Research Topics
Species | Renato D LopesSummaryAffiliation: Duke University Medical Center Country: USA Publications
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Publications
Outcomes in elderly patients with acute coronary syndromes randomized to enoxaparin vs. unfractionated heparin: results from the SYNERGY trialRenato D Lopes
Duke Clinical Research Institute, Box 3850, 2400 Pratt Street, Room 311, Terrace Level, Durham, NC 27705, USA
Eur Heart J 29:1827-33. 2008..The SYNERGY database was used to study the influence of age on treatment outcomes with enoxaparin vs. unfractionated heparin (UFH) in patients with high-risk NSTE ACS...
Warfarin and acetaminophen interaction: a summary of the evidence and biologic plausibilityRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Blood 118:6269-73. 2011..You recall a potential interaction and wonder if (1) her acetaminophen use is contributing to her loss of INR control, and (2) does this interaction place her at increased risk of warfarin-related complications?..
Efficacy and safety of apixaban compared with warfarin according to patient risk of stroke and of bleeding in atrial fibrillation: a secondary analysis of a randomised controlled trialRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Lancet 380:1749-58. 2012..We assessed in this trial's participants how results differed according to patients' CHADS(2), CHA(2)DS(2)VASc, and HAS-BLED scores, used to predict the risk of stroke and bleeding...
Atrial fibrillation and acute myocardial infarction: antithrombotic therapy and outcomesRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am J Med 125:897-905. 2012..Atrial fibrillation guidelines recommend long-term use of warfarin according to a patient's predicted risk of stroke. After acute myocardial infarction, however, combining warfarin and antiplatelet medications poses challenges...
The association of in-hospital major bleeding with short-, intermediate-, and long-term mortality among older patients with non-ST-segment elevation myocardial infarctionRenato D Lopes
Duke Clinical Research Institute, Box 3850, 2400 Pratt Street, Room 0311, Terrace Level, Durham, NC 27705, USA
Eur Heart J 33:2044-53. 2012..Their association with long-term outcomes is less clear. This study examines mortality associated with in-hospital bleeding during NSTEMI over time intervals starting from hospital discharge and extending past 3 years...
Highlights from the IV International Symposium of Thrombosis and Anticoagulation (ISTA), October 20-21, 2011, Salvador, Bahia, BrazilRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Box 3850, 2400 Pratt Street, Room 0311 Terrace Level, Durham, NC 27705, USA
J Thromb Thrombolysis 34:143-63. 2012..This paper summarizes the symposium proceedings...
Bilateral macular hemorrhage as a complication of drug-induced anemia: a case reportRubens N Belfort
Henry C Witelson Ocular Pathology Laboratory, Ophthalmology Department, McGill University, Montreal, QC, Canada
J Med Case Reports 3:16. 2009..Bilateral macular hemorrhage is a rare ocular finding and to the best of our knowledge, this is the first report of such hemorrhages as a presentation of drug-induced anemia...
Antithrombotic strategy in non-ST-segment elevation myocardial infarction patients undergoing percutaneous coronary intervention: insights from the ACTION (Acute Coronary Treatment and Intervention Outcomes Network) RegistryRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
JACC Cardiovasc Interv 3:669-77. 2010..The aim of this study was to examine the use of and outcomes associated with antithrombotic strategies in patients with non-ST-segment elevation myocardial infarction (NSTEMI) who undergo percutaneous coronary intervention (PCI)...
Six-month follow-up of patients with in-hospital thrombocytopenia during heparin-based anticoagulation (from the Complications After Thrombocytopenia Caused by Heparin [CATCH] registry)Renato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 104:1285-91. 2009..98, p = 0.03). In conclusion, the 6-month mortality rate among heparin-treated patients with thrombocytopenia is high, although the risk independently related to thrombocytopenia appears to be restricted to the acute hospital phase...
Antiplatelet therapy in older adults with non-ST-segment elevation acute coronary syndrome: considering risks and benefitsRenato D Lopes
Duke University Medical Center, 2400 Pratt Street, Terrace Level, Durham, NC 27705, USA
Am J Cardiol 104:16C-21C. 2009..However, given their complexity, it is important to further consider the application of existing and new therapies and strategies of care in "real-world" settings...
