Research Topics
| R S BlumenthalSummaryAffiliation: Johns Hopkins University Country: USA Publications
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Publications
Coronary arterial calcification in rheumatoid arthritis: comparison with the Multi-Ethnic Study of AtherosclerosisJon T Giles
Department of Medicine, The Johns Hopkins University, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Arthritis Res Ther 11:R36. 2009..Although cardiovascular morbidity and mortality are increased in rheumatoid arthritis, little is known about the burden of subclinical coronary atherosclerosis in these patients...
Detecting occult coronary disease in a high-risk asymptomatic populationRoger S Blumenthal
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Circulation 107:702-7. 2003..In asymptomatic individuals with a family history of premature CAD, it is unclear whether abnormalities on these functional exercise tests represent significant coronary disease...
Non-high-density lipoprotein cholesterol level as a predictor of cardiovascular disease mortalityY Cui
Director, Ciccarone Heart Center, The Johns Hopkins University, 600 W Wolfe St, Carnegie 538, Baltimore, MD 21287, USA
Arch Intern Med 161:1413-9. 2001..Therefore, non-HDL-C level may be as good a potential predictor of risk for cardiovascular disease (CVD) as low-density lipoprotein cholesterol (LDL-C)...
Cardiovascular effects of raloxifene: the arterial and venous systemsRoger S Blumenthal
The John Hopkins Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Baltimore, MD 21287, USA
Am Heart J 147:783-9. 2004..Cardiovascular disease caused by atherosclerosis is the largest single killer of women. Prior observational data had suggested that hormone therapy may have cardioprotective effects...
Medical therapy versus coronary angioplasty in stable coronary artery disease: a critical review of the literatureR S Blumenthal
Division of Cardiology, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA
J Am Coll Cardiol 36:668-73. 2000..Percutaneous revascularization without comprehensive risk factor modification is a suboptimal therapeutic strategy...
Statins: effective antiatherosclerotic therapyR S Blumenthal
Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Am Heart J 139:577-83. 2000..Several large, controlled clinical trials have confirmed significant reductions in rates of coronary heart disease morbidity and death with long-term statin therapy in patients with mild to severe hypercholesterolemia...
Diabetes and progression of coronary calcium under the influence of statin therapyMatthew J Budoff
Division of Cardiology, Harbor UCLA Medical Center Research and Education Institute, Torrance, Calif 90502, USA
Am Heart J 149:695-700. 2005..We sought to evaluate the progression of atherosclerosis in asymptomatic persons with type 2 diabetes and measure the influence of statin therapy on CAC progression...
Hypertension among siblings of persons with premature coronary heart diseaseL R Yanek
Center for Health Promotion, The Johns Hopkins Medical Institutions, Baltimore, MD 21205, USA
Hypertension 32:123-8. 1998..These findings demonstrate the intersection of multiple risk factors among hypertensive siblings and emphasize the need for more aggressive screening and treatment in this easily identifiable high-risk population...
Nurse-mediated cholesterol management compared with enhanced primary care in siblings of individuals with premature coronary diseaseD M Becker
Center for Health Promotion, Johns Hopkins University, Baltimore, MD 21205, USA
Arch Intern Med 158:1533-9. 1998..Siblings of individuals with premature coronary heart disease have a high prevalence of low-density lipoprotein cholesterol (LDL-C) levels requiring treatment...
The JUPITER and AURORA clinical trials for rosuvastatin in special primary prevention populations: perspectives, outcomes, and consequencesVenkata Narla
The Ciccarone Preventive Cardiology Center, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Vasc Health Risk Manag 5:1033-42. 2009..This review outlines the JUPITER and AURORA trials, interprets the data and significance of the results, analyses the drawbacks and impact of both trials and delineates the potential for further clinical trials...
Ethnic differences of the presence and severity of coronary atherosclerosisMatthew J Budoff
Division of Cardiology, Los Angeles Biomedical Research Institute at Harbor UCLA, 1124 W Carson Street, Bldg RB 2, Torrance, CA, USA
Atherosclerosis 187:343-50. 2006..The objective of the study is to assess the differences in the prevalence and severity of coronary artery calcification, as a measure of atherosclerosis, in these different ethnic groups...
Gender differences in coronary plaque composition by coronary computed tomography angiographyMichael J Blaha
Johns Hopkins Ciccarone Preventive Cardiology Center, Baltimore, Maryland, USA
Coron Artery Dis 20:506-12. 2009..Although males are thought to have a higher prevalence of atherosclerosis for a given age, there are currently few data regarding age-adjusted sex differences in plaque morphology and composition...
