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Cardiovascular Diseases Commons

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Sensitivity Of Current Methods For Diagnosing And Documenting Metabolic Syndrome Within A Large Community-Based Health Care System, Tiffany A. Mullen, Danielle M. Greer, Jennifer T. Fink, Renee E. Walker 2017 Department of Integrative Medicine, Aurora Sinai Medical Center

Sensitivity Of Current Methods For Diagnosing And Documenting Metabolic Syndrome Within A Large Community-Based Health Care System, Tiffany A. Mullen, Danielle M. Greer, Jennifer T. Fink, Renee E. Walker

Journal of Patient-Centered Research and Reviews

Background: Metabolic syndrome (MetS) is a constellation of metabolic conditions, including abdominal obesity, high blood pressure, high triglyceride level, low high-density-lipoprotein level and high fasting blood glucose level, that increase the risk of developing chronic health conditions. Various combinations of diagnostic criteria have been proposed, including those by the National Cholesterol Education Program Adult Treatment Panel III (ATP III), World Health Organization (WHO) and International Diabetes Foundation (IDF), among others. However, inconsistent use of diagnostic criteria and inadequate scientific evidence supporting use of specific criteria are current problems in health care.

Purpose: Quantify the prevalence of MetS diagnosis within the ...


A Historical Perspective On Presentations Of Hypertensive Acute Heart Failure, Chad E. Darling, Jiaoyuan Elisabeth Sun, Jordan Goldberg, Peter Pang, Christopher W. Baugh, Darleen M. Lessard, David D. McManus 2017 University of Massachusetts Medical School

A Historical Perspective On Presentations Of Hypertensive Acute Heart Failure, Chad E. Darling, Jiaoyuan Elisabeth Sun, Jordan Goldberg, Peter Pang, Christopher W. Baugh, Darleen M. Lessard, David D. Mcmanus

David D. McManus

BACKGROUND: The initial systolic blood pressure (SBP) in patients presenting to the hospital with acute heart failure (AHF) informs prognosis, diagnosis, and guides initial treatment. However, over time AHF presentations with elevated SBP appear to have declined. The present study examined whether the frequency of AHF presentations with systolic hypertension (SBP > 160 mmHg) declined over a nearly two-decade time interval. METHODS: This study compares four historical, cross-sectional cohorts with AHF who were admitted to tertiary care medical centres in the North-eastern USA in 1995, 2000, 2006, and 2011-13. The main outcome was the proportion of AHF patients presenting with an ...


Differential Impact Of Serial Measurement Of Nonplatelet Thromboxane Generation On Long-Term Outcome After Cardiac Surgery, Nikolaos Kakouros, Tyler J. Gluckman, John V. Conte, Thomas S. Kickler, Katherine Laws, Bruce A. Barton, Jeffrey J. Rade 2017 University of Massachusetts Medical School

Differential Impact Of Serial Measurement Of Nonplatelet Thromboxane Generation On Long-Term Outcome After Cardiac Surgery, Nikolaos Kakouros, Tyler J. Gluckman, John V. Conte, Thomas S. Kickler, Katherine Laws, Bruce A. Barton, Jeffrey J. Rade

University of Massachusetts Medical School Faculty Publications

BACKGROUND: Systemic thromboxane generation, not suppressible by standard aspirin therapy and likely arising from nonplatelet sources, increases the risk of atherothrombosis and death in patients with cardiovascular disease. In the RIGOR (Reduction in Graft Occlusion Rates) study, greater nonplatelet thromboxane generation occurred early compared with late after coronary artery bypass graft surgery, although only the latter correlated with graft failure. We hypothesize that a similar differential association exists between nonplatelet thromboxane generation and long-term clinical outcome.

METHODS AND RESULTS: Five-year outcome data were analyzed for 290 RIGOR subjects taking aspirin with suppressed platelet thromboxane generation. Multivariable modeling was performed to ...


Biomarkers Of Cardiovascular Disease, Ying Huang, Kailash Gulshan, Truc Nguyen, Yuping Wu 2017 Cleveland Clinic

Biomarkers Of Cardiovascular Disease, Ying Huang, Kailash Gulshan, Truc Nguyen, Yuping Wu

Mathematics Faculty Publications

No abstract provided.


