Research Topics
| ROBERT JOEL GOLDBERGSummaryAffiliation: University of Massachusetts Medical School Country: USA Publications
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Publications
Comparison of Medication Practices in Patients With Heart Failure and Preserved Versus Those With Reduced Ejection Fraction (from the Cardiovascular Research Network [CVRN])Robert J Goldberg
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts Electronic address
Am J Cardiol 111:1324-9. 2013..In conclusion, the present results from a large, population-based sample suggest considerable variation in the previous and new use of different cardiac medication classes of drugs in patients with HF-PEF versus HF-REF...
Greater knowledge and appreciation of commonly-used research study designsRobert J Goldberg
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Med 126:169.e1-8. 2013..It is hoped that careful attention to the concerns we have raised will lead to the design and conduct of high-quality research projects and their write-up...
Community trends in the use and characteristics of persons with acute myocardial infarction who are transported by emergency medical servicesRobert J Goldberg
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Heart Lung 41:323-31. 2012....
Prehospital Delay in Patients With Acute Coronary Syndromes (from the Global Registry of Acute Coronary Events [GRACE])Robert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Cardiol 103:598-603. 2009..In conclusion, results of this large multinational registry provided insights into contemporary patterns of care-seeking behavior in patients with acute coronary disease...
Thirty-year trends (1975 to 2005) in the magnitude of, management of, and hospital death rates associated with cardiogenic shock in patients with acute myocardial infarction: a population-based perspectiveRobert J Goldberg
Department of Medicine, University of Massachusetts Medical School, Worcester, 01655, USA
Circulation 119:1211-9. 2009....
Therapies for acute heart failure in patients with reduced kidney function: a community-based perspectiveRobert J Goldberg
Department of Community Health, Brown University, Providence, RI, USA
Am J Kidney Dis 51:594-602. 2008..Limited data exist describing the management of patients with decreased kidney function at the time of hospital presentation for acute heart failure (HF)...
Epidemiology of decompensated heart failure in a single community in the northeastern United StatesRobert J Goldberg
Department of Medicine, University of Massachusetts, Medical School, Worcester, Massachusetts, USA
Am J Cardiol 104:377-82. 2009....
Delays in seeking medical care in hospitalized patients with decompensated heart failureRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am J Med 121:212-8. 2008....
Long-term trends (1986-2003) in the use of coronary reperfusion strategies in patients hospitalized with acute myocardial infarction in central MassachusettsRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Int J Cardiol 131:83-9. 2008..Limited contemporary data are available about changing trends in the use of coronary reperfusion strategies, particularly from a population-based perspective...
Symptom presentation in patients hospitalized with acute heart failureRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Clin Cardiol 33:E73-80. 2010....
Thirty-year trends (1975-2005) in the magnitude, patient characteristics, and hospital outcomes of patients with acute myocardial infarction complicated by ventricular fibrillationRobert J Goldberg
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Cardiol 102:1595-601. 2008..In conclusion, our results indicate that the incidence and hospital death rates associated with VF have decreased during recent years...
A 30-year perspective (1975-2005) into the changing landscape of patients hospitalized with initial acute myocardial infarction: Worcester Heart Attack StudyKevin C Floyd
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Circ Cardiovasc Qual Outcomes 2:88-95. 2009....
Multidecade-long trends (1986-2005) in the utilization of coronary reperfusion and revascularization treatment strategies in patients hospitalized with acute myocardial infarction: a community-wide perspectiveJared Wasser
Department of Community Health, Brown University, Providence, Rhode Island, USA
Coron Artery Dis 20:71-80. 2009....
Decompensated heart failure in the setting of kidney dysfunction: a community-wide perspectiveRovshan M Ismailov
Department of Community Health, Brown University, Providence, RI, USA
Nephron Clin Pract 107:c147-55. 2007....
Age and sex differences in the treatment of patients with initial acute myocardial infarction: a community-wide perspectiveLeslie R Harrold
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Cardiology 99:39-46. 2003..Previously observed gender differences in the management of patients with AMI essentially no longer exist...