Underlying risk factors incrementally add to the standard risk estimate in detecting subclinical atherosclerosis in low- and intermediate-risk middle-aged asymptomatic individualsMilind Y Desai
Ciccarone Preventive Cardiology Center, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Am Heart J 148:871-7. 2004..Adding family history, obesity, and physical inactivity to traditional risk assessment improves prediction of advanced CAC, which may lead these individuals to be treated more aggressively at an earlier age...
Association between coronary artery calcification progression and microalbuminuria: the MESA studyAndrew P DeFilippis
Division of Cardiology, The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, USA
JACC Cardiovasc Imaging 3:595-604. 2010..This study sought to evaluate the relationship between microalbuminuria (MA) and the development and progression of atherosclerosis, as assessed by incident and progression of coronary artery calcification (CAC)...
Relation of family history of premature coronary heart disease and metabolic risk factors to risk of coronary arterial calcium in asymptomatic subjectsErin D Michos
Ciccarone Preventative Cardiology Center, Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 95:655-7. 2005..Our study demonstrated that a familial propensity to subclinical atherosclerosis interacts with the presence of >/=2 metabolic RFs, magnifying the risks for those exposed to both...
The metabolic syndrome adds incremental value to the Framingham risk score in identifying asymptomatic individuals with higher degrees of inflammationCatherine Y Campbell
The Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
J Cardiometab Syndr 3:7-11. 2008..66; 95% CI, 1.39-5.07). The study findings suggest that MS adds value to the FRS in identifying those with higher degrees of inflammation, especially among those classified as low-risk by the FRS...
The association of subclinical coronary atherosclerosis with abdominal and total obesity in asymptomatic menKhurram Nasir
The Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Prev Cardiol 8:143-8. 2005..Our results are consistent with evidence that measures of central obesity, compared with body mass index, are more strongly related to clinical as well as subclinical coronary heart disease end points...
Relation of degree of physical activity to coronary artery calcium score in asymptomatic individuals with multiple metabolic risk factorsMilind Y Desai
Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, 600 N. Wolfe Street, Baltimore, MD 21287, USA
Am J Cardiol 94:729-32. 2004..Thus, asymptomatic patients who have > or =2 metabolic risk factors and who regularly engage in long-duration PA have a lower prevalence of CAC than do those who are sedentary or participate in moderate-duration PA...
Coronary artery calcium volume scores on electron beam tomography in 12,936 asymptomatic adultsKhurram Nasir
Ciccarone Preventive Cardiology Center, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
Am J Cardiol 93:1146-9. 2004..The 2 scores increased as the number of atherosclerotic risk factors increased. The volume scores were statistically smaller than the Agatston scores at the upper quartile level...
Association of body mass index, metabolic syndrome, and leukocyte countMilind Y Desai
Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 97:835-8. 2006..29, p = 0.42) and groups 3 and 4 (coefficient 0.25, p = 0.41). The association between obesity and leukocyte count was highly dependent on the presence of MS...
Coronary artery calcification and family history of premature coronary heart disease: sibling history is more strongly associated than parental historyKhurram Nasir
The Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Circulation 110:2150-6. 2004..Furthermore, within the limits of self-reporting of family history, our findings suggest that a sibling history is more strongly associated with subclinical coronary atherosclerosis than a parental history of premature CHD...
Visualizing coronary calcium is associated with improvements in adherence to statin therapyNove K Kalia
Division of Cardiology, Harbor-UCLA Medical Center, Research and Education Institute, Torrance, CA, USA
Atherosclerosis 185:394-9. 2006..Outcome studies and randomized trials need to be done to quantify the true value and cost-effectiveness of this approach...
Reducing global risk for cardiovascular disease: using lifestyle changes and pharmacotherapyAlan Cheng
The Ciccarone Center for Prevention of Heart Disease, The Johns Hopkins Hospital, Baltimore, Maryland, USA
Clin Cardiol 25:205-12. 2002..This review offers an evidence-based strategy toward reducing an individual's global risk for CVD by addressing the modifiable, major independent risk factors...
Combined effect of high low-density lipoprotein cholesterol and metabolic syndrome on subclinical coronary atherosclerosis in white men without clinical evidence of myocardial ischemiaCatherine Y Campbell
The Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 100:840-3. 2007..In conclusion, these results suggest that the risk of CAC in asymptomatic men with moderate or high LDL cholesterol is magnified in persons with MS...