Abnormal Contractility In Human Heart Myofibrils From Patients With Dilated Cardiomyopathy Due To Mutations In Ttn And Contractile Protein Genes, Petr G. Vikhorev, Natalia Smoktunowicz, Alex B. Munster, O'Neal Copeland, Sawa Kostin, Cecile Montgiraud, Andrew E. Messer, Mohammad R. Toliat, Amy Li, Cristobal G. Dos Remedios, Sean Lal, Cheavar A. Blair, Kenneth S. Campbell, Maya E. Guglin, Ralph Knoll, Steven B. Marston 2017 Imperial College London, UK

Abnormal Contractility In Human Heart Myofibrils From Patients With Dilated Cardiomyopathy Due To Mutations In Ttn And Contractile Protein Genes, Petr G. Vikhorev, Natalia Smoktunowicz, Alex B. Munster, O'Neal Copeland, Sawa Kostin, Cecile Montgiraud, Andrew E. Messer, Mohammad R. Toliat, Amy Li, Cristobal G. Dos Remedios, Sean Lal, Cheavar A. Blair, Kenneth S. Campbell, Maya E. Guglin, Ralph Knoll, Steven B. Marston

Physiology Faculty Publications

Dilated cardiomyopathy (DCM) is an important cause of heart failure. Single gene mutations in at least 50 genes have been proposed to account for 25–50% of DCM cases and up to 25% of inherited DCM has been attributed to truncating mutations in the sarcomeric structural protein titin (TTNtv). Whilst the primary molecular mechanism of some DCM-associated mutations in the contractile apparatus has been studied in vitro and in transgenic mice, the contractile defect in human heart muscle has not been studied. In this study we isolated cardiac myofibrils from 3 TTNtv mutants, and 3 with contractile protein mutations (TNNI3 ...


Coronary Artery Calcification (Cac) And Post-Trial Cardiovascular Events And Mortality Within The Women's Health Initiative (Whi) Estrogen-Alone Trial, Indu G. Poornima, Rachel H. Mackey, Matthew A. Allison, JoAnn E. Manson, J Jeffrey. Carr, Michael J. LaMonte, Yuefang Chang, Lewis H. Kuller, WHI and WHI‐CAC Study Investigators, Judith K. Ockene 2017 Temple University

Coronary Artery Calcification (Cac) And Post-Trial Cardiovascular Events And Mortality Within The Women's Health Initiative (Whi) Estrogen-Alone Trial, Indu G. Poornima, Rachel H. Mackey, Matthew A. Allison, Joann E. Manson, J Jeffrey. Carr, Michael J. Lamonte, Yuefang Chang, Lewis H. Kuller, Whi And Whi‐Cac Study Investigators, Judith K. Ockene

UMass Worcester PRC Publications

BACKGROUND: Among women aged 50 to 59 years at baseline in the Women's Health Initiative (WHI) Estrogen-Alone (E-Alone) trial, randomization to conjugated equine estrogen-alone versus placebo was associated with lower risk of myocardial infarction and mortality, and, in an ancillary study, the WHI-CACS (WHI Coronary Artery Calcification Study) with lower CAC, measured by cardiac computed tomography approximately 8.7 years after baseline randomization. We hypothesized that higher CAC would be related to post-trial coronary heart disease (CHD), cardiovascular disease (CVD), and total mortality, independent of baseline randomization or risk factors.

METHODS AND RESULTS: WHI-CACS participants (n=1020) were followed ...


Epigenetic Impact Of Endocrine Disrupting Chemicals On Lipid Homeostasis And Atherosclerosis: A Pregnane X Receptor-Centric View, Robert N. Helsley, Changcheng Zhou 2017 University of Kentucky

Epigenetic Impact Of Endocrine Disrupting Chemicals On Lipid Homeostasis And Atherosclerosis: A Pregnane X Receptor-Centric View, Robert N. Helsley, Changcheng Zhou

Pharmacology and Nutritional Sciences Faculty Publications

Despite the major advances in developing diagnostic techniques and effective treatments, atherosclerotic cardiovascular disease (CVD) is still the leading cause of mortality and morbidity worldwide. While considerable progress has been achieved to identify gene variations and environmental factors that contribute to CVD, much less is known about the role of “gene–environment interactions” in predisposing individuals to CVD. Our chemical environment has significantly changed in the last few decades, and there are more than 100,000 synthetic chemicals in the market. Recent large-scale human population studies have associated exposure to certain chemicals including many endocrine disrupting chemicals (EDCs) with increased ...