Two-decade-long trends (1975-1997) in the incidence, hospitalization, and long-term death rates associated with complete heart block complicating acute myocardial infarction: a community-wide perspectiveFrederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Am Heart J 145:500-7. 2003..The long-term prognosis of patients with inferior MI and CHB is similar to that of patients in whom CHB did not develop. Patients with anterior MI and CHB may be at an increased risk of long-term mortality...
Use of disease-modifying therapies in patients hospitalized with heart failure: a population-based perspectiveRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass, USA
Am J Med 120:98.e1-8. 2007..The purpose of our study was to describe the use of different cardiac medications in 2463 patients with new-onset HF who were discharged from all greater Worcester, Massachusetts, hospitals during 2000...
Recent trends in the incidence rates of and death rates from atrial fibrillation complicating initial acute myocardial infarction: a community-wide perspectiveRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Am Heart J 143:519-27. 2002..The purpose of this study was to examine the impact and trends over time of AF complicating initial AMI...
Implications of diabetes in patients with acute coronary syndromes. The Global Registry of Acute Coronary EventsKristen Franklin
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester 01655, USA
Arch Intern Med 164:1457-63. 2004..There are limited data describing the presenting characteristics, management, and outcomes of diabetic and nondiabetic patients with an acute coronary syndrome (ACS)...
Body mass index, treatment practices, and mortality in patients with acute heart failureTimothy P Fitzgibbons
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Coron Artery Dis 20:536-43. 2009..Among patients presenting with acute HF, however, differences in clinical characteristics, treatment regimens, and short-term prognosis of varying weights are largely unknown, particularly from a broader population-based perspective...
Narrowing gender differences in procedure use for acute myocardial infarction: insights from the Worcester heart attack studyLeslie R Harrold
Department of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
J Gen Intern Med 18:423-31. 2003..To examine age-specific gender differences and trends over time in the management of patients with acute myocardial infarction (AMI)...
Trends in atrial fibrillation complicating acute myocardial infarctionJane S Saczynski
University of Massachusetts, Medical School, Worcester, MA, USA
Am J Cardiol 104:169-74. 2009..Increased surveillance and targeted therapeutic approaches appear warranted for these high-risk patients...
Impact of aspirin on presentation and hospital outcomes in patients with acute coronary syndromes (The Global Registry of Acute Coronary Events [GRACE])Frederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
Am J Cardiol 90:1056-61. 2002....
Risk factors and comorbidities in a community-wide sample of patients hospitalized with acute systolic or diastolic heart failure: the Worcester Heart Failure StudyMarcello Chinali
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Coron Artery Dis 21:137-43. 2010..Few epidemiological studies have examined differences in the prevalence of risk factors and comorbidities in patients with systolic heart failure (HF), as compared with those with diastolic HF...
Heterogeneity in the management and outcomes of patients with acute myocardial infarction complicated by heart failure: the National Registry of Myocardial InfarctionFrederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Circulation 105:2605-10. 2002..A secondary objective was to determine differences in demographic and clinical characteristics, treatment, and hospital death rates in patients presenting with HF compared with those developing HF after presentation...
Treatment practices and outcomes of patients with established peripheral arterial disease hospitalized with acute myocardial infarction in a community settingFrederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Am Heart J 153:140-6. 2007..The objectives of our population-based study were to examine the hospital and long-term outcomes, as well as the use of different treatment practices, among patients with established PAD who were hospitalized with AMI...
Association of statin therapy with outcomes of acute coronary syndromes: the GRACE studyFrederick A Spencer
Department of Medicine Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Ann Intern Med 140:857-66. 2004..Statins administered early in patients with acute coronary syndromes may lead to modest reductions in recurrent ischemic events...
Recent trends in hospital management practices and prognosis after acute myocardial infarction in patients with kidney diseaseVandana Menon
Department of Medicine, Division of Nephrology, Tufts University School of Medicine/New England Medical Center, Boston, Massachusetts, USA
Am J Cardiol 94:1290-3. 2004....
Use of combination evidence-based medical therapy prior to acute myocardial infarction (from the National Registry of Myocardial Infarction-4)Frederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Cardiol 96:922-6. 2005..In conclusion, data from this large national registry have indicated that most patients with a history of CAD were not receiving the recommended combination of cardiac medications before their AMI...