ABCs of cardiovascular disease risk managementJ B Braunstein
Ciccarone Center for Prevention of Heart Disease, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Carnegie 538, Baltimore, MD 21205, USA
Cardiol Rev 9:96-105. 2001....
Plasma homocysteine predicts progression of atherosclerosisM Leila Rasouli
Division of Cardiology, Harbor-UCLA Medical Center Research and Education Institute, Torrance, CA 90502, USA
Atherosclerosis 181:159-65. 2005..CONCLUSION: Presence of elevated HCY (>12 micromol/L) strongly and independently predicts progression of coronary plaque burden...
Cardiovascular events with absent or minimal coronary calcification: the Multi-Ethnic Study of Atherosclerosis (MESA)Matthew J Budoff
Division of Cardiology, Los Angeles Biomedical Research Center, Torrance, CA 90502, USA
Am Heart J 158:554-61. 2009..In this study, we sought to evaluate the characteristics associated with incident CHD events in the setting of minimal (score <or=10) or absent CAC (score of zero)...
Relationship of carotid distensibility and thoracic aorta calcification: multi-ethnic study of atherosclerosisMichael J Blaha
Johns Hopkins Ciccarone Preventive Cardiology Center, Baltimore, MD, USA
Hypertension 54:1408-15. 2009..The prognostic significance of these findings requires longitudinal follow-up of the Multi-Ethnic Study of Atherosclerosis cohort...
Coronary calcium predicts events better with absolute calcium scores than age-sex-race/ethnicity percentiles: MESA (Multi-Ethnic Study of Atherosclerosis)Matthew J Budoff
Division of Cardiology, Los Angeles Biomedical Research Institute at Harbor UCLA, Torrance, CA 90502, USA
J Am Coll Cardiol 53:345-52. 2009..In this study, we aimed to establish whether age-sex-specific percentiles of coronary artery calcium (CAC) predict cardiovascular outcomes better than the actual (absolute) CAC score...
Comparison of coronary calcium and stress myocardial perfusion imaging in apparently healthy siblings of individuals with premature coronary artery diseaseRoger S Blumenthal
The Department of Medicine, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 97:328-33. 2006..These screening tests may reflect different aspects or stages of coronary disease in an asymptomatic middle-age population...
Association of traditional cardiovascular risk factors with coronary plaque sub-types assessed by 64-slice computed tomography angiography in a large cohort of asymptomatic subjectsJuan J Rivera
Johns Hopkins Ciccarone Preventive Cardiology Center, Baltimore, MD, USA
Atherosclerosis 206:451-7. 2009..In this study, we investigate the relationship between traditional CV risk factors and the presence and extent of coronary plaque sub-types in a large group of asymptomatic individuals...
Increased prevalence of carotid artery atherosclerosis in rheumatoid arthritis is artery-specificHitomi Kobayashi
Divisions of Rheumatology, Cardiology, and Immunogenetics, Department of Medicine, and Bloomberg School of Public Health, Johns Hopkins Medical Institutions, Baltimore, Maryland 21224, USA
J Rheumatol 37:730-9. 2010..We compared carotid intima-media thickness (IMT) of both the common carotid (CCA) and proximal internal carotid (bulb-ICA) arteries, and plaque prevalence, between RA and non-RA participants...
Association of combinations of lipid parameters with carotid intima-media thickness and coronary artery calcium in the MESA (Multi-Ethnic Study of Atherosclerosis)Pathmaja Paramsothy
Division of Cardiology, Department of Internal Medicine, University of Washington, Seattle, Washington 98104, USA
J Am Coll Cardiol 56:1034-41. 2010..The purpose of this study was to determine the association of combinations of lipid parameters with subclinical atherosclerosis...
Coronary artery calcification and inflammation according to various metabolic syndrome definitionsVenkata Narla
Johns Hopkins University Ciccarone Preventive Cardiology Center, Baltimore, MD, USA
J Cardiometab Syndr 4:33-9. 2009..69 (95% CI, 1.04-2.73), 1.84 (95% CI, 1.14-2.95), and 1.66 (95% CI, 1.05-2.62), respectively. MS is associated with increased subclinical atherosclerosis and inflammation irrespective of various definitions...
