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Dimitrova, Galina T. MD


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410 W 10th Ave
Columbus, OH 43210

Phone: (614) 293-8487

Email: dimitrova.1@osu.edu

 

Current OSU Appointments

Associate Professor-Clinical, Anesthesiology

Physician, FGP-Anesthesiology

 

Clinical Interest

Management of antiplatelet medications in the peri-operative period in patients with stents

Academic Advising

Residents
2013-2014 Cassidy Schwab, MD
2011-2013 Amy Geskey, MD
2008-2011 Alex Porter, MD
2005-2008 Natalie Godzik Suver, MD

Fellows
2014-2015 Leonid Gorelik, MD
2014-2015 Jacob Uhler, MD
2013-2014 Kasey Fiorini, MD
2013-2014 Kiran Chandrashekarappa, MD
2012-2013 Barry Marks, DO
2012-2013 Lance Shilliam, MD
2011-2012 Brian Kelly, MD
2011-2012 Brenda Christopher, MD
2010-2011 Michelle Santiago, MD
2010-2011 Abram Elsenraat, MD
2009-2010 Lucas Mitchel, MD
2008-2009 Mohamed Abdel Dyem, MD
2007-2008 William Perez, MD
2007-2008 Michael Ingerski, MD

Postgraduate student - Research Fellow
2011-2012 David Tulman

Biographical

Biographical Sketch


My medical training began in Bulgaria where I received my Medical Degree from the Medical University Varna, completed an anesthesiology residency and worked as a staff anesthesiologist for 4 years. After moving to the United States in 1995, I achieved certification by the Educational Commission for Foreign Medical Graduates (1996) and began my anesthesiology residency at The Ohio State University (1997). Upon completion of my residency in 2002, I became a faculty member in the Department of Anesthesiology. In 2003 I completed six months of cardiothoracic anesthesiology fellowship training after which I joined the cardiothoracic anesthesiology faculty group at OSU. I am a diplomate of the American Board of Anesthesiology and I have Testamur Status by the National Board of Echocardiography for successfully passing the Examination of Special Competence in Advanced Perioperative Transesophageal Echocardiography.

In 2007 I was appointed interim Cardiothoracic Anesthesiology Fellowship Program Director within the Department of Anesthesiology at The Ohio State University. In the following year this was transitioned to a permanent appointment. Since that time I put my effort into building and leading the fellowship program. Over the last 6 years our fellowship implemented the ACGME competencies, gained ACGME certification, enrolled in the Fellowship Match process, and transitioned into the ACGME Next Accreditation System (NAS) through the rigorous process of applications, site visits, and creation for standards for our fellows. At this time I am in the process of leading the fellowship into the implementation of the ACGME Milestone Project. The program had graduated 12 fellows, all of which had successfully passed their exams and joined academic or private practices throughout the country.

Education
My efforts in education stem from my commitment and desire to teach residents and fellows in cardiac, thoracic and vascular anesthesia. I have had the opportunity to participate in multiple education committees at departmental and national levels. At the 2014 Fall Meeting of the Society of Education in Anesthesia I presented with a group from the Department of Anesthesiology at OSUWMC a workshop on the way to use the milestone’s implementation to develop and elevate a residency/fellowship program in front of an audience of program directors of residency/ fellowship programs from around the country.

My educational efforts regarding the perioperative management of patients with coronary stents have been directed towards education of my peers, residents, and fellows about the risks associated with discontinuation of antiplatelet therapy in patients with coronary artery stents and especially drug eluting stents.
In 2011 I was able to help form a dynamic group of physicians at The Ohio State University Medical Center to formulate a center wide policy and guidelines on managing anti-platelet medication in patients preparing for non-cardiac surgery. This policy has been instrumental in creating a standard of practice, minimizing variations in practice by continuing optimal treatment modalities while minimizing risks of complications
My work in this area has reached beyond OSUWMC and has had national and international influence. In 2011, I was invited to conduct a Problem-Based Learning Discussion Workshop at the Society of Cardiovascular Anesthesiologists Annual Meeting on the subject of perioperative management of antiplatelet medications in patients with drug eluting stents. This resulted in an invitation to lecture on the same topic at the 15th WFSA World Congress of Anesthesiologists Annual Meeting in Buenos Ayres, Argentina in 2012. In 2014, I was invited to lecture on perioperative monitoring of patients with stents at the University of Pennsylvania Medical Center Second Annual Perioperative and Critical Care Conference in Pittsburg, PA.

