Research Topics
Species | L K NewbySummaryAffiliation: Duke University Medical Center Country: USA Publications
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Publications
Markers of cardiac ischemia, injury, and inflammationL Kristin Newby
Duke University Medical Center and the Duke Clinical Research Institute, Durham, NC, USA
Prog Cardiovasc Dis 46:404-16. 2004
Aspirin use post-acute coronary syndromes: intolerance, bleeding and discontinuationL Kristin Newby
Duke Clinical Research Institute and the Duke Centers for Education and Research on Therapeutics CERTs, Durham, NC 27715 7969, USA
J Thromb Thrombolysis 16:119-28. 2003..While aspirin's secondary prevention benefit is clear, prior reports indicate that 19-83% of eligible patients may not use aspirin chronically...
Long-term adherence to evidence-based secondary prevention therapies in coronary artery diseaseL Kristin Newby
Centers for Education and Research on Therapeutics, Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Circulation 113:203-12. 2006..Studies have examined the use of evidence-based therapies for coronary artery disease (CAD) in the short term and at hospital discharge, but few have evaluated long-term use...
Acute coronary syndromes in patients with diabetes mellitus: diagnosis, prognosis, and current management strategiesRhoda Brosnan
Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715 7969, USA
Curr Cardiol Rep 5:296-302. 2003..Because diabetes imparts a worse prognosis among patients with acute coronary syndromes, these patients warrant aggressive antiplatelet and antithrombotic therapy, as well as a more invasive management strategy...
Frequency and clinical implications of discordant creatine kinase-MB and troponin measurements in acute coronary syndromesL Kristin Newby
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27715 7969, USA
J Am Coll Cardiol 47:312-8. 2006..We sought to evaluate the association between discordant cardiac marker results and in-hospital mortality and treatment patterns in patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS)...
An automated strategy for bedside aPTT determination and unfractionated heparin infusion adjustment in acute coronary syndromes: insights from PARAGON AL Kristin Newby
Duke Clinical Research Institute, Durham, NC 27715 7969, USA
J Thromb Thrombolysis 14:33-42. 2002..We assessed unfractionated heparin infusion regulation by bedside, whole-blood aPTT testing and computerized, algorithmic infusion adjustment, and further evaluated the relationship of achieving the target aPTT with clinical outcomes...
Changing the diagnosis of acute myocardial infarction: implications for practice and clinical investigationsL Kristin Newby
Duke Clinical Research Institute, Durham, NC 27715-7969, USA
Am Heart J 144:957-80. 2002
Early statin initiation and outcomes in patients with acute coronary syndromesL Kristin Newby
Duke Clinical Research Institute, Duke University Medical Center, PO Box 17969, Durham, NC 27715, USA
JAMA 287:3087-95. 2002....
Acute coronary syndromes in the elderlyL Kristin Newby
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
J Cardiovasc Med (Hagerstown) 12:220-2. 2011..With consideration of individual preferences for treatment and inherent risks for side-effects in this population, age alone should not determine management of elderly acute coronary syndrome patients...
Value of serial troponin T measures for early and late risk stratification in patients with acute coronary syndromes. The GUSTO-IIa InvestigatorsL K Newby
Duke Clinical Research Institute, Durham, NC, USA
Circulation 98:1853-9. 1998....
Cost effectiveness of early discharge after uncomplicated acute myocardial infarctionL K Newby
Duke Clinical Research Institute, Durham, NC 27715 7969, USA
N Engl J Med 342:749-55. 2000..Reducing the length of hospitalizations can reduce short-term costs, but there are few data on the long-term clinical and economic consequences of early discharge...
Bedside multimarker testing for risk stratification in chest pain units: The chest pain evaluation by creatine kinase-MB, myoglobin, and troponin I (CHECKMATE) studyL K Newby
Duke Clinical Research Institute, Durham, NC, USA
Circulation 103:1832-7. 2001..A multimarker strategy (MMS) testing for several markers of myocardial necrosis with different time-to-positivity profiles also may offer clinical advantages...