Trends in community mortality due to coronary heart diseaseRobert J Goldberg
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am Heart J 151:501-7. 2006..A secondary study goal was to describe changes in death rates attributed to CHD over time separately in men and in women, in persons of different ages, and according to location of death...
Thirty-year trends (1975-2005) in the magnitude and hospital death rates associated with complete heart block in patients with acute myocardial infarction: a population-based perspectiveHoa L Nguyen
Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am Heart J 156:227-33. 2008....
Management and outcomes of renal disease and acute myocardial infarctionPaul A Santolucito
Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Am J Med 123:847-55. 2010....
Communitywide trends in the use and outcomes associated with beta-blockers in patients with acute myocardial infarction: the Worcester Heart Attack StudyHelme Silvet
Department of Medicine, Harvard Medical School, Boston, Mass, USA
Arch Intern Med 163:2175-83. 2003..CONCLUSIONS: The results of this observational study demonstrate encouraging trends in the use of beta-blockers in hospitalized patients with AMI and document the benefits to be gained from this treatment...
Leukocytosis and adverse hospital outcomes after acute myocardial infarctionVandana Menon
Department of Medicine, Division of Clinical Care Research, Tufts University School of Medicine/New England Medical Center, Boston, Massachusetts, USA
Am J Cardiol 92:368-72. 2003..These findings suggest that the WBC count should be considered an important prognostic factor associated with adverse hospital outcomes in patients with AMI...
Hospital transfer of patients with acute myocardial infarction: the effects of age, race, and insurance typeJerry H Gurwitz
Meyers Primary Care Institute, Fallon Healthcare System and University of Massachusetts Medical School, Worcester, Massachusetts 01605, USA
Am J Med 112:528-34. 2002..As only a minority of the nation's hospitals offers a full range of cardiovascular diagnostic and therapeutic procedures, these findings reinforce ongoing concerns about disparities in access to health care services for some patients...
Trends in prehospital delay in patients with acute myocardial infarction (from the Worcester Heart Attack Study)Jane S Saczynski
University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Cardiol 102:1589-94. 2008..In conclusion, results of this population-based study suggest that a large proportion of patients with AMI continue to show prolonged prehospital delay...
Twenty-year trends in the incidence of stroke complicating acute myocardial infarction: Worcester Heart Attack StudyJane S Saczynski
Division of Geriatric Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
Arch Intern Med 168:2104-10. 2008..Trends in the magnitude of stroke in the setting of AMI are not well characterized, however, and neither have contemporary trends in the hospital death rates of patients developing acute stroke been examined...
Prehospital transport of patients with acute myocardial infarction: a community-wide perspectiveRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA
Heart Lung 37:266-74. 2008..A secondary study aim was to describe the demographic and clinical characteristics of patients with AMI transported to metropolitan Worcester hospitals by EMS, compared with those transported by other means, and their hospital outcomes...
Long-term trends in the use of coronary reperfusion strategies in acute myocardial infarction: a community-wide perspectiveRobert J Goldberg
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
J Thromb Thrombolysis 23:163-71. 2007....
Elevated leukocyte count and adverse hospital events in patients with acute coronary syndromes: findings from the Global Registry of Acute Coronary Events (GRACE)Mark I Furman
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Am Heart J 147:42-8. 2004..To examine the association between elevated leukocyte count and hospital mortality and heart failure in patients enrolled in the multinational, observational Global Registry of Acute Coronary Events (GRACE)...
Long-term survival after heart failure: a contemporary population-based perspectiveRobert J Goldberg
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Arch Intern Med 167:490-6. 2007..Despite the considerable prevalence of HF in the United States, there are limited published data describing the contemporary long-term prognosis of patients hospitalized with decompensated HF...
Recent and temporal trends (1975 to 1999) in the treatment, hospital, and long-term outcomes of Hispanic and non-Hispanic white patients hospitalized with acute myocardial infarction: a population-based perspectiveJorge Yarzebski
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester 01655, USA
Am Heart J 147:690-7. 2004..Extremely limited population-based data are available describing recent and temporal trends in the characteristics, treatment, and outcomes of Hispanic and non-Hispanic white patients hospitalized with acute myocardial infarction (AMI)...
