Rajendra H Mehta

Summary

Affiliation: University of Michigan
Country: USA

Publications

  1. ncbi request reprint Patient outcomes after fibrinolytic therapy for acute myocardial infarction at hospitals with and without coronary revascularization capability
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan 48109, USA
    J Am Coll Cardiol 40:1034-40; discussion 1041-3. 2002
  2. ncbi request reprint Effectiveness of primary percutaneous coronary intervention compared with that of thrombolytic therapy in elderly patients with acute myocardial infarction
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Mich, USA
    Am Heart J 147:253-9. 2004
  3. ncbi request reprint Comparison of outcomes of patients with acute coronary syndromes with and without atrial fibrillation
    Rajendra H Mehta
    Division of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor 48105, USA
    Am J Cardiol 92:1031-6. 2003
  4. ncbi request reprint Changes in systemic sympathetic nervous system activity after mitral valve surgery and their relationship to changes in left ventricular size and systolic performance in patients with mitral regurgitation
    Rajendra H Mehta
    University of Michigan and Veterans Affairs, Healthcare Systems, Ann Arbor, MI, USA
    Am Heart J 147:729-35. 2004
  5. ncbi request reprint Acute type B aortic dissection in elderly patients: clinical features, outcomes, and simple risk stratification rule
    Rajendra H Mehta
    Department of Cardiology, University of Michigan, Ann Arbor, Michigan 48105, USA
    Ann Thorac Surg 77:1622-8; discussion 1629. 2004
  6. ncbi request reprint Influence of age on outcomes in patients undergoing mitral valve replacement
    Rajendra H Mehta
    Division of Cardiology, University of Michigan, Ann Arbor 48105, USA
    Ann Thorac Surg 74:1459-67. 2002
  7. ncbi request reprint Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan 48105, USA
    J Am Coll Cardiol 40:685-92. 2002
  8. ncbi request reprint Chronobiological patterns of acute aortic dissection
    Rajendra H Mehta
    Division of Cardiology, University of Michigan, Ann Arbor, USA
    Circulation 106:1110-5. 2002
  9. ncbi request reprint Differences in clinical presentation, management, and outcomes of acute type a aortic dissection in patients with and without previous cardiac surgery
    J Stewart Collins
    University of Michigan, Ann Arbor, Mich, USA
    Circulation 110:II237-42. 2004
  10. ncbi request reprint A rapid-cycle collaborative model to promote guidelines for acute myocardial infarction
    Cecelia K Montoye
    Division of Cardiology, University of Michigan UM, Ann Arbor, Michigan, USA
    Jt Comm J Qual Saf 29:468-78. 2003

Detail Information

Publications77

  1. ncbi request reprint Patient outcomes after fibrinolytic therapy for acute myocardial infarction at hospitals with and without coronary revascularization capability
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan 48109, USA
    J Am Coll Cardiol 40:1034-40; discussion 1041-3. 2002
    ..This study evaluated clinical outcomes in patients with acute myocardial infarction (MI) treated with fibrinolytic therapy in hospitals with and without coronary revascularization capability...
  2. ncbi request reprint Effectiveness of primary percutaneous coronary intervention compared with that of thrombolytic therapy in elderly patients with acute myocardial infarction
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Mich, USA
    Am Heart J 147:253-9. 2004
    ....
  3. ncbi request reprint Comparison of outcomes of patients with acute coronary syndromes with and without atrial fibrillation
    Rajendra 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...
  4. ncbi request reprint Changes in systemic sympathetic nervous system activity after mitral valve surgery and their relationship to changes in left ventricular size and systolic performance in patients with mitral regurgitation
    Rajendra H Mehta
    University of Michigan and Veterans Affairs, Healthcare Systems, Ann Arbor, MI, USA
    Am Heart J 147:729-35. 2004
    ..We have shown that the systemic sympathetic nervous system (SNS) is activated in patients with chronic mitral regurgitation (MR). However, the fate of systemic SNS activity after surgical correction of MR is currently unknown...
  5. ncbi request reprint Acute type B aortic dissection in elderly patients: clinical features, outcomes, and simple risk stratification rule
    Rajendra H