Benefit of glycoprotein IIb/IIIa inhibition in patients with acute coronary syndromes and troponin t-positive status: the paragon-B troponin T substudyL K Newby
Duke Clinical Research Institute, Durham, NC, USA
Circulation 103:2891-6. 2001..Troponin T (TnT) is valuable for short- and long-term risk stratification of patients with acute coronary syndromes (ACS). It also may predict which ACS patients will benefit from glycoprotein (GP) IIb/IIIa blockade...
Oral platelet glycoprotein IIb/IIIa inhibitionL K Newby
Duke Clinical Research Institute, PO Box 17969, Durham, NC 27707 7969, USA
Curr Cardiol Rep 2:372-7. 2000..The oral agents tested in phase III studies thus far have not performed up to expectations, however. The following paper reviews these studies and the implications of their results...
Comparison of cardiac troponin T versus creatine kinase-MB for risk stratification in a chest pain evaluation unitL K Newby
Duke Clinical Research Institute, Durham, North Carolina 27715 7969, USA
Am J Cardiol 85:801-5. 2000..0001). Thus, cTnT identified more CPU patients with myocardial necrosis and multivessel CAD than CK-MB and a population with high long-term mortality risk. Routine use of cTnT in CPUs could facilitate risk stratification and management...
Acute coronary care in the elderly, part I: Non-ST-segment-elevation acute coronary syndromes: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of GerKaren P Alexander
Duke University Medical Center, USA
Circulation 115:2549-69. 2007..Reasons include limited trial data to guide the care of older adults and uncertainty about benefits and risks, particularly with newer medications or invasive treatments and in the setting of advanced age or complex health status...
Time-based risk assessment after myocardial infarction. Implications for timing of discharge and applications to medical decision-makingL K Newby
The Duke Clinical Research Institute, Durham, NC 27715-7969, USA
Eur Heart J 24:182-9. 2003..Such time-based risk assessment could guide decision-making in other settings in which randomized studies are impractical...
Acute coronary care in the elderly, part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology: in collaboration with the Society of GeriatricKaren P Alexander
Duke University Medical Center, USA
Circulation 115:2570-89. 2007....
Comparison of ST-segment resolution with combined fibrinolytic and glycoprotein IIb/IIIa inhibitor therapy versus fibrinolytic alone (data from four clinical trials)Abdallah G Rebeiz
Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 95:611-4. 2005..7% vs 48.0% with >/=50% ST-segment resolution, p = 0.03) and sustained over 180 minutes after drug administration; this transient benefit may suggest a time frame when more optimal percutaneous coronary intervention can be performed...
Cardiac markers: point of care testingM P Hudson
Duke Clinical Research Institute, Durham, NC 27715, USA
Clin Chim Acta 284:223-37. 1999....
Incidence and characteristics of stroke during 90-day follow-up in patients stabilized after an acute coronary syndromeHassan Kassem-Moussa
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 148:439-46. 2004..CONCLUSIONS: In patients stabilized after presenting with a spectrum of ACS and treated with sibrafiban and/or aspirin, stroke occurred in fewer than 1% within 90 days but carried a significant mortality and morbidity risk...
Postmenopausal hormone use in women with acute coronary syndromesElizabeth Parsons
Duke University School of Medicine, Durham, North Carolina, USA
J Womens Health (Larchmt) 13:863-71. 2004..These results are consistent with the absence of benefit from HRT use (combination or estrogen only) in previous studies in more stable populations...
Heart failure with preserved left ventricular systolic function among patients with non-ST-segment elevation acute coronary syndromesKyla M Bennett
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina
Am J Cardiol 99:1351-6. 2007..Guideline-recommended therapies and interventions are under-utilized in patients with NSTE ACS and HF, with and without preserved systolic function, compared with those without HF...
Association between minor elevations of creatine kinase-MB level and mortality in patients with acute coronary syndromes without ST-segment elevation. PURSUIT Steering Committee. Platelet Glycoprotein IIb/IIIa in Unstable Angina: Receptor Suppression UsinJ H Alexander
Duke Clinical Research Institute, Durham, NC 27715, USA
JAMA 283:347-53. 2000..Controversy surrounds the diagnostic and prognostic importance of slightly elevated cardiac markers in patients with acute coronary syndromes without ST-segment elevation...