For the last 10 years I have been an active member of the Society of Cardiovascular Anesthesiologists (SCA). As a member of the Society Program Directors Fellowship Committee and the Fellowship Program Directors Council I have been intimately involved in the development and growth of the fellowship programs throughout the country and especially involved in the conduction of the fellowship session at the SCA Annual Meeting and with the SCA Fellow Mentorship Program.

Noteworthy Graduate Narrative

I had the pleasure to co-mentor David Tulman during his time as a research fellow at the Department of Anesthesiology. Our work resulted in two publications on which David worked closely with me. I was able to mentor him through literature research, building the structure of the review articles, working on tables, and communicating with editors.

Dimitrova, Tulman, Bergese, "Perioperative management of antiplatelet therapy in patients with drug-eluting stents". HSR Proc Intensive Care Cardiovasc. Vol. 4, no. 3: 153-167. (2012) [Peer-Review] (Published)

Lyaker MR, Tulman DB, Dimitrova GT, Pin RH, Papadimos TJ, "Arterial Embolism". Int J Crit Illn. Vol. 3(1), 77-87. 2013. [Peer-Reviewed] (Published)

Academic Advising

2013 - present Cassidy Schwab,, The Ohio State University.
2005 - 2008 Natalie Godzik,, The Ohio State University. Graduated 2008.
2007 - 2008 Wiliam Perez,, The Ohio State University. Graduated 2008.
2007 - 2008 Michael Ingersky,, The Ohio State University. Graduated 2008.
2008 - 2011 Alex Porter,, The Ohio State University. Graduated 2011.
2011 - 2012 , The Ohio State University.
2011 - 2013 Amy Geskey,, The Ohio State University. Graduated 2014.
 

Licenses

1996 - present ACFMG cerification: Educational Commission for Foreign Medical Graduates
2002 - present Doctor of Medicine: State Medical Board of Ohio
2015 - present ACLS: American Heart Association
2015 - present Diplomate, Re-certified: American Board of Anesthesiology
2016 - present Re-certified: National Board of Echocardiography
 

Chapters in Books

Harter R, Werner JG, Dimitrova G.. "Anesthetic Considerations for the post-bariatric surgery patiet." In Morbid Obesity: Peri-operative Management. 2nd ed. Edited by Alvarez A, Brodsky J, Lemmens Hendrikus JM, Morton JM.. 198-207. New York, NY, US|USA: Cambridge University Press, January 2010.

 

Degrees

1990 M.D., Medical University of Varna

 

Journal Articles

Awad H; Abd El Dayem M; Heard J; Dimitrova G; Yu L; Sun BC. "Initial experience with off-pump left ventricular assist device implantation in single center: retrospective analysis.." Journal Of Cardiothoracic Surgery. Vol. 5, (December 2010.): 123-.

Awad,Hamdy; El Dayem,Mohamed,Abd; Heard,Jarrett; Dimitrova,Galina; Yu,Lianbo; Sun,Benjamin,C. "Initial experience with off-pump left ventricular assist device implantation in single center: retrospective analysis." Journal Of Cardiothoracic Surgery. Vol. 5, (December 2010.): 123-.

Skordilis,Monica; Rich,Nicole; Viloria,Adolfo; Dimitrova,Galina; Bergese,Sergio; Dzwonczyk,Roger. "Processed Electroencephalogram Response of Patients Undergoing Carotid Endarterectomy: A Pilot Study." ANNALS OF VASCULAR SURGERY. Vol. 25, no. 7. (October 2011.): 909-912.

Thomas,Tinu; Dimitrova,Galina; Awad,Hamdy. "Avulsion of a Bronchial Blocker Cuff in the Trachea When Using a Parker Flex-Tip Endotracheal Tube." Journal of cardiothoracic and vascular anesthesia. Vol. 25, no. 2. (April 2011.): 391-392.

Anderson,David,M; Dimitrova,Galina,T; Awad,Hamdy. "Patient with Posterior Mediastinal Mass Requiring Urgent Cardiopulmonary Bypass." ANESTHESIOLOGY. Vol. 114, no. 6. (June 2011.): 1488-1493.

Santiago,Michelle; El-Dayem,Mohamed,Abd; Dimitrova,Galina; Awad,Hamdy. "Missed diagnosis of iatrogenic acute aortic insufficiency after mitral valve surgery.." International anesthesiology clinics. Vol. 49, no. 2. (March 2011.): 26-31.