Antiplatelet agents in cardiovascular diseaseRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Box 3850, 2400 Pratt Street, Room 0311, Terrace Level, Durham, NC 27705, USA
J Thromb Thrombolysis 31:306-9. 2011..In this article, we review the new antiplatelet agents being developed as well as their pharmacological characteristics, potential clinical indications, and key interactions with other antithrombotic drugs...
Highlights from the III International Symposium of Thrombosis and Anticoagulation (ISTA), October 14-16, 2010, São Paulo, BrazilRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Box 3850, 2400 Pratt Street, Room 0311, Terrace Level, Durham, NC 27705, USA
J Thromb Thrombolysis 32:242-66. 2011..This paper summarizes the symposium proceedings...
Diagnosing acute myocardial infarction in patients with left bundle branch blockRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 108:782-8. 2011....
Advanced age, antithrombotic strategy, and bleeding in non-ST-segment elevation acute coronary syndromes: results from the ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trialRenato D Lopes
Duke University Medical Center, Durham, North Carolina, USA
J Am Coll Cardiol 53:1021-30. 2009....
Antithrombotic therapy use at discharge and 1 year in patients with atrial fibrillation and acute stroke: results from the AVAIL RegistryRenato D Lopes
Duke Clinical Research Institute, 2400 Pratt Street, Durham, NC 27705, USA
Stroke 42:3477-83. 2011..However, few studies have examined factors associated with long-term antithrombotic therapy use in IS/TIA patients with AF...
Antithrombotic therapy for atrial fibrillation and coronary artery disease in older patientsConnie N Hess
Duke Clinical Research Institute, Durham, NC 27705, USA
Am Heart J 164:607-15. 2012..Balancing safe and effective use of aspirin, clopidogrel, and warfarin in this population is important...
Relationship between vein graft failure and subsequent clinical outcomes after coronary artery bypass surgeryRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, DUMC Box 3850, Durham, NC 27705, USA
Circulation 125:749-56. 2012..In this retrospective analysis, we examined the relationship between VGF, assessed by coronary angiography 12 to 18 months after coronary artery bypass graft surgery, and subsequent clinical outcomes...
Variations in practice and outcomes in patients undergoing primary percutaneous coronary intervention in the United States and Canada: insights from the Assessment of Pexelizumab in Acute Myocardial Infarction (APEX AMI) trialRajendra H Mehta
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 163:797-803. 2012..Information on practice patterns and outcomes in patients with ST-elevation myocardial infarction undergoing primary percutaneous coronary interventions (PCIs) in Canada vs United States is limited...
Association between periprocedural bleeding and long-term outcomes following percutaneous coronary intervention in older patientsSunil V Rao
Duke Clinical Research Institute, Durham, North Carolina 27705, USA
JACC Cardiovasc Interv 5:958-65. 2012..The authors sought to describe the association between post-procedural bleeding and long-term recurrent bleeding, major adverse cardiac events (MACE), and mortality among older patients undergoing percutaneous coronary intervention (PCI)...
Apixaban for reduction in stroke and other ThromboemboLic events in atrial fibrillation (ARISTOTLE) trial: design and rationaleRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am Heart J 159:331-9. 2010....
Safety and effectiveness of antithrombotic strategies in older adult patients with atrial fibrillation and non-ST elevation myocardial infarctionEmil L Fosbol
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am Heart J 163:720-8. 2012..We aimed to study the comparative safety and effectiveness of various antithrombotic treatment strategies among older adults with non-ST elevation myocardial infarction (NSTEMI) and atrial fibrillation (AF)...
Comparison of incidence of bleeding and mortality of men versus women with ST-elevation myocardial infarction treated with fibrinolysisRajendra H Mehta
Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 109:320-6. 2012..These data highlight the importance of understanding factors associated with gender-related differences in bleeding and represent an opportunity for improving outcomes of women and men with fibrinolytic-treated STEMI...
Hospital length of stay in patients with non-ST-segment elevation myocardial infarctionJohn P Vavalle
Duke Clinical Research Institute, Durham, NC 27705, USA
Am J Med 125:1085-94. 2012..Substantial heterogeneity in hospital length of stay exists among patients admitted with non-ST-segment elevation myocardial infarction. Furthermore, little is known about the factors that impact length of stay...