Troponin T and quantitative ST-segment depression offer complementary prognostic information in the risk stratification of acute coronary syndrome patientsPadma Kaul
Duke Clinical Research Institute, Duke University, Durham, North Carolina, USA
J Am Coll Cardiol 41:371-80. 2003..4 vs. 1.5). CONCLUSIONS: Quantitative ST and cTnT status are complementary in assessing risk among ACS patients and both should be employed to determine prognosis and assist in medical decision making...
Cockcroft-Gault versus modification of diet in renal disease: importance of glomerular filtration rate formula for classification of chronic kidney disease in patients with non-ST-segment elevation acute coronary syndromesChiara Melloni
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27705, USA
J Am Coll Cardiol 51:991-6. 2008..Our purpose was to compare formulae for estimating glomerular filtration rate (GFR) in non-ST-segment elevation acute coronary syndromes (NSTE ACS) patients...
Frequency of stent thrombosis after acute coronary syndromes (from the SYMPHONY and 2nd SYMPHONY trials)Thaddeus R Tolleson
Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 92:330-3. 2003..These patients and their outcomes may be more representative of patients with typical acute coronary syndromes undergoing stenting in clinical practice...
Using biomarkers to assess risk and consider treatment strategies in non-ST-segment elevation acute coronary syndromesAnkie Amos
Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715-7969, USA
Curr Cardiol Rep 7:263-9. 2005..Importantly, biomarkers of different processes may be combined to enhance risk stratification above that of any single marker...
C-reactive protein: a novel marker of cardiovascular riskSvati H Shah
Department of Cardiology, Duke University Medical Center, Durham, North Carolina, USA
Cardiol Rev 11:169-79. 2003..This review presents an overview of the data regarding CRP measurement for cardiovascular risk assessment...
Predictors of 90-day outcome in patients stabilized after acute coronary syndromesL K Newby
Duke Clinical Research Institute, Durham, NC 27715-7969, USA
Eur Heart J 24:172-81. 2003..Typical clinical markers are better at identifying risk of death than non-fatal MI or SRI. Novel risk markers are needed for these outcomes...
Short- and long-term outcomes following atrial fibrillation in patients with acute coronary syndromes with or without ST-segment elevationR D Lopes
Duke Clinical Research Institute, Duke University Medical Center, 2400 Pratt Street, Room 0311 Terrace Level, Durham, NC 27707, USA
Heart 94:867-73. 2008....
Initiation of hormone replacement therapy after acute myocardial infarction is associated with more cardiac events during follow-upK P Alexander
Outcomes Research and Assessment Group, The Duke Clinical Research Institute, Durham, North Carolina 27710, USA
J Am Coll Cardiol 38:1-7. 2001..This study explored the association between the initiation of hormone replacement therapy (HRT) and early cardiac events (<1 year) in women with a recent myocardial infarction (MI)...
Elevated creatine kinase-MB with normal creatine kinase predicts worse outcomes in patients with acute coronary syndromes: results from 4 large clinical trialsJohn M Galla
Duke Clinical Research Institute, Durham, NC 27705, USA
Am Heart J 151:16-24. 2006..All patients with ACS should have CK-MB measurement to search for cardiac ischemia. Patients with elevated CK-MB should receive aggressive management commensurate with their increased risks...
Use of guidelines-recommended management and outcomes among women and men with low-level troponin elevation: insights from CRUSADESharif A Halim
Department of Medicine and the Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715 7969, USA
Circ Cardiovasc Qual Outcomes 2:199-206. 2009..5x ULN) remains uncertain. Using the CRUSADE database, we explored relationships between sex and treatment and outcomes among patients with troponin 1 to 1.5x ULN...
Prevalence and management of hypertension in acute coronary syndrome patients varies by sex: observations from the Sibrafiban versus aspirin to Yield Maximum Protection from ischemic Heart events postacute cOroNary sYndromes (SYMPHONY) randomized clinicalCamille G Frazier
Duke University Medical Center, Clinical Research Institute, Durham, NC, USA
Am Heart J 150:1260-7. 2005..Opportunities exist to improve medical therapy and outcomes in women with hypertension...