Relationship Of Self-Determination Theory Constructs And Physical Activity And Diet In A Mexican American Population In Nueces County, Texas, Joan E. Cowdery, Jiawei Xing, Brisa N. Sanchez, Kathleen M. Conley, Ken Resnicow, Lewis B. Morgenstern, Devin L. Brown 2017 Eastern Michigan University

Relationship Of Self-Determination Theory Constructs And Physical Activity And Diet In A Mexican American Population In Nueces County, Texas, Joan E. Cowdery, Jiawei Xing, Brisa N. Sanchez, Kathleen M. Conley, Ken Resnicow, Lewis B. Morgenstern, Devin L. Brown

Health Behavior Research

Due to disparities in stroke risk among U.S. Hispanics, the need for culturally tailored, theory based effective health behavior change interventions persists. The purpose of this study was to examine self-determination theory (SDT) constructs related to cardiovascular disease (CVD) risk factors in a predominantly Mexican American population. The Stroke Health and Risk Education (SHARE) project was a cluster-randomized, faith-based behavioral intervention trial that enrolled Mexican Americans (MAs) and non-Hispanic whites (NHWs) from Catholic Churches in Nueces County, Texas. Data regarding SDT constructs and dietary and physical activity behaviors were collected via computer-assisted interviews using standardized instruments at the baseline ...


Palliative Care In Heart Failure: Rationale, Evidence, And Future Priorities, Dio Kavalieratos, Laura P. Gelfman, Laura E. Tycon, Barbara Riegel, David B. Bekelman, Dara Z. Ikejiani, Nathan Goldstein, Stephen E. Kimmel, Marie A. Bakitas, Robert M. Arnold 2017 University of Pennsylvania

Palliative Care In Heart Failure: Rationale, Evidence, And Future Priorities, Dio Kavalieratos, Laura P. Gelfman, Laura E. Tycon, Barbara Riegel, David B. Bekelman, Dara Z. Ikejiani, Nathan Goldstein, Stephen E. Kimmel, Marie A. Bakitas, Robert M. Arnold

School of Nursing Departmental Papers

Patients with heart failure (HF) and their families experience stress and suffering from a variety of sources over the course of the HF experience. Palliative care is an interdisciplinary service and an overall approach to care that improves quality of life and alleviates suffering for those living with serious illness, regardless of prognosis. In this review, we synthesize the evidence from randomized clinical trials of palliative care interventions in HF. While the evidence base for palliative care in HF is promising, it is still in its infancy and requires additional high-quality, methodologically sound studies to clearly elucidate the role of ...


Hypertension Highlights During 2016, Wilbert Aronow 2017 New York Medical College

Hypertension Highlights During 2016, Wilbert Aronow

NYMC Faculty Publications

No abstract provided.


Reduction In Dietary Sodium Improves Blood Pressure And Reduces Cardiovascular Events And Mortality, Wilbert Aronow 2017 New York Medical College

Reduction In Dietary Sodium Improves Blood Pressure And Reduces Cardiovascular Events And Mortality, Wilbert Aronow

NYMC Faculty Publications

No abstract provided.


Post-Acute Care Setting, Facility Characteristics, And Post-Stroke Outcomes: A Systematic Review, Matthew Alcusky, Christine M. Ulbricht, Kate L. Lapane 2017 University of Massachusetts Medical School

Post-Acute Care Setting, Facility Characteristics, And Post-Stroke Outcomes: A Systematic Review, Matthew Alcusky, Christine M. Ulbricht, Kate L. Lapane

University of Massachusetts Medical School Faculty Publications

OBJECTIVE: To synthesize research comparing post-stroke health outcomes between patients rehabilitated in skilled nursing facilities (SNFs) and inpatient rehabilitation facilities (IRFs). Secondly, to evaluate relationships between facility characteristics and outcomes.

DATA SOURCES: PubMed and CINAHL searches spanned January 1, 1998 to October 6, 2016 and encompassed MeSH and free-text keywords for stroke, IRF/SNF, and study outcomes. Human and English limits were used.

STUDY SELECTION: Observational and experimental studies examining outcomes of adult stroke patients rehabilitated in an IRF or SNF were eligible. Studies had to provide site of care comparisons and/or analyses incorporating facility-level characteristics and had to ...


A Tissue-Specific, Gata6-Driven Transcriptional Program Instructs Remodeling Of The Mature Arterial Tree, Marta Losa, Victor Latorre, Munazah Andrabi, Franck Ladam, Charles G. Sagerstrom, Ana Novoa, Peyman Zarrineh, Laure Bridoux, Neil A. Hanley, Moises Mallo, Nicoletta Bobola 2017 University of Manchester

A Tissue-Specific, Gata6-Driven Transcriptional Program Instructs Remodeling Of The Mature Arterial Tree, Marta Losa, Victor Latorre, Munazah Andrabi, Franck Ladam, Charles G. Sagerstrom, Ana Novoa, Peyman Zarrineh, Laure Bridoux, Neil A. Hanley, Moises Mallo, Nicoletta Bobola

Open Access Articles

Connection of the heart to the systemic circulation is a critical developmental event that requires selective preservation of embryonic vessels (aortic arches). However, why some aortic arches regress while others are incorporated into the mature aortic tree remains unclear. By microdissection and deep sequencing in mouse, we find that neural crest (NC) only differentiates into vascular smooth muscle cells (SMCs) around those aortic arches destined for survival and reorganization, and identify the transcription factor Gata6 as a crucial regulator of this process. Gata6 is expressed in SMCs and its target genes activation control SMC differentiation. Furthermore, Gata6 is sufficient to ...