Extent of, and factors associated with, delay to hospital presentation in patients with acute coronary disease (the GRACE registry)Robert J Goldberg
University of Massachusetts Medical School, Worcester, Massachusetts, USA
Am J Cardiol 89:791-6. 2002....
A community-wide survey of physician practices and attitudes toward cholesterol management in patients with recent acute myocardial infarctionJorge Yarzebski
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Ave N, Worcester, MA 01655, USA
Arch Intern Med 162:797-804. 2002..Physicians' current attitudes and practices toward the management of high cholesterol levels in patients with recent acute myocardial infarction are not well defined...
Do-not-resuscitate orders in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack StudyElizabeth A Jackson
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, and Meyers Primary Care Institute, Worcester, USA
Arch Intern Med 164:776-83. 2004..The objectives of this study were to describe use of DNR orders, treatment approaches, and hospital outcomes in patients with acute myocardial infarction...
Declining length of stay for patients hospitalized with AMI: impact on mortality and readmissionsJane S Saczynski
University of Massachusetts Medical School, Worcester, MA, USA
Am J Med 123:1007-15. 2010....
Prehospital delay in individuals with acute coronary disease: concordance of medical records and follow-up phone interviewsRobert J Goldberg
Department of Medicine, University of Massachusetts Medical School, Worcester, Mass. 01655, USA
Cardiology 97:159-65. 2002..These results suggest that a telephone interview carried out several months following hospitalization for acute coronary disease may not provide sufficiently reliable information about prehospital delay...
Disparities in combination drug therapy use in older adults with coronary heart disease: a cross-sectional time-series in a nationally representative US sampleJennifer Tjia
Department of Medicine, University of Massachusetts Medical School, Division of Geriatric Medicine, Worcester, Massachusetts 01605, USA
Drugs Aging 27:149-58. 2010..Despite evidence of effective combination drug therapy for secondary prevention of coronary heart disease (CHD), older adults with this condition remain undertreated...
Changes over time in the use of aspirin in patients hospitalized with acute myocardial infarction (1975 to 1997): a population-based perspectiveElizabeth A Jackson
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass 01655, USA
Am Heart J 144:259-68. 2002..The purpose of this study was to examine 2 decade-long trends in the use of aspirin and associated outcomes in patients hospitalized with acute myocardial infarction...
Clinical features, treatment practices, and hospital and long-term outcomes of older patients hospitalized with decompensated heart failure: The Worcester Heart Failure StudyJane S Saczynski
Department of Medicine, Division of GeriatricMedicine, University of Massachusetts Medical School, Biotech Four, Suite 315, 377 Plantation Street, Worcester, MA 01605, USA
J Am Geriatr Soc 57:1587-94. 2009..To examine age-specific differences in clinical presentation, receipt of therapeutic practices and lifestyle recommendations, and hospital and long-term survival in patients hospitalized for acute heart failure HF...
The dietary quality of persons with heart failure in NHANES 1999-2006Stephenie C Lemon
Division of Preventive and Behavioral Medicine, S7 745, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
J Gen Intern Med 25:135-40. 2010..Dietary quality may impact heart failure outcomes. However, the current status of the dietary quality of persons with heart failure has not been previously reported...
Changing trends in the evaluation of ejection fraction in patients hospitalized with acute myocardial infarction: the Worcester Heart Attack StudyPaul A Santolucito
Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Am Heart J 155:485-93. 2008....
Increasing use of single and combination medical therapy in patients hospitalized for acute myocardial infarction in the 21st century: a multinational perspectiveRobert J Goldberg
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Ave, Worcester, MA 01655, USA
Arch Intern Med 167:1766-73. 2007..Current practice guidelines recommend the routine use of several effective cardiac medications in hospital survivors of acute myocardial infarction (AMI)...
Age-specific differences in the use of thrombolytic therapy and hospital outcomes in patients with acute myocardial infarction: a community-wide perspectiveOmar Ali
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
J Thromb Thrombolysis 14:5-14. 2002..The impact of thrombolytic therapy on hospital outcomes was observed in each of our age strata under study though the magnitude of absolute and relative benefit varied according to age...