Evolution of the coronary care unit: clinical characteristics and temporal trends in healthcare delivery and outcomesJason N Katz
Department of Medicine, Division of Cardiology and Pulmonary and Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA
Crit Care Med 38:375-81. 2010..To describe long-term temporal trends in patient characteristics, processes of care, and in-hospital outcomes among unselected admissions within the contemporary coronary care unit...
Troponin: an important prognostic marker and risk-stratification tool in non-ST-segment elevation acute coronary syndromesL Kristin Newby
Duke Clinical Research Institute, Durham, North Carolina, USA
J Am Coll Cardiol 41:31S-36S. 2003..This paper will review the evolution of these important roles of troponin testing for risk stratification in ACS...
Racial differences among high-risk patients presenting with non-ST-segment elevation acute coronary syndromes (results from the SYNERGY trial)Melvin R Echols
Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 99:315-21. 2007..African-American patients had significantly better adjusted 30-day outcomes but similar 6-month outcomes compared with white patients...
Comparison of 30-day outcome, resource use, and coronary artery disease severity in patients with suspected coronary artery disease with and without diabetes mellitus assigned to chest pain unitsCarlos D Sánchez
Duke University School of Medicine and Duke Clinical Research Institute, Durham, North Carolina 27715 7969, USA
Am J Cardiol 91:1228-30. 2003
Reclassification of cardiovascular risk using integrated clinical and molecular biosignatures: Design of and rationale for the Measurement to Understand the Reclassification of Disease of Cabarrus and Kannapolis (MURDOCK) Horizon 1 Cardiovascular Disease Svati H Shah
Duke University Medical Center, Durham, NC, USA
Am Heart J 160:371-379.e2. 2010..Clinical predictive models leave gaps in our ability to stratify cardiovascular risk. High-throughput molecular profiling promises to improve risk classification...
The failure of orally administered glycoprotein IIb/IIIa inhibitors to prevent recurrent cardiac eventsL Kristin Newby
Duke Clinical Research Institute, Durham, North Carolina 27707, USA
Am J Med 112:647-58. 2002..03 to 1.29). CONCLUSION: Oral glycoprotein IIb/IIIa inhibitor therapy is associated with increased mortality and myocardial infarction. No single explanation for these findings is satisfactory; the problem is likely to be multifactorial...
A comparison of acute coronary syndrome care at academic and nonacademic hospitalsManesh R Patel
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am J Med 120:40-6. 2007..We sought to identify hospital characteristics associated with high levels of adherence in order to gain insight into successful processes of care...
Platelet inhibitors: what are the data in women?Michael W Tempelhof
Division of Cardiovascular Medicine, Department of Medicine, Duke University Medical Center, Durham, North Carolina 27715 7969, USA
Cardiol Rev 16:23-9. 2008....
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...
Statin use and stroke outcomes in the Heart and Estrogen-Progestin Replacement Study (HERS)C D Bushnell
Department of Medicine, Duke Center for Cerebrovascular Disease, Division of Cardiology Durham, NC, USA
Neurology 62:968-70. 2004..52, 95% CI 0.23 to 1.18, p = 0.12), fatal ischemic stroke (RH 0.51, 95% CI 0.18 to 1.45, p = 0.21), fatal hemorrhagic stroke (RH 0.18, 95% CI 0.02 to 1.46, p = 0.11), or TIA (RH 1.32, 95% CI 0.84 to 2.09, p = 0.23)...
Prevalence, predictors, and outcomes of patients with non-ST-segment elevation myocardial infarction and insignificant coronary artery disease: results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with EarlyManesh R Patel
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am Heart J 152:641-7. 2006..We sought to determine the prevalence, predictors, and outcomes of patients with NSTEMI and insignificant CAD...
Comparison of baseline characteristics, treatment patterns, and in-hospital outcomes of Asian versus non-Asian white Americans with non-ST-segment elevation acute coronary syndromes from the CRUSADE quality improvement initiativeTracy Y Wang
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 100:391-6. 2007..Further investigation is needed to explore the potential for ethnic variability in antithrombotic susceptibility...