Magnitude And Characteristics Of Patients Who Survived An Acute Myocardial Infarction, Mayra Tisminetzky, Tracy Y. Wang, Jerry H. Gurwitz, Lisa A. Kaltenbach, David D. McManus, Joel M. Gore, Eric Peterson, Robert J. Goldberg 2017 University of Massachusetts Medical School

Magnitude And Characteristics Of Patients Who Survived An Acute Myocardial Infarction, Mayra Tisminetzky, Tracy Y. Wang, Jerry H. Gurwitz, Lisa A. Kaltenbach, David D. Mcmanus, Joel M. Gore, Eric Peterson, Robert J. Goldberg

University of Massachusetts Medical School Faculty Publications

BACKGROUND: The purpose of this study was to describe the magnitude and characteristics of patients who did not experience any significant major adverse cardiovascular event early (within 6 weeks) and late (during the first year) after hospital discharge for an acute myocardial infarction (AMI).

METHODS AND RESULTS: Data from 12 243 patients discharged after an AMI from 233 sites across the United States in the TRANSLATE-ACS (Treatment With ADP Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events After Acute Coronary Syndrome) study were analyzed. Multivariable adjusted regression analyses modeled factors associated with 6-week and 1-year survivors who did not ...


Use Of Dark Chocolate For Diabetic Patients: A Review Of The Literature And Current Evidence, Syed Raza Shah, Richard Alweis, Najla Issa Najim, Amin Muhammad Dharani, Muhammad Ahmed Jangda, Maira Shahid, Ahmed Nabeel Kazi, Syed Arbab Shah 2017 University of Central Florida

Use Of Dark Chocolate For Diabetic Patients: A Review Of The Literature And Current Evidence, Syed Raza Shah, Richard Alweis, Najla Issa Najim, Amin Muhammad Dharani, Muhammad Ahmed Jangda, Maira Shahid, Ahmed Nabeel Kazi, Syed Arbab Shah

Internal Medicine Faculty Publications

Dietary changes are a major lifestyle factor that can influence the progression of chronic diseases such as diabetes. Recently, flavanols, a subgroup of plant-derived phytochemicals called flavonoids, have gained increasing attention, due to studies showing an inverse correlation between dietary intake of flavanols and incidence of diabetes. Flavanoids in the cocoa plant may ameliorate insulin resistance by improving endothelial function, altering glucose metabolism, and reducing oxidative stress. Oxidative stress has been proposed as the main culprit for insulin resistance. The well-established effects of cocoa on endothelial function also points to a possible effect on insulin sensitivity. The relationship between insulin ...


Radiation-Free Cmr Diagnostic Heart Catheterization In Children., Kanishka Ratnayaka, Joshua P Kanter, Anthony Z Faranesh, Elena K Grant, Laura J Olivieri, Russell R Cross, Ileen F Cronin, Karin S Hamann, Adrienne E Campbell-Washburn, Kendall J O'Brien, Toby Rogers, Michael S Hansen, Robert J Lederman 2017 George Washington University

Radiation-Free Cmr Diagnostic Heart Catheterization In Children., Kanishka Ratnayaka, Joshua P Kanter, Anthony Z Faranesh, Elena K Grant, Laura J Olivieri, Russell R Cross, Ileen F Cronin, Karin S Hamann, Adrienne E Campbell-Washburn, Kendall J O'Brien, Toby Rogers, Michael S Hansen, Robert J Lederman

Pediatrics Faculty Publications

BACKGROUND: Children with heart disease may require repeated X-Ray cardiac catheterization procedures, are more radiosensitive, and more likely to survive to experience oncologic risks of medical radiation. Cardiovascular magnetic resonance (CMR) is radiation-free and offers information about structure, function, and perfusion but not hemodynamics. We intend to perform complete radiation-free diagnostic right heart catheterization entirely using CMR fluoroscopy guidance in an unselected cohort of pediatric patients; we report the feasibility and safety.