Framingham risk equation underestimates subclinical atherosclerosis risk in asymptomatic womenErin D Michos
Ciccarone Preventive Cardiology Center, Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Atherosclerosis 184:201-6. 2006..Determination of CAC may provide incremental value to FRE in identifying asymptomatic women who will benefit from targeted preventative measures...
Utility of stress testing and coronary calcification measurement for detection of coronary artery disease in womenKhurram Nasir
Divisions of Cardiology, Johns Hopkins Hospital, Baltimore, Md. 21287, USA
Arch Intern Med 164:1610-20. 2004..For high-risk symptomatic women, a more aggressive approach involving coronary angiography appears to be the preferred initial diagnostic strategy...
The metabolic syndrome: what to treat, how to treat, what are the goals?Parin Parikh
Johns Hopkins Ciccarone Preventive Cardiology Center, Division of Cardiology, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Am Heart Hosp J 2:191-7. 2004..Based on the current evidence, further emphasis should be placed on aggressive management of other metabolic risk factors such as high blood pressure and dyslipidemia...
A practical and evidence-based approach to cardiovascular disease risk reductionTy J Gluckman
Ciccarone Preventive Cardiology Center, Cardiology Division, Department of Medicine, The Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
Arch Intern Med 164:1490-500. 2004..We believe that if health care providers and patients use such a format, important lifestyle and pharmacologic options will more likely be addressed...
Adjunctive lipid lowering therapy in the era of surrogate endpointsMichael G Silverman
Division of Cardiology, Department of Medicine, The Johns Hopkins Ciccarone Preventive Cardiology Center, Johns Hopkins University, Baltimore, MD 21287, USA
Cardiol Rev 19:17-22. 2011..Three ongoing clinical outcomes trials evaluating niacin and ezetimibe in combination with statin will provide more definitive word regarding the safety and efficacy of these agents as adjunctive therapy...
Antibodies to oxidized low-density lipoprotein in patients following coronary artery revascularizationEdgar R Miller
Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205 2233, USA
Coron Artery Dis 14:163-9. 2003..While this hypothesis is appealing, evidence that AB-oxLDL is a risk factor independent of LDL-c levels remains to be established...
Prevalence of low low-density lipoprotein cholesterol with elevated high sensitivity C-reactive protein in the U.S.: implications of the JUPITER (Justification for the Use of Statins in Primary Prevention: An Intervention Trial Evaluating Rosuvastatin) stErin D Michos
Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA
J Am Coll Cardiol 53:931-5. 2009..S. population...
Hypertension care and control in underserved urban African American men: behavioral and physiologic outcomes at 36 monthsMartha N Hill
Johns Hopkins University School of Nursing, Baltimore, Maryland 21205 2110, USA
Am J Hypertens 16:906-13. 2003..African American men with hypertension in low socioeconomic urban populations achieve poor rates of hypertension control and suffer early from its complications...
Detection of occult coronary artery disease in asymptomatic individuals with diabetes mellitus using non-invasive cardiac angiographyJuan J Rivera
Johns Hopkins Ciccarone Preventive Cardiology Center, Baltimore, MD, USA
Atherosclerosis 203:442-8. 2009....
The use of high-sensitivity assays for C-reactive protein in clinical practiceKiran Musunuru
Johns Hopkins Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
Nat Clin Pract Cardiovasc Med 5:621-35. 2008..Data suggests that these high-sensitivity assays should be used in combination with measurements of LDL-cholesterol levels to assist risk stratification of selected patients for prevention of CVD...
Effect of patient visualization of coronary calcium by electron beam computed tomography on changes in beneficial lifestyle behaviorsRaza H Orakzai
Division of Cardiology, Cedars Sinai Medical Center, Los Angeles, CA, USA
Am J Cardiol 101:999-1002. 2008..In conclusion, in addition to risk stratification of asymptomatic individuals, determination of CAC may also improve utilization of ASA therapy and behavioral modification...
A synergistic relationship of elevated low-density lipoprotein cholesterol levels and systolic blood pressure with coronary artery calcificationKiran Musunuru
The Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Atherosclerosis 200:368-73. 2008..038). The finding of an interaction between SBP and LDL-C relation to CAC in asymptomatic men support the response-to-injury model of atherogenesis...
Relationship of thoracic aortic calcium to coronary calcium and its progression (from the Multi-Ethnic Study of Atherosclerosis [MESA])Juan J Rivera
Division of Cardiology, Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins Hospital, Baltimore, Maryland, USA
Am J Cardiol 103:1562-7. 2009..25 to 30.18). In conclusion, TAC is associated with the incidence and progression of CAC. The detection of TAC may improve risk stratification efforts. Future clinical outcomes studies are needed to support such an approach...
Favorable cardiovascular risk factor profile is associated with reduced prevalence of coronary artery calcification and inflammation in asymptomatic nondiabetic white menErin D Michos
Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
Prev Cardiol 11:189-94. 2008..70; P<.001). Our study supports the notion that a favorable CVD profile is associated with less underlying atherosclerosis and inflammation and further highlights the importance of primary prevention of CVRFs...
High prevalence of target organ damage in young, African American inner-city men with hypertensionWendy S Post
Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
J Clin Hypertens (Greenwich) 5:24-30. 2003....
Abdominal adiposity in rheumatoid arthritis: association with cardiometabolic risk factors and disease characteristicsJon T Giles
Johns Hopkins University, Baltimore, Maryland 21224, USA
Arthritis Rheum 62:3173-82. 2010..This study was undertaken to investigate how abdominal fat is distributed in rheumatoid arthritis (RA), and its RA-related determinants...
Use of nonsteroidal anti-inflammatory drugs in patients with cardiovascular disease: a cautionary taleMuhammad Amer
Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, School of Medicine, Baltimore, MD 21287, USA
Cardiol Rev 18:204-12. 2010..Until more evidence for safety via randomized trials is available, we recommend caution in prescribing COX-1 and 2 inhibitors for musculoskeletal disorders in patients with existing gastrointestinal or cardiovascular conditions...
Variation in atherosclerotic plaque composition according to increasing coronary artery calcium scores on computed tomography angiographyKhurram Nasir
Johns Hopkins Ciccarone Preventive Cardiology Center, Baltimore, Maryland, USA
Int J Cardiovasc Imaging 26:923-32. 2010..A higher CACS is more likely to be associated with heterogeneous coronary plaque (combination of calcified, non-calcified, and mixed plaques), and appears to be more strongly associated with a higher burden of mixed plaque...
Coronary artery calcium in relation to initiation and continuation of cardiovascular preventive medications: The Multi-Ethnic Study of Atherosclerosis (MESA)Khurram Nasir
Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Circ Cardiovasc Qual Outcomes 3:228-35. 2010....
Relationship of aortic valve calcification with coronary artery calcium severity: the Multi-Ethnic Study of Atherosclerosis (MESA)Khurram Nasir
Division of Cardiology, Blalock 524 C, Johns Hopkins University, 600N Wolfe Street, Baltimore, MD 21287, USA
J Cardiovasc Comput Tomogr 4:41-6. 2010..Aortic valve calcification (AVC) and atherosclerosis share causative and pathologic features...
Noninvasive assessment of gender differences in coronary plaque composition with multidetector computed tomographic angiographyKhurram Nasir
Ciccarone Preventive Cardiology Center, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 105:453-8. 2010..Future studies are needed to elucidate whether these underlying differences in plaque composition might explain the reduced risk of cardiac events in women...
Left ventricular structure and function in patients with rheumatoid arthritis, as assessed by cardiac magnetic resonance imagingJon T Giles
Johns Hopkins University, Baltimore, Maryland 21224, USA
Arthritis Rheum 62:940-51. 2010..This study was undertaken to assess the factors associated with progression to heart failure in patients with RA...
A practical "ABCDE" approach to the metabolic syndromeMichael J Blaha
Johns Hopkins Ciccarone Center for the Prevention of Heart Disease, Blalock 524C, Division of Cardiology, 600 N Wolfe St, Baltimore, MD 21287, USA
Mayo Clin Proc 83:932-41. 2008..This ABCDE approach provides a practical and systematic framework for encouraging metabolic syndrome recognition and for implementing a comprehensive, evidence-based management plan for the reduction of cardiovascular risk...
Prevalence of significant noncardiac findings on electron-beam computed tomography coronary artery calcium screening examinationsKaren M Horton
Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA
Circulation 106:532-4. 2002..The purpose of this study was to determine the prevalence of significant noncardiac findings in a series of patients undergoing coronary artery calcification screening studies with EBCT scanning...
A look at hypertension in young African-American menPamela S Hall
Johns Hopkins School of Nursing, Baltimore, MD, USA
Nurse Pract 28:59-60. 2003
Nurse case management of hypercholesterolemia in patients with coronary heart disease: results of a randomized clinical trialJerilyn K Allen
School of Nursing, Johns Hopkins University, Baltimore, MD 21205 2110, USA
Am Heart J 144:678-86. 2002..This study tested the effectiveness of a nurse case management program to lower blood lipids in patients with CHD...
C-reactive protein in cardiovascular risk assessment: a review of the evidenceJacob Abraham
Ciccarone Preventive Cardiology Center, The Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
J Cardiometab Syndr 2:119-23. 2007..In the primary prevention setting, CRP can be used to reclassify patients in low or intermediate Framingham risk score groups to a higher risk category, thus making them eligible for more intensive pharmacologic interventions...
Low-density lipoprotein cholesterol in high-risk asymptomatic individualsJuan J Rivera
Department of Cardiology, The Johns Hopkins University, Baltimore, MD, USA
J Cardiometab Syndr 2:49-52. 2007..Recent studies conducted exclusively on individuals with known diabetes have provided an important insight on how to appropriately manage diabetic dyslipidemia...
Impact of a community-based multiple risk factor intervention on cardiovascular risk in black families with a history of premature coronary diseaseDiane M Becker
Division of General Internal Medicine, Johns Hopkins Medical Institutions, 1830 E Monument St, Room 8028, Baltimore, MD 21287, USA
Circulation 111:1298-304. 2005..We tested a community-based multiple risk factor intervention (community-based care [CBC]) and compared it with "enhanced" primary care (EPC) to reduce CHD risk in high-risk black families...
Clinical practice. Low HDL cholesterol levelsM Dominique Ashen
Johns Hopkins Hospital, Baltimore, MD 21287, USA
N Engl J Med 353:1252-60. 2005
Women with a low Framingham risk score and a family history of premature coronary heart disease have a high prevalence of subclinical coronary atherosclerosisErin D Michos
Division of Cardiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA
Am Heart J 150:1276-81. 2005....
A simplified approach to the management of non-ST-segment elevation acute coronary syndromesTy J Gluckman
Division of Cardiology, The Johns Hopkins Hospital, Baltimore, MD, USA
JAMA 293:349-57. 2005..CONCLUSION: An "ABCDE" approach for the management of NSTE-ACS provides a practical and systematic means to implement evidence-based medicine into clinical practice...
Therapy Insight: managing cardiovascular risk in patients with rheumatoid arthritisJon T Giles
Division of Rheumatology, Johns Hopkins University, Baltimore, MD 21224, USA
Nat Clin Pract Rheumatol 2:320-9. 2006....
Electron beam tomography in women. Is it a valuable test?Khurram Nasir
The Ciccarone Preventive Cardiology Center, Johns Hopkins Medical Institutions, Baltimore, Maryland 21287, USA
Cardiol Rev 13:174-83. 2005..Finally, EBT has the potential to determine the consequences of therapeutic interventions regarding progression, stabilization, or regression of coronary atherosclerotic disease...
Spot urinary albumin-creatinine ratio predicts left ventricular hypertrophy in young hypertensive African-American menW S Post
Division of Cardiology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Hypertens 13:1168-72. 2000....
Lipid disorders: justification of methods and goals of treatmentJ B Braunstein
Ciccarone Center for the Prevention of Heart Disease, Division of Cardiology, Department of Internal Medicine, The Johns Hopkins Hospital, Baltimore, MD 21287, USA
Chest 120:979-88. 2001..This review considers the challenges and available strategies to optimize lipid management in patients at risk for CHD...
Racial differences in low-density lipoprotein particle size in families at high risk for premature coronary heart diseaseB G Kral
Center for Health Promotion, The Johns Hopkins Medical Institutions, Baltimore, Maryland 21205, USA
Ethn Dis 11:325-37. 2001....
Increased level of cardiorespiratory fitness blunts the inflammatory response in metabolic syndromeJamal S Rana
Department of Medicine, University of Pittsburgh, PA 15213, USA
Int J Cardiol 110:224-30. 2006..The presence of metabolic syndrome is associated with a higher degree of inflammation. We sought to assess whether the higher levels of cardiorespiratory fitness attenuate the levels of inflammation in people with metabolic syndrome...
Opportunity for intervention to achieve American Heart Association guidelines for optimal lipid levels in high-risk women in a managed care settingLori Mosca
Columbia University, New York, NY, USA
Circulation 111:488-93. 2005..This study evaluated optimal lipid-level attainment and treatment patterns on the basis of these guidelines in high-risk women in a managed care setting...
Statin therapy, cardiovascular events, and total mortality in the Heart and Estrogen/Progestin Replacement Study (HERS)David M Herrington
Department of Internal Medicine Cardiology, Wake Forest University School of Medicine, Winston Salem, NC 27157, USA
Circulation 105:2962-7. 2002..Although effects of statins on cardiovascular outcomes are well established in men, fewer data exist for women. Furthermore, the effects of statins plus hormone replacement therapy (HRT) on cardiovascular outcomes are uncertain...
Difference in atherosclerosis burden in different nations and continents assessed by coronary artery calciumRaul D Santos
Lipid Clinic Heart Institute (InCor, University of Sao Paulo Medical School Hospital, Sao Paulo, Brazil
Atherosclerosis 187:378-84. 2006..In this study, significant differences in CACS were detected among three nations in different continents. The CACS differences paralleled the respective cardiovascular mortality rates...
Ethnic differences between extra-coronary measures on cardiac computed tomography: multi-ethnic study of atherosclerosis (MESA)Khurram Nasir
Cardiac MR PET CT Program, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
Atherosclerosis 198:104-14. 2008..The aim of the study is to determine the relative prevalence and quantity of extra-coronary calcifications across ethnic groups in a multi-ethnic population based cohort of asymptomatic individuals...
Enhanced risk assessment in asymptomatic individuals with exercise testing and Framingham risk scoresSamia Mora
Center for Cardiovascular Disease Prevention, Division of Preventive Medicine, Department of Medicine, Brigham and Women s Hospital, Harvard Medical Schoo, Boston, MA, USA
Circulation 112:1566-72. 2005..We hypothesized that risk prediction could be improved with 2 non-ECG exercise test measures, exercise capacity (metabolic equivalents, or METs) and heart rate recovery (HRR)...
Toward an improved diagnosis of the metabolic syndrome other clues to the presence of insulin resistanceGregory S Cohn
Boca Raton Community Hospital, Boca Raton, FL 33486, USA
Am J Hypertens 18:1099-103. 2005..By recognizing these "other conditions," appropriate lifestyle changes and medication can be recommended to help prevent cardiovascular disease and diabetes from developing in these high-risk patients...
Ethnic differences in the prognostic value of coronary artery calcification for all-cause mortalityKhurram Nasir
Cardiac MRI PET CT Program, Massachusetts General Hospital Boston, Harvard School of Medicine, Boston, Massachusetts, USA
J Am Coll Cardiol 50:953-60. 2007....
Non-high-density lipoprotein cholesterol: why lower is betterRahul Garg
Johns Hopkins Ciccarone Preventive Cardiology Center, Division of Cardiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA
Prev Cardiol 8:173-7. 2005..Current evidence indicates that statins not only rapidly and dramatically reduce LDL-C, but also have a similar effect on non-HDL-C, and that the greater the reduction in LDL-C, the greater will be the reduction in non-HDL-C...
Predictors of low-density lipoprotein particle size in a high-risk African-American populationJeana L Benton
Division of Cardiology, Medical School, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Am J Cardiol 95:1320-3. 2005..77. Our data suggest that the standard lipid profile, primarily fasting triglyceride measurement, appears to be a useful surrogate for direct measurement of particle size in a high-risk African-American population...
Comprehensive coronary risk determination in primary prevention: an imaging and clinical based definition combining computed tomographic coronary artery calcium score and national cholesterol education program risk scoreKhurram Nasir
Department of Medicine, University of Pittsburgh, PA, USA
Int J Cardiol 110:129-36. 2006..The utilization of CAC scores allows the inclusion of sub-clinical disease definition into the context of modifiable risk factors as well as identifies high-risk individuals requiring aggressive treatment...
Residual risk in statin-treated patients: future therapeutic optionsCatherine Y Campbell
Johns Hopkins Ciccarone Preventive Cardiology Center, Blalock 524C, 600 North Wolfe Street, Baltimore, MD 21287, USA
Curr Cardiol Rep 9:499-505. 2007..For cholesterol management, combination therapy may be required to attain optimal levels of LDL-C, HDL-C, and non-HDL-C...
The impact of obesity on cardiovascular disease risk factors and subclinical vascular disease: the Multi-Ethnic Study of AtherosclerosisGregory L Burke
Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
Arch Intern Med 168:928-35. 2008..To assess the importance of the obesity epidemic on cardiovascular disease (CVD) risk, we determined the prevalence of obesity and the relationship of obesity to CVD risk factors and subclinical vascular disease...