Present and evolving role of eptifibatide in the treatment of acute coronary syndromesPierluigi Tricoci
Duke Clinical Research Institute, Durham, NC 27705, USA
Expert Rev Cardiovasc Ther 5:401-12. 2007....
Sex differences in major bleeding with glycoprotein IIb/IIIa inhibitors: results from the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA guidelines) initiativeKaren P Alexander
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Circulation 114:1380-7. 2006..The contribution of dosing to the observed sex-related differences in bleeding is unknown...
Age moderates the short-term effects of transdermal 17beta-estradiol on endothelium-dependent vascular function in postmenopausal womenAndrew Sherwood
Duke University Medical Center, Durham, NC 27710, USA
Arterioscler Thromb Vasc Biol 27:1782-7. 2007..We evaluated age and coronary heart disease (CHD) as potential moderators of the effects of 17beta-estradiol on vascular endothelial function in postmenopausal women...
Time to coronary angiography and outcomes among patients with high-risk non ST-segment elevation acute coronary syndromes: results from the SYNERGY trialPierluigi Tricoci
Duke Clinical Research Institute, 2400 Pratt St, Room 0311 Terrace Level, Durham, NC 27705, USA
Circulation 116:2669-77. 2007..We evaluated the relationship between time from hospital admission to coronary angiography and outcomes in high-risk patients with non-ST-segment-elevation acute coronary syndrome who underwent angiography within 48 hours of admission...
Representation of women in randomized clinical trials of cardiovascular disease preventionChiara Melloni
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Circ Cardiovasc Qual Outcomes 3:135-42. 2010....
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....
Predictors of early discontinuation of evidence-based medicine after acute coronary syndromeChiara Melloni
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 104:175-81. 2009..Patient education, better prescription drug coverage, and reminder strategies may improve use of EBMs at 3 months after discharge from ACS admission...
Safety and tolerability of SCH 530348 in patients undergoing non-urgent percutaneous coronary intervention: a randomised, double-blind, placebo-controlled phase II studyRichard C Becker
Duke Clinical Research Institute, Durham, NC, USA
Lancet 373:919-28. 2009..We therefore assessed the tolerability and safety of SCH 530348-an oral platelet protease-activated receptor-1 antagonist...
Prognostic value of troponins in patients with non-ST-segment elevation acute coronary syndromes and chronic kidney diseaseChiara Melloni
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Clin Cardiol 31:125-9. 2008..The prognostic value of cardiac troponins (cTn) in patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS) and chronic kidney disease (CKD) is debated...
ALOX5AP variants are associated with in-stent restenosis after percutaneous coronary interventionSvati H Shah
Department of Medicine, Duke University Medical Center, Durham, NC 27710, United States
Atherosclerosis 201:148-54. 2008..There is no accurate way to predict in-stent restenosis, although risk factors for atherosclerosis overlap those for in-stent restenosis. Therefore, we evaluated atherosclerosis candidate genes for association with in-stent restenosis...
Hypercholesterolemia paradox in relation to mortality in acute coronary syndromeTracy Y Wang
Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27705, USA
Clin Cardiol 32:E22-8. 2009..Hypercholesterolemia is a risk factor for coronary artery disease, yet is associated with lower risk of adverse outcomes in patients with acute coronary syndromes (ACS)...
GP IIb-IIIa inhibitors administered upstream: evidence for improved outcomes with conventional and newer antithrombotic agents?Pierluigi Tricoci
Division of Cardiovascular Medicine, Duke Clinical Research Institute, Durham, North Carolina 27705, USA
Cardiol Rev 16:89-94. 2008..The availability of new antiplatelet and antithrombotic drugs renders even more complex the question of the best strategy...
International variation in the use of blood transfusion in patients with non-ST-segment elevation acute coronary syndromesSunil V Rao
The Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 101:25-29. 2008....
Metabolic efficiency with ranolazine for less ischemia in non-ST elevation acute coronary syndromes (MERLIN TIMI-36) studyChiara Melloni
Duke Clinical Research Institute, 2400 Pratt Street, Durham, NC 27705, USA
Expert Rev Cardiovasc Ther 6:9-16. 2008....