Skordilis M; Rich N; Viloria A; Dimitrova G; Bergese S; Dzwonczyk R. "Processed electroencephalogram response of patients undergoing carotid endarterectomy: a pilot study.." Annals Of Vascular Surgery. Vol. 25, no. 7. (October 2011.): 909-.

Anderson DM, Dimitrova GT, Awad H. "Patient with posterior mediastinal mass requiring urgent cardiopulmonary bypass.." Anesthesiology. Vol. 114, no. 6. (June 2011.): 1488-1493.

Thomas T, Dimitrova G, Awad H.. "Avulsion of a bronchial blocker cuff in the trachea when using a Parker Flex-Tip endotracheal tube." J Cardiothorac Vasc Anesth. (April 2011.): -.

Santiago M; El-Dayem MA; Dimitrova G; Awad H. "Missed diagnosis of iatrogenic acute aortic insufficiency after mitral valve surgery.." International Anesthesiology Clinics. Vol. 49, no. 2. (March 2011.): 26-.

Firstenberg MS; Abel E; Blais D; Turner K; Halim-Armanios M; Dimitrova G; Cohn D; Samuels P. "Temporary extracorporeal circulatory support and pulmonary embolectomy for catastrophic amniotic fluid embolism.." The Heart Surgery Forum. Vol. 14, no. 3. (June 2011.): E157-E159.

Dimitrova, Tulman, Bergese. "Perioperative management of antiplatelet therapy in patients with drug-eluting stents." HSR Proc Intensive Care Cardiovasc. Vol. 4, no. 3. (August 2012.): 153-167.

Awad, Walker, Shaikh, Dimitrova, et al. "Anesthetic considerations for robotic prostatectomy: a review of the literature." J Clin Anesth. Vol. 24, no. 6. (September 2012.): 494-504.

Rottenberg, EM, Dimitrova, GT, et al. "The need for alternative methods of cardiopulmonary resuscitation when sternal compression is indicated.." Ann Thiracic Surgery. Vol. 93, no. 6. (June 2012.): 2117-8.

Awad,Hamdy; Bryant,Richard; Dimitrova,Galina; Malik,Obaid;-Sudhakar,Chittoor,Bhaskar. "Thrombosis during off pump LVAD placement in a patient with heparin induced thrombocytopenia using bivalirudin." Journal Of Cardiothoracic Surgery. Vol. 8, (April 2013.): 115-.

Lyaker MR, Tulman DB, Dimitrova GT, Pin RH, Papadimos TJ. "Arterial Embolism." Int J Crit Illn. Vol. 3(1), (January 2013.): 77-87.

Hamdy Awad, Haytham Elgharably, Lamia Buohliqah, Galina T. Dimitrova. "Reversal of Paralysis and Visceral Ischemia after Thoracic Aortic Ligation for Infection via extra anatomic ascending aorta to infarenal aorta bypass graft." Journal of Cardiothoracic Surgery. Vol. 9, no. (1). (September 2014.): 142-.

Essandoh, MK, Dimitrova, G, et al.. "Transesophageal echocardiographic diagnosis of severe functional tricuspid stenosis during infected implantable cardioverter-defibrillator lead extraction.." J cardiothorac vasc anesth. Vol. 29, no. 2. (April 2015.): 412-416.

Flores, A, Dimitrova, G, et al.. ""Echocardiographic assessment for ventricular assist device placement." J Thorac Disease. Vol. 7, (December 2015.): 2139-2150.

Arias-Morales,MK Essandoh, G Dimitrova,et al.. ""Serotonin Syndrome Following Methylene Blue Administration for Vasoplegic Syndrome in Heart and Lung Transplantation–A Case Series." ]. Int J Anesth Res. Vol. 4(12), (December 2016.): 363-367.

Essandoh,MK,Dimitrova, G, et al.. "Anesthesia care for subcutaneous implantable cardioverter/defibrillator placement: a single-center experience." J Clin Anesth. Vol. 31, (June 2016.): 53-59.

Weiss,R, Essandoh,M, Dimitrova,G, et al.. "Transesophageal Echocardiographic Diagnosis of Severe Functional Tricuspid Stenosis During Infected ICD Lead Extraction." Journal of Cardiothoracic and Vascular Anesthesia. -.

Michael Essandoh, Galina Dimitrova, Daoud E. et al. "Anesthesia Care for Subcutaneous Implantable Cardioverter Defibrillator Placement: A Single Center Experience." Anesthesiology. -.

