessions, Boston, MA, US|USA. (May 2015)

"Predicting Response to Cardiac Resynchronization Therapy." Presented at The Heart Rhythm Society's 36th International Annual Scientific Sessions, Boston, MA, US|USA. (May 2015)

 

Professional Activities

present Second Annual Central Ohio NAAMA Chapter Scientific Symposium. National Arab American Medical Association. Columbus, OH.
present First Annual Central Ohio NAAMA Chapter Scientific Symposium, National Arab American Medical Association. National Arab American Medical Association.
present Amyloid Support Group. OSU James Cancer Center. Columbus, Ohio.
2013 - present Cardiology Consultant to Lung Transplant Service. The Ohio State University Medical Center. Columbus, OH.
2014 - present Heart Transplant Virtual Round. Section Of Heart Failure. Columbus, OH.
2012 - 2013 Junior Faculty Supervision. The Ohio State University Medical Center. Columbus, OH.