Association of a peripheral blood metabolic profile with coronary artery disease and risk of subsequent cardiovascular eventsSvati H Shah
Department of Medicine, Duke University, Durham, NC, USA
Circ Cardiovasc Genet 3:207-14. 2010..Molecular tools may provide insight into cardiovascular risk. We assessed whether metabolites discriminate coronary artery disease (CAD) and predict risk of cardiovascular events...
Statin use and sex-specific stroke outcomes in patients with vascular diseaseCheryl D Bushnell
Center for Cerebrovascular Disease, Duke University Medical Center, Durham, NC 27710, USA
Stroke 37:1427-31. 2006..We investigated the relationships between statin use and sex-specific stroke incidence, severity, and mortality...
Relationship of blood transfusion and clinical outcomes in patients with acute coronary syndromesSunil V Rao
Duke Clinical Research Institute, Durham, NC 27715, USA
JAMA 292:1555-62. 2004..It is unclear if blood transfusion in anemic patients with acute coronary syndromes is associated with improved survival...
Influence of timing of troponin elevation on clinical outcomes and use of evidence-based therapies for patients with non-ST-segment elevation acute coronary syndromesMatthew T Roe
Duke Clinical Research Institute, Durham, NC 27705, USA
Ann Emerg Med 45:355-62. 2005....
Poverty, process of care, and outcome in acute coronary syndromesSunil V Rao
Duke Clinical Research Institute, dDuke University, PO Box 17969, Durham, NC 27715, USA
J Am Coll Cardiol 41:1948-54. 2003..We sought to determine whether income-based disparities in care processes and outcome exist in patients with acute coronary syndromes...
Seeking the optimal aspirin dose in acute coronary syndromesDavid F Kong
Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27710, USA
Am J Cardiol 90:622-5. 2002
The significance of elevated troponin T in patients with nondialysis-dependent renal insufficiency: a validation with coronary angiographyJohn F Heitner
Department of Medicine, Division of Cardiology, New York Methodist Hospital, 506 6th Street, 2 Buckley Pavilion, Brooklyn, NY 11215, USA
Clin Cardiol 28:333-6. 2005....
Relationship between risk stratification by cardiac troponin level and adherence to guidelines for non-ST-segment elevation acute coronary syndromesMatthew T Roe
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Arch Intern Med 165:1870-6. 2005..The threshold of troponin elevation that stimulates changes in clinical decision making for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACSs) has not been previously evaluated...
Elevated body mass index and intermediate-term clinical outcomes after acute coronary syndromesEric L Eisenstein
Duke University Medical Center and the Duke Clinical Research Institute, Durham, NC 27715, USA
Am J Med 118:981-90. 2005..We evaluated the relationship between elevated body mass index (BMI) and 30-day, 90-day, and 1-year clinical outcomes postacute coronary syndromes...
Impact of bleeding severity on clinical outcomes among patients with acute coronary syndromesSunil V Rao
The Duke Clinical Research Institute, Durham, North Carolina, USA
Am J Cardiol 96:1200-6. 2005..Therapies that minimize bleeding risk and maintain an anticoagulant effect may improve outcomes among patients who have ACS...
Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute coronary syndromesKaren P Alexander
Duke University Medical Center, Duke Clinical Research Institute, Durham, NC 27715, USA
JAMA 294:3108-16. 2005..Effective medical care assumes delivery of evidence-based medicines to appropriate patients with doses comparable to those studied...
Clopidogrel to treat patients with non-ST-segment elevation acute coronary syndromes after hospital dischargePierluigi Tricoci
Division of Cardiology, Duke University School of Medicine, and Duke Clinical Research Institute, Durham, NC, USA
Arch Intern Med 166:806-11. 2006....
Prognostic value of isolated troponin elevation across the spectrum of chest pain syndromesSunil V Rao
Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA
Am J Cardiol 91:936-40. 2003..This suggests that these patients should be admitted to the hospital and monitored in either an intensive care or step-down unit...
Misreporting of myocardial infarction end points: results of adjudication by a central clinical events committee in the PARAGON-B trial. Second Platelet IIb/IIIa Antagonist for the Reduction of Acute Coronary Syndrome Events in a Global Organization NetwoKenneth W Mahaffey
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 143:242-8. 2002..We examined disagreement between investigator and clinical events committee (CEC) reporting of MIs in an international, randomized trial...