Early withdrawal of statin therapy in patients with non-ST-segment elevation myocardial infarction: national registry of myocardial infarctionFrederick A Spencer
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Arch Intern Med 164:2162-8. 2004..It has been suggested that withdrawal of statin therapy during an acute coronary syndrome may attenuate any benefits of pretreatment, thereby providing indirect evidence of the importance of their non-lipid-lowering effects...
A 25-year perspective into the changing landscape of patients hospitalized with acute myocardial infarction (the Worcester Heart Attack Study)Robert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Am J Cardiol 94:1373-8. 2004..Given the magnitude of AMI and evolving approaches to manage it, continued monitoring of these trends remains of considerable clinical and public health importance...
Incidence and hospital death rates associated with heart failure: a community-wide perspectiveRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Am J Med 118:728-34. 2005....
Serum glucose levels and hospital outcomes in patients with acute myocardial infarction without prior diabetes: a community-wide perspectiveRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Coron Artery Dis 18:125-31. 2007....
Six-month outcomes in a multinational registry of patients hospitalized with an acute coronary syndrome (the Global Registry of Acute Coronary Events [GRACE])Robert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Am J Cardiol 93:288-93. 2004..These data suggest the need for better long-term medical management and more intense follow-up of patients with an ACS to improve their long-term outlook...
Age and sex differences in duration of prehospital delay in patients with acute myocardial infarction: a systematic reviewHoa L Nguyen
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA 01605, USA
Circ Cardiovasc Qual Outcomes 3:82-92. 2010..This review provides an overview of the published literature that has examined age and sex differences in extent of prehospital delay in patients hospitalized with AMI...
Declining length of hospital stay for acute myocardial infarction and postdischarge outcomes: a community-wide perspectiveFrederick A Spencer
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, USA
Arch Intern Med 164:733-40. 2004....
A community-wide perspective into changing trends in the utilization of diagnostic and interventional procedures in patients hospitalized with acute myocardial infarctionJessica Hahn
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Am Heart J 153:594-605. 2007..We examined the demographic and clinical characteristics of patients who received these diagnostic and interventional procedures and determined whether the profile of patients undergoing these procedures had changed over time...
Pulmonary artery catheterization in patients with acute coronary syndromesChristopher P Ruisi
Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA, USA
Am Heart J 158:170-6. 2009..Using data from the multinational Global Registry of Acute Coronary Events, we examined trends in PAC use among patients hospitalized for an ACS and the association between PAC and hospital outcomes...
Use of nonpharmacologic treatment approaches in patients with heart failureRobert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North Worcester, MA 01655, United States
Int J Cardiol 110:348-53. 2006....
Upper extremity deep vein thrombosis: a community-based perspectiveFrederick A Spencer
Department of Medicine, University of Massachusetts Medical School, Worcester, USA
Am J Med 120:678-84. 2007..The purpose of this study was to examine the magnitude, risk factors, management strategies, and outcomes in a population-based investigation of patients with upper, as compared with lower, extremity deep vein thrombosis diagnosed in 1999...
Baseline characteristics, management practices, and in-hospital outcomes of patients hospitalized with acute coronary syndromes in the Global Registry of Acute Coronary Events (GRACE)Philippe Gabriel Steg
Hopital Bichat, Paris, France
Am J Cardiol 90:358-63. 2002..0001), and recurrent angina with ST-segment changes occurred before discharge in 10%, 10%, and 9% of patients, respectively (p = 0.2644). GRACE provides a detailed and comprehensive global description of the spectrum of patients with ACS...
Bleeding complications in patients with anemia and acute myocardial infarctionHarold L Dauerman
Division of Cardiology, University of Vermont, Burlington, VT, USA
Am J Cardiol 96:1379-83. 2005..89, 95% confidence interval 0.64 to 1.23). In conclusion, these findings suggest that bleeding complications are a potential mechanism for increased mortality among patients who have anemia and present with AMI...
Magnitude of and risk factors for in-hospital and postdischarge stroke in patients with acute coronary syndromes: findings from a Global Registry of Acute Coronary EventsAndrzej Budaj
Postgraduate Medical School, Grochowski Hospital, Grenadierow 51 59, 04 073 Warsaw, Poland
Circulation 111:3242-7. 2005..This study examined the incidence and outcomes of hemorrhagic and nonhemorrhagic stroke and risk factors associated with stroke in patients with ACS...