Percutaneous coronary interventions in patients with heparin-induced thrombocytopeniaE Marc Jolicoeur
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27710, USA
Curr Cardiol Rep 9:396-405. 2007..The algorithm also integrates preventive measures directed at decreasing the bleeding risk associated with the antithrombotic and invasive therapies used for HIT and percutaneous coronary intervention...
Edifoligide and long-term outcomes after coronary artery bypass grafting: PRoject of Ex-vivo Vein graft ENgineering via Transfection IV (PREVENT IV) 5-year resultsRenato D Lopes
Duke Clinical Research Institute, Durham, NC, USA
Am Heart J 164:379-386.e1. 2012..We compared the 5-year clinical outcomes of patients in PREVENT IV treated with edifoligide and placebo to identify predictors of long-term clinical outcomes...
Warfarin use and outcomes in patients with atrial fibrillation complicating acute coronary syndromesRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am J Med 123:134-40. 2010....
Saphenous vein grafts with multiple versus single distal targets in patients undergoing coronary artery bypass surgery: one-year graft failure and five-year outcomes from the Project of Ex-Vivo Vein Graft Engineering via Transfection (PREVENT) IV trialRajendra H Mehta
Duke Clinical Research Institute, Box 17969, Durham, NC 27715, USA
Circulation 124:280-8. 2011....
Apixaban versus warfarin in patients with atrial fibrillationChristopher B Granger
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
N Engl J Med 365:981-92. 2011..Apixaban is a novel oral direct factor Xa inhibitor that has been shown to reduce the risk of stroke in a similar population in comparison with aspirin...
Admission international normalized ratio levels, early treatment strategies, and major bleeding risk among non-ST-segment-elevation myocardial infarction patients on home warfarin therapy: insights from the National Cardiovascular Data RegistrySumeet Subherwal
Duke University, 2500 Pratt St, Durham, NC 27715, USA
Circulation 125:1414-23. 2012..Yet, little is known about contemporary treatment patterns and bleeding risks in this population...
International variation in use of oral anticoagulation among heart failure patients with atrial fibrillationJorge Suarez
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Am Heart J 163:804-11. 2012..We sought to characterize patient factors and regional variations associated with vitamin K antagonist (VKA) use in patients with heart failure (HF) and atrial fibrillation (AF) in areas outside the United States and Europe...
Serious infection after acute myocardial infarction: incidence, clinical features, and outcomesAdriano A M Truffa
Duke Clinical Research Institute and the Department of Medicine, Duke University Medical Center, 2400 Pratt Street, Durham, NC 27705, USA
JACC Cardiovasc Interv 5:769-76. 2012..We also assessed the association between serious infections and 90-day death or death/myocardial infarction (MI)...
Transfer times and outcomes in patients with ST-segment-elevation myocardial infarction undergoing interhospital transfer for primary percutaneous coronary intervention: APEX-AMI insightsSean van Diepen
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Circ Cardiovasc Qual Outcomes 5:437-44. 2012..We examined the association between door 1-to-door 2 (D1D2) time, a measure capturing the entire transfer process, and outcomes in patients undergoing interhospital transfer for primary percutaneous coronary intervention...
Oral factor Xa inhibitors for the prevention of stroke in atrial fibrillationJonathan P Piccini
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Curr Opin Cardiol 25:312-20. 2010..Consequently, much research has been focused on finding an alternative to warfarin. We review the potential alternatives in development and evaluate the current evidence concerning their safety and efficacy...
Race, Bleeding, and Outcomes in STEMI Patients Treated with Fibrinolytic TherapyRajendra H Mehta
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Am J Med 124:48-57. 2011....
International variation in and factors associated with hospital readmission after myocardial infarctionRobb D Kociol
Duke Clinical Research Institute, Duke University Medical Center, PO Box 17969, Durham, NC 27715, USA
JAMA 307:66-74. 2012..Recently, 30-day readmission rates have been proposed as a metric for care of patients with STEMI. However, international rates and predictors of 30-day readmission after STEMI have not been studied...
Promise of factor Xa inhibition in atrial fibrillationSana M Al-Khatib
Division of Cardiology, Department of Medicine, Duke Clinical Research Institute and Duke University, 2400 Pratt Street, PO Box 17969, Durham, NC 27705, USA
Curr Cardiol Rep 14:70-8. 2012....