A comparison of the clinical impact of bleeding measured by two different classifications among patients with acute coronary syndromesSunil V Rao
Duke Clinical Research Institute, Durham, North Carolina 27715, USA
J Am Coll Cardiol 47:809-16. 2006..The goal of this study was to determine the association between Thrombolysis In Myocardial Infarction (TIMI) and Global Use of Strategies to Open Occluded Coronary Arteries (GUSTO) bleeding and clinical outcomes...
Unfractionated heparin dosing and risk of major bleeding in non-ST-segment elevation acute coronary syndromesChiara Melloni
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am Heart J 156:209-15. 2008..Unfractionated heparin (UFH) is a mainstay of treatment for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS), but the practice of weight-adjusted bolus and infusion dosing has not been carefully evaluated...
International differences in evolution of early discharge after acute myocardial infarctionPadma Kaul
University of Alberta, Edmonton, Alberta, Canada
Lancet 363:511-7. 2004..We aimed to identify the extent to which countries have taken advantage of the opportunity for early discharge...
Association of diabetes mellitus and glycemic control strategies with clinical outcomes after acute coronary syndromesDarren K McGuire
Donald W Reynolds Cardiovascular Clinical Research Center at the University of Texas Southwestern Medical Center, Dallas, Tex, USA
Am Heart J 147:246-52. 2004..The relative effect of glucose-lowering strategies of "insulin provision" versus "insulin sensitization" among patients with CAD remains unclear...
Association between admission white blood cell count and one-year mortality in patients with acute coronary syndromesMichael H Yen
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Am J Med 115:318-21. 2003
Persistence of delays in presentation and treatment for patients with acute myocardial infarction: The GUSTO-I and GUSTO-III experienceW Brian Gibler
Department of Emergency Medicine, University of Cincinnati, Cincinnati OH, USA
Ann Emerg Med 39:123-30. 2002....
Prognostic significance of elevated troponin I after percutaneous coronary interventionWarren J Cantor
Division of Cardiology, St Michael s Hospital, 30 Bond Street, Toronto, Ontario, Canada M5B 1W8
J Am Coll Cardiol 39:1738-44. 2002..We sought to assess the incidence and clinical significance of elevated cardiac troponin I (cTnI) after percutaneous coronary intervention (PCI)...
Role of target vessel size and body surface area on outcomes after percutaneous coronary interventions in womenWarren J Cantor
St Michael s Hospital, Toronto, Ontario, Canada
Am Heart J 144:297-302. 2002..Differences in target vessel size may partially account for these differences. We set out to explore the effects of sex, body surface area (BSA), and target coronary vessel size on clinical outcomes after angioplasty...
Troponin T levels in patients with acute coronary syndromes, with or without renal dysfunctionRonnier J Aviles
Department of Cardiology, The Cleveland Clinic Foundation, Cleveland, OH 44951, USA
N Engl J Med 346:2047-52. 2002..However, there is concern that renal dysfunction may impair the prognostic value, because cardiac troponin T may be cleared by the kidney...
Cardiovascular disease outcomes during 6.8 years of hormone therapy: Heart and Estrogen/progestin Replacement Study follow-up (HERS II)Deborah Grady
Department of Epidemiology and Biostatistics, University of California, San Francisco, 74 New Montgomery St, Suite 600, San Francisco, CA 94105, USA
JAMA 288:49-57. 2002..However, in the hormone group, findings did suggest a higher risk of CHD events during the first year, and a decreased risk during years 3 to 5...
Management of cocaine-associated chest pain and myocardial infarction: a scientific statement from the American Heart Association Acute Cardiac Care Committee of the Council on Clinical CardiologyJames McCord
Henry Ford Hospital
Circulation 117:1897-907. 2008
The clinician as investigator: participating in clinical trials in the practice setting: Appendix 2: statistical concepts in study design and analysisEllis W Lader
Circulation 109:e305-7. 2004
Predicting a late positive serum troponin in initially troponin-negative patients with non-ST-elevation acute coronary syndrome: clinical predictors and validated risk score results from the TIMI IIIB and GUSTO IIA studiesJames L Januzzi
Cardiology Division, Massachusetts General Hospital, Boston, MA 02114, USA
Am Heart J 151:360-6. 2006..Troponin testing is useful for evaluating patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS); however, a significant percentage of patients are troponin negative at presentation and develop late rise of the marker...