Revascularization, stenting, and outcomes of patients with acute myocardial infarction complicated by cardiogenic shockHarold L Dauerman
University of Vermont College of Medicine, Fletcher Allen Health Care, Burlington, Vermont 05401, USA
Am J Cardiol 90:838-42. 2002..In this multinational registry study, coronary stenting was the most powerful independent predictor of hospital survival...
Use of the invasive management strategy for patients with non-Q-wave myocardial infarction: an observational database report from the Worcester Heart Attack StudyHarold L Dauerman
Cardiac Unit, University of Vermont College of Medicine, Burlington, VT 05401, USA
Am Heart J 143:1033-9. 2002..However, the broader use and impact of the invasive management approach has not been established for patients with acute coronary syndromes beyond the relatively narrow patient populations studied in randomized, clinical trials...
Gender and age differences in chief complaints of acute myocardial infarction (Worcester Heart Attack Study)Kerry A Milner
Yale University School of Nursing, New Haven, Connecticut, USA
Am J Cardiol 93:606-8. 2004..Overall, a large proportion of women and men whose AMI was ultimately diagnosed did not present with chest pain as their chief complaint...
Trends (1986 to 1999) in the incidence and outcomes of in-hospital stroke complicating acute myocardial infarction (The Worcester Heart Attack Study)Frederick A Spencer
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Am J Cardiol 92:383-8. 2003..26, 95% confidence interval 2.49 to 7.31). The results of this community-wide study provide insights into recent trends in the development of acute stroke after AMI and into the profile of high-risk patients...
Comparison of utilization of statin therapy at hospital discharge and six-month outcomes in patients with an acute coronary syndrome and serum low-density lipoprotein>or=100 mg/dl versus<100 mg/dlFrederick A Spencer
Department of Medicine, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada, and Coronary Care Unit, Concord Hospital, Sydney, Australia
Am J Cardiol 100:913-8. 2007....
Use of proven therapies in non-ST-elevation acute coronary syndromes according to evidence-based risk stratificationGustavo B F Oliveira
Dante Pazzanese Institute of Cardiology, Sao Paulo, Brazil
Am Heart J 153:493-9. 2007..Our objective was to evaluate the relationship between risk stratification and therapeutic decision making in patients with non-ST-segment elevation acute coronary syndromes...
Determinants and prognostic impact of heart failure complicating acute coronary syndromes: observations from the Global Registry of Acute Coronary Events (GRACE)Philippe Gabriel Steg
Centre Hospitalier Universitaire Bichat Beaujon, Assistance Publique Hopitaux de Paris, France
Circulation 109:494-9. 2004..Few data are available on the impact of heart failure (HF) across all types of acute coronary syndromes (ACS)...
Sex differences in survival after acute myocardial infarction in patients with diabetes mellitus (Worcester Heart Attack Study)Amber Crowley
Section of Emergency Medicine, Yale University School of Medicine, New Haven, Conn, USA
Am Heart J 146:824-31. 2003..Patients with diabetes mellitus continue to represent a high-risk group who will benefit from enhanced surveillance efforts and increased use of effective cardiac treatments...
Comparison of outcomes of patients with acute coronary syndromes with and without atrial fibrillationRajendra H Mehta
Division of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor 48105, USA
Am J Cardiol 92:1031-6. 2003..However, only new-onset AF is an independent predictor of in-hospital adverse events in patients with ACS...
Impact of do-not-resuscitation orders on quality of care performance measures in patients hospitalized with acute heart failureJoline L T Chen
Renal Section, Boston University School of Medicine, Boston, MA 02118, USA
Am Heart J 156:78-84. 2008..The goals of this observational study were to describe the use of DNR orders and their impact on treatment approaches in residents of a large New England metropolitan area hospitalized with acute heart failure...
Women's Ischemic Syndrome Evaluation: current status and future research directions: report of the National Heart, Lung and Blood Institute workshop: October 2-4, 2002: Section 3: diagnosis and treatment of acute cardiac ischemia: gender issuesElizabeth G Nabel
Circulation 109:e50-2. 2004
Predictors of hospital mortality in the global registry of acute coronary eventsChristopher B Granger
Division of Cardiology, University Medical Center, Durham, NC, USA
Arch Intern Med 163:2345-53. 2003..CONCLUSIONS: Across the entire spectrum of ACS and in general clinical practice, this model provides excellent ability to assess the risk for death and can be used as a simple nomogram to estimate risk in individual patients...