Baseline NT-proBNP and biomarkers of inflammation and necrosis in patients with ST-segment elevation myocardial infarction: insights from the APEX-AMI trialSean van Diepen
Duke Clinical Research Institute, Duke University Medical Center, North Pavilion, 2400 Pratt Street, Durham, NC 27705, USA
J Thromb Thrombolysis 34:106-13. 2012..This finding is consistent with pre-clinical and clinical research suggesting that systemic inflammation may influence NT-proBNP expression independently of myocardial stretch...
Association between endoscopic vs open vein-graft harvesting and mortality, wound complications, and cardiovascular events in patients undergoing CABG surgeryJudson B Williams
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27710, USA
JAMA 308:475-84. 2012..The safety and durability of endoscopic vein graft harvest in coronary artery bypass graft (CABG) surgery has recently been called into question...
Apixaban with antiplatelet therapy after acute coronary syndromeJohn H Alexander
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
N Engl J Med 365:699-708. 2011..Apixaban, an oral, direct factor Xa inhibitor, may reduce the risk of recurrent ischemic events when added to antiplatelet therapy after an acute coronary syndrome...
Relationship of sustained ventricular tachyarrhythmias to outcomes in patients undergoing primary percutaneous coronary intervention with varying underlying baseline riskRajendra H Mehta
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 161:782-9. 2011....
Relationship of the time interval between cardiac catheterization and elective coronary artery bypass surgery with postprocedural acute kidney injuryRajendra H Mehta
Duke Clinical Research Institute, Box 17969, Durham, NC 27715, USA
Circulation 124:S149-55. 2011..However, these studies, because of the small number of patients, were unable to adequately account for patient case-mix and included both those undergoing elective surgery and those undergoing urgent surgery...
Antithrombotic therapy and outcomes of patients with atrial fibrillation following primary percutaneous coronary intervention: results from the APEX-AMI trialRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Room 0311 Terrace Level, Durham, NC 27707, USA
Eur Heart J 30:2019-28. 2009..To assess the incidence and timing of atrial fibrillation (AF), describe antithrombotic therapy use, and evaluate the association of AF with 90 day mortality and other secondary clinical outcomes...
Surgical Maze procedure as a treatment for atrial fibrillation: a meta-analysis of randomized controlled trialsMelissa H Kong
Duke University Medical Center, Durham, NC 27710, USA
Cardiovasc Ther 28:311-26. 2010..Large RCTs defining rates of freedom from AF without AADs postprocedure, are still needed to evaluate outcomes and determine the appropriate role for surgical Maze procedures in the management of AF...
Antithrombotic therapy in heparin-induced thrombocytopenia: guidelines translated for the clinicianConnie N Hess
Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Room 0311 Terrace Level, Box 3850, Durham, NC 27705, USA
J Thromb Thrombolysis 34:552-61. 2012..We provide a review of the clinical syndrome and practical summary of treatment recommendations from the most recent 2012 American College of Chest Physicians evidence-based guidelines for the treatment and prevention of HIT...
Comparison of the prognosis of spontaneous and percutaneous coronary intervention-related myocardial infarctionSergio Leonardi
Duke Clinical Research Institute, Durham, North Carolina 27705, USA
J Am Coll Cardiol 60:2296-304. 2012..This study compared prognoses of myocardial infarction related to percutaneous coronary intervention (PCI, procedural MI) using increasing creatine kinase-myocardial band (CK-MB) thresholds with spontaneous MI...
Percutaneous coronary intervention or coronary artery bypass surgery for cardiogenic shock and multivessel coronary artery disease?Rajendra H Mehta
The Duke University Medical Center and Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 159:141-7. 2010..Although both percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) are used in patients with CS with multivessel coronary disease, the optimal revascularization strategy in this setting remains unknown...
Endoscopic versus open vein-graft harvesting in coronary-artery bypass surgeryRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
N Engl J Med 361:235-44. 2009....
Antithrombotic therapy in atrial fibrillation: guidelines translated for the clinicianRenato D Lopes
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27710, USA
J Thromb Thrombolysis 26:167-74. 2008....
Pulmonary vein isolation for the maintenance of sinus rhythm in patients with atrial fibrillation: a meta-analysis of randomized, controlled trialsJonathan P Piccini
Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Circ Arrhythm Electrophysiol 2:626-33. 2009..The efficacy and safety of pulmonary vein isolation (PVI) compared with medical therapy remain in question...
Highlights from the I international symposium of thrombosis and anticoagulation in internal medicine, October 23-25, 2008, Sao Paulo, BrazilRenato D Lopes
Duke University School of Medicine, Durham, NC, USA
J Thromb Thrombolysis 28:106-16. 2009..This article is a focused summary of the symposium proceedings...
Antithrombotic therapy in acute coronary syndromes: guidelines translated for the clinicianS Michael Gharacholou
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27710, USA
J Thromb Thrombolysis 29:516-28. 2010....
Outcomes registry for better informed treatment of atrial fibrillation: rationale and design of ORBIT-AFJonathan P Piccini
Duke Clinical Research Institute, Durham, NC, USA
Am Heart J 162:606-612.e1. 2011..Data on contemporary treatment patterns and outcomes associated with AF in clinical practice are limited...
Impact of recovery of renal function on long-term mortality after coronary artery bypass graftingRajendra H Mehta
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 106:1728-34. 2010..Thus, major emphasis should be on prevention of ARF in patients undergoing CABG...
Saphenous vein graft failure and clinical outcomes: Toward a surrogate end point in patients following coronary artery bypass surgery?Ralf E Harskamp
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC Department of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
Am Heart J 165:639-43. 2013..Given the lack of supportive evidence showing a consistent association between SVG failure and major adverse cardiovascular events, SVG failure should not be considered a valid surrogate endpoint at this time...
Stroke After Primary Percutaneous Coronary Intervention in Patients With ST-Segment Elevation Myocardial Infarction: Timing, Characteristics, and Clinical OutcomesJeffrey T Guptill
Duke Clinical Research Institute, Durham, NC
Circ Cardiovasc Interv 6:176-83. 2013..Little is known about stroke timing, characteristics, and clinical outcomes in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention (PCI)...
Evaluation of a new heparin agent in percutaneous coronary intervention: results of the phase 2 evaluation of M118 IN pErcutaNeous Coronary intErvention (EMINENCE) TrialSunil V Rao
Duke Clinical Research Institute, Durham, NC, USA
Circulation 121:1713-21. 2010..We performed a phase 2 randomized trial to evaluate the safety and feasibility of M118 in the setting of elective percutaneous coronary intervention...
Incidence of and outcomes associated with ventricular tachycardia or fibrillation in patients undergoing primary percutaneous coronary interventionRajendra H Mehta
Duke Clinical Research Institute, Box 17969, Durham, NC 27715, USA
JAMA 301:1779-89. 2009....
Age and outcomes in ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: findings from the APEX-AMI trialS Michael Gharacholou
Division of Cardiology, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
Arch Intern Med 171:559-67. 2011....
Antithrombotic therapy for ischemic stroke: guidelines translated for the clinicianAnandi Krishnan
Duke Clinical Research Institute, Duke University Medical Center, Box 3850, 27710, Durham, NC, USA
J Thromb Thrombolysis 29:368-77. 2010..Future directions are also reviewed, with particular emphasis on improving therapeutic options early after stroke onset...
Prophylaxis for venous thromboembolism: guidelines translated for the clinicianGregg Stashenko
Duke Clinical Research Institute, Duke University Medical Center, Box 3850, Durham, NC 27710, USA
J Thromb Thrombolysis 31:122-32. 2011..In addition, we will discuss recent clinical trials regarding novel anticoagulants for venous thromboembolism prophylaxis and share some conclusions...
Saphenous vein graft failure after coronary artery bypass surgery: pathophysiology, management, and future directionsRalf E Harskamp
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC Division of Cardiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands Division of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX
Ann Surg 257:824-33. 2013..To review our current understanding of the epidemiology and pathogenesis of vein graft failure (VGF), give an overview of current preventive and interventional measures, and explore strategies that may improve vein graft patency...
Highlights from the 56th annual scientific sessions of the American College of Cardiology: March 25 to 27, 2007, Atlanta, GeorgiaGeorge L Adams
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 154:247-59. 2007