METHODS: We performed 50 CMR fluoroscopy guided comprehensive transfemoral right heart catheterizations in 39 pediatric (12.7 ± 4.7 years) subjects referred for clinically indicated cardiac catheterization. CMR ...


The Recognition Of Hpv Infection As A Risk Factor For Cardiovascular Disease In Men, Hayley Stettner 2017 Duquesne University

The Recognition Of Hpv Infection As A Risk Factor For Cardiovascular Disease In Men, Hayley Stettner

Graduate Student Research Symposium

Human papilloma virus (HPV) is the most common sexually transmitted infection. Strains 16 and 18 are causes of cervical, anogenital, and oropharyngeal cancer. A study found a nearly 3-fold increase in incidence of cardiovascular (CV) events, i.e. stroke and myocardial infarction (MI), in HPV-infected women. HPV-16 and 18 contain protein E6 that binds to p53 tumor suppressor protein, which aids in regulating atherosclerosis, and causes p53 protein degeneration. Additional studies have linked absence of p53 protein to accumulation of atherosclerosis in the body, which is the leading cause of CV events. Presented is a case of a 55-year old ...


Vena Cava Filter Retrieval Rates And Factors Associated With Retrieval In A Large Us Cohort, Joshua D. Brown, Driss Raissi, Qiong Han, Val R. Adams, Jeffery Talbert 2017 University of Florida

Vena Cava Filter Retrieval Rates And Factors Associated With Retrieval In A Large Us Cohort, Joshua D. Brown, Driss Raissi, Qiong Han, Val R. Adams, Jeffery Talbert

Pharmacy Practice and Science Faculty Publications

Background Retrieval of vena cava filters (VCFs) is important for safety as complications increase with longer dwell times. This study assessed VCF retrieval rates and factors associated with retrieval in a national cohort.

Methods and Results VCFs were identified by procedural codes from an administrative claims database. Patients were identified who had a VCF placement during a hospitalization from a national commercial administrative claims database. Indications for VCF placement were identified as pulmonary embolism with or without deep vein thrombosis, deep vein thrombosis only, or prophylactic. Patient demographic and clinical characteristics were included in proportional hazard regression models to find ...


The Effect Of Health Insurance Coverage And The Doctor-Patient Relationship On Health Care Utilization In High Poverty Neighborhoods, Destini Smith, Alan Akira, Kenneth Hudson, Andrea Hudson, Marcellus Hudson, Marcus Mitchell, Errol Crook 2017 George Washington University

The Effect Of Health Insurance Coverage And The Doctor-Patient Relationship On Health Care Utilization In High Poverty Neighborhoods, Destini Smith, Alan Akira, Kenneth Hudson, Andrea Hudson, Marcellus Hudson, Marcus Mitchell, Errol Crook

School of Medicine and Health Sciences Student Works

African Americans have higher rates of mortality than whites who are the same age and sex. We hypothesize that in low socioeconomic status neighborhoods, having health insurance coverage and a regular health care provider increases the likelihood of receiving diagnostic tests for cardiovascular disease and diabetes. We use data from a random two-stage cluster sample of 230 adults living in high poverty census tracts to examine the effects of insurance coverage and having a regular doctor on the likelihood receiving diagnostic tests for high cholesterol, high blood sugar, and blood pressure. We find that health insurance coverage increases the odds ...


Correlation Between Electrocardiographic Changes And Coronary Findings In Patients With Acute Myocardial Infarction And Single-Vessel Disease, Abdallah Sanaani, S Yandrapalli, G Jolly, R Paudel, Howard Cooper, Wilbert Aronow 2017 New York Medical College

Correlation Between Electrocardiographic Changes And Coronary Findings In Patients With Acute Myocardial Infarction And Single-Vessel Disease, Abdallah Sanaani, S Yandrapalli, G Jolly, R Paudel, Howard Cooper, Wilbert Aronow

NYMC Faculty Publications

BACKGROUND: Correlation of ST-segment elevation on the 12-lead electrocardiogram (ECG) with the expected affected coronary territory is established in patients with ST-elevation myocardial infarction (STEMI). In patients with non-ST-elevation myocardial infarction (NSTEMI), correlation of ischemic ECG abnormalities with the affected coronary territory has not been well-established. We sought to investigate the correlation of electrocardiographic abnormalities with the location of 1-vessel obstructive coronary artery disease (CAD) in patients with both STEMI and NSTEMI. METHODS: In this retrospective study, the charts of all patients referred for coronary angiography in 2012 were reviewed. Patients with a single obstructive coronary artery plus angina-equivalent symptoms ...


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