National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: clinical characteristics and utilization of biochemical markers in acute coronary syndromesDavid A Morrow
Clin Chem 53:552-74. 2007
National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines: Clinical characteristics and utilization of biochemical markers in acute coronary syndromesDavid A Morrow
Brigham and Women's Hospital, Harvard University, Boston, MA, USA
Circulation 115:e356-75. 2007
National Academy of Clinical Biochemistry and IFCC Committee for Standardization of Markers of Cardiac Damage Laboratory Medicine Practice Guidelines: Analytical issues for biochemical markers of acute coronary syndromesFred S Apple
Hennepin County Medical Center, Minneapolis, MN, USA
Circulation 115:e352-5. 2007
Does ranolazine have a place in the treatment of acute coronary syndromes?L Kristin Newby
JAMA 297:1823-5. 2007
ACCF/AHA/SCAI 2007 update of the Clinical Competence Statement on Cardiac Interventional Procedures: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Spencer B King
Circulation 116:98-124. 2007
Practical implementation of the Guidelines for Unstable Angina/Non-ST-Segment Elevation Myocardial Infarction in the emergency departmentW Brian Gibler
University of Cincinnati College of Medicine, USA
Ann Emerg Med 46:185-97. 2005..Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy...
Use of evidence-based medicine for acute coronary syndromes in the elderly and very elderly: insights from the Sibrafiban vs aspirin to Yield Maximum Protection from ischemic Heart events postacute cOroNary sYndromes trialsCheuk Kit Wong
Cardiology, Dunedin School of Medicine, Otago University, Dunedin, New Zealand
Am Heart J 154:313-21. 2007..Evidence-based medications (EBM) are underused in older patients despite potentially larger absolute benefits. Little is known about factors influencing prescribing in the elderly with acute coronary syndromes...
Renal function, concomitant medication use and outcomes following acute coronary syndromesDonal N Reddan
University College Galway, Ireland
Nephrol Dial Transplant 20:2105-12. 2005..We also explored the associations of CKD with prescription patterns for common cardiovascular medications and the association of these prescription patterns with clinical outcomes...
The early glycoprotein IIb/IIIa inhibition in non-ST-segment elevation acute coronary syndrome (EARLY ACS) trial: a randomized placebo-controlled trial evaluating the clinical benefits of early front-loaded eptifibatide in the treatment of patients with nRobert P Giugliano
TIMI Study Group, Boston, MA 02115, USA
Am Heart J 149:994-1002. 2005..However, the guidelines are not explicit regarding the timing of initiation of GpIIb-IIIa antagonists, and there is marked variation in clinical practice regarding their use...
Gender disparities in the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: large-scale observations from the CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early ImplementatioAndra L Blomkalns
Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, Ohio 45267 0769, USA
J Am Coll Cardiol 45:832-7. 2005..We hypothesized that significant disparities in gender exist in the management of patients with non-ST-segment elevation (NSTE) acute coronary syndromes (ACS)...
Lessons learned from a clinical trialPaul W Armstrong
University of Alberta, Edmonton, Alberta, Canada
Circulation 110:3610-4. 2004
Association of race with complications and prognosis following acute coronary syndromesCraig R Asher
Department of Cardiology, The Cleveland Clinic Foundation, Weston, Florida, USA
Am J Cardiol 94:792-4. 2004..The 1-year mortality rate was 2.9% for black patients and 2.5% for non-black patients (p = 0.93)...
National Academy of Clinical Biochemistry Laboratory Medicine practice guidelines: Clinical utilization of cardiac biomarker testing in heart failureW H Wilson Tang
Circulation 116:e99-109. 2007
Research Grants
- MECHANISMS OF HORMONE THERAPY IN POSTMENOPAUSAL WOMENL Newby; Fiscal Year: 2003....