 

Reference Works

Leonid Gorelik, Michael Essandoh, Galina Dimirova."New Severe Regurgitation after ventricular pseudo-aneurism repair" .
Nicole E. Rich, B.A., Skordilis Monica, B.S., Dzwonczyk Roger, M.S., Viloria Adolfo, M.D., Galina T. Dimitrova, M.D."Neuro anesthesia/vascular anesthesia" .
Rich N, Skordilis M, Dzwonczyk R, Viloria A, Dimitrova G, Bergese SD."Variation of the cerebral state index during carotid cross-clampin in patients undergoing carotid endarterectomy" .
Rich N, Skordilis M, Dzwonczyk R, Viloria A, Dimitrova G, Bergese SD."Variation of the Cerebral State Index during Carotid Cross-Clamping in Patients Undergoing Carotid Endarterectomy" .
Fiorini,K, Dimitrova,G.."Cardiothoracic anesthesiology" .
Elsenraat A, Dimitrova G, Stein E."Cardiothoracic anesthesiology, complex case" .
Richard Bryant, MD; Galina Dimitrova, MD; Hamdy Awad, MD."Cardiothoracic anesthesia, complex case" .
Dimitrova, G; Halim M, Grossman M."Obstetric anesthesiology, complex case" .
Christopher B; Dimitrova G."Cardiothoracic anesthesiology, complex case" .
Barry Marks, Galina Dimitrova."Cardiothoracic anesthesiology, complex case" .
Brian Kelly; Dimitrova G.."Cardiothoracic Anesthesiology" .
Lance Shilliam, Galina Dimitrova."Cardiothoracic Anesthesiology, complex case" .
Kiran Chandrashekarappa, Dimitrova G.."Cardiothoracic Anesthesiology" .
Jeffrey Fujii, Galina Dimitrova."Anesthesiology complex case" .
Skordilis M, Dzwonczyk R, Viloria A, Rosborough K, Bergese SD, Dimitrova G."Variation of the Cerebral State Index during Carotid Cross-Clamping in Patients Undergoing Carotid Endarterectomy" .
Skordilis M, Dzwonczyk R, Viloria A, Rosborough K, Bergese SD Dimitrova G.."Variation of the Cerebral State Index during Carotid Cross-Clamping in Patients Undergoing Carotid Endarterectomy" .
Santiago M, Awad H, Dimitrova G."Cardiothoracic anesthesiology" .

Presentations

"Perioperative Management of Patients with Drug Eluting Stents." Presented at TRENDS Meeting, Columbus, OH, US|USA. (December 2007)

"Cardiac stents, Antiplatelets, and Outcomes." Presented at Ohio Society of Anesthesiologists 69'th Annual Meeting, Columbus, OH, US|USA. (September 2008)

"Antiplatelet Therapy in Stent Patients - Friend or foe? Problem Based Learning Discussion.." Presented at Society of Cardiovascular Anesthesiologists 33rd Annual Meeting, Savannah, GA, US|USA. (April 2011)

""Adult Congenital". Problem based learning discussion." Presented at Society of Cardiac Anesthesiologists 34th Annual Meeting, Boston, US|USA. (April 2012)

"Management of Antiplatelet therapy in Patients with Stents." Presented at 15th WFSA World Congress of Anaesthesiologists, Buenos Aires, AR|ARG. (March 2012)

"Do we Need Cardiac Anesthesiologist in the Electrophysiology Lab?." Presented at 15th WFSA World Congress of Aneasthesiologists, Buenos Aires, AR|ARG. (March 2012)

""Blood Management During Cardiac surgery" Problem Based Learning Discussion." Presented at Society of Cardiac Anesthesiologists 34th Annual Meeting, Boston, US|USA. (April 2012)

"Role of the anesthesiologist in the electrophysiology laboratory." Presented at Ohio Society of Anesthesiologists Annual Meeting, Columbus, OH, US|USA. (June 2012)

"Monitoring myocardial ischemia in patients with stents." Presented at Second annual perioperative and critical care monitoring ant therapy conference and workshops, Pittsburg, PA, US|USA. (September 2014)

"Milestone Implementation: Developing a Strategic Plan to Elevate your Program." Presented at 2014 Fall Meeting of the Society of Education in Anesthesia, New Orleans, LA, US|USA. (October 2014)

"Use of simulation as an assessment tool in cardiac anesthesia and cardiac surgery." Presented at The 2015 Spring Meeting of the Society for Education in Anesthesia, Motif Seattle, WA, US|USA. (April 2015)