High prevalence of cardiometabolic risk factors in women considered low risk by traditional risk assessmentIrene S Pollin
Sister to Sister, Everyone Has a Heart Foundation, Bethesda, Maryland, USA
J Womens Health (Larchmt) 17:947-53. 2008....
Placing COURAGE in context: review of the recent literature on managing stable coronary artery diseaseMegan Coylewright
Department of Medicine, Johns Hopkins University, Baltimore, MD, USA
Mayo Clin Proc 83:799-805. 2008..It is essential that systems are set in place to make the medical management of patients with CAD second nature; this focus could be one of the most powerful results of the COURAGE trial...
Coronary computed tomography angiography as a screening tool for the detection of occult coronary artery disease in asymptomatic individualsEue Keun Choi
Division of Cardiology, Cardiovascular Center, Seoul National University Bundang Hospital, Seongnam si, Gyeonggi Do, South Korea
J Am Coll Cardiol 52:357-65. 2008....
Value of multislice computed tomography coronary angiography in suspected coronary artery diseaseKhurram Nasir
J Am Coll Cardiol 49:2070-1; author reply 2071. 2007
Underserved urban african american men: hypertension trial outcomes and mortality during 5 yearsCheryl R Dennison
School of Nursing, Johns Hopkins University, Baltimore, Maryland 21205, USA
Am J Hypertens 20:164-71. 2007..African American men with hypertension (HTN) in low socioeconomic urban environments continue to achieve poor rates of HTN control...
Relation of uric acid levels to presence of coronary artery calcium detected by electron beam tomography in men free of symptomatic myocardial ischemia with versus without the metabolic syndromeRaul D Santos
Lipid Clinic, The Heart Institute InCor University of Sao Paulo Medical School Hospital Sao Paulo, Sao Paulo, Brazil
Am J Cardiol 99:42-5. 2007..11) or higher levels of CAC (p = 0.16). In conclusion, our study suggests that, among asymptomatic moderate-risk men, high UA levels were independently associated with CAC in subjects with the MS...
Treatment of hyperlipidemia in cardiac transplant recipientsKenneth C Bilchick
Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Am Heart J 148:200-10. 2004..A summary algorithm is proposed, including approaches to patients with statin-associated musculoskeletal symptoms and patients with inadequate results after initial statin therapy...
Implications of C-reactive protein or coronary artery calcium score as an adjunct to global risk assessment for primary prevention of CHDSusan G Lakoski
Department of Internal Medicine Cardiology, 12 Wake Forest University School of Medicine, Medical Center Blvd, Winston Salem, NC 27157, USA
Atherosclerosis 193:401-7. 2007..In the Multi-Ethnic Study of Atherosclerosis (MESA), we estimated the proportion of intermediate-risk participants whose risk status might change based on additional testing using CRP and/or CAC score...
Primary prevention for patients with intermediate Framingham risk scoresJason B Thompson
Curr Cardiol Rep 8:261-6. 2006..Coronary artery calcium scoring, C-reactive protein measurement, and heart rate recovery and exercise tolerance during exercise stress test may be useful tools for better risk stratification of intermediate-risk patients...
Relationship of subclinical coronary atherosclerosis and National Cholesterol Education Panel guidelines in asymptomatic Brazilian menKhurram Nasir
Ciccarone Preventive Cardiology Center, Blalock 524 C-Cardiology, Johns Hopkins Hospital, 600 N. Wolfe Street Baltimore, MD 21287, United States
Int J Cardiol 108:68-75. 2006..Assessment of CACS may provide incremental value to global risk assessment in high-risk Brazilian men...
Gender differences in coronary arteries and thoracic aorta calcificationKhurram Nasir
Arterioscler Thromb Vasc Biol 27:1220-2. 2007
Reproducibility of CT measurements of aortic valve calcification, mitral annulus calcification, and aortic wall calcification in the multi-ethnic study of atherosclerosisMatthew J Budoff
Harbor UCLA Research and Education Institute, Torrance, CA 90502, USA
Acad Radiol 13:166-72. 2006..We sought to establish the interscan, interobserver, and intraobserver reproducibility of these measures in all cardiac CT scans in the Multi-Ethnic Study of Atherosclerosis...
Hepatic steatosis is associated with a greater prevalence of coronary artery calcification in asymptomatic menRaul D Santos
Atherosclerosis 194:517-9. 2007