Association of peripheral artery disease with treatment and outcomes in acute coronary syndromes. The Global Registry of Acute Coronary Events (GRACE)James B Froehlich
University of Michigan Health System, Ann Arbor, MI, USA
Am Heart J 151:1123-8. 2006..Given the poorer hospital outcomes in patients with PAD, our findings suggest considerable opportunity to improve care for these high-risk patients...
Occurrence of acute myocardial infarction in Worcester, Massachusetts, before, during, and after the terrorists attacks in New York City and Washington, DC, on 11 September 2001Robert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA
Am J Cardiol 95:258-60. 2005....
Venous thromboembolism in the outpatient settingFrederick A Spencer
Department of Medicine, University of Massachusetts Medical School, Worcester, USA
Arch Intern Med 167:1471-5. 2007..The purposes of this observational study were to describe the frequency of VTEs occurring in the outpatient setting, characterize the prevalence of previously identified risk factors for VTE, and identify previous use of VTE prophylaxis...
Trends in mortality attributed to heart failure in Worcester, Massachusetts, 1992 to 2001Robert J Goldberg
Department of Medicine, Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA
Am J Cardiol 95:1324-8. 2005..The results of this study suggest changing patterns in death rates due to HF in a large northeastern community...
A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registryKim A Eagle
Department of Internal Medicine, University of Michigan Health System, Ann Arbor, USA
JAMA 291:2727-33. 2004..Accurate estimation of risk for untoward outcomes after patients have been hospitalized for an acute coronary syndrome (ACS) may help clinicians guide the type and intensity of therapy...
Changing trends in the long-term prognosis of patients with acute myocardial infarction: a population-based perspectiveNaomi F Botkin
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am Heart J 151:199-205. 2006..Our data identify several high-risk groups that should be targeted for more aggressive surveillance and increased use of effective cardiac therapies and interventions...
Excess body weight, clinical profile, management practices, and hospital prognosis in men and women after acute myocardial infarctionRobert J Goldberg
Division of Cardiovascular Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, USA
Am Heart J 151:1297-304. 2006..It is unclear, however, whether body weight is associated with the demographic and clinical profile, treatment of, and hospital prognosis after acute myocardial infarction (AMI)...
Survival impact of tamoxifen use for breast cancer risk reduction: projections from a patient-specific Markov modelNananda F Col
Med Decis Making 22:386-93. 2002..However, this benefit is modulated in women at increased endometrial cancer risk and depends on assumptions concerning tamoxifen's lingering effects on breast and endometrial cancer...
Research Grants
- WORCHESTER HEART ATTACK COMMUNITY SURVEILLANCE STUDYRobert Goldberg; Fiscal Year: 2005....
- Worcester Heart Attack StudyRobert Goldberg; Fiscal Year: 2007....
- Observational Study of Delay in Heart FailureRobert Goldberg; Fiscal Year: 2009..These data will be useful in the development of future educational and treatment strategies designed to improve outcomes in patients with heart failure. ..
- Worcester Heart Attack StudyRobert Goldberg; Fiscal Year: 2009....
- Observational Study of Delay in Heart FailureROBERT JOEL GOLDBERG; Fiscal Year: 2010..These data will be useful in the development of future educational and treatment strategies designed to improve outcomes in patients with heart failure. ..
- WORCESTER HEART ATTACK COMMUNITY SURVEILLANCE STUDYRobert Goldberg; Fiscal Year: 2001....
- RECENT TRENDS IN CORONARY DISEASE: COMMUNITY-BASED STUDRobert Goldberg; Fiscal Year: 1991....
- WORCESTER HEART ATTACK COMMUNITY SURVEILLANCE STUDYRobert Goldberg; Fiscal Year: 1993....
- Worcester Heart Attack StudyROBERT JOEL GOLDBERG; Fiscal Year: 2010..The results of this investigation will also provide contemporary data on how patients who experience heart attacks in the community are treated by physicians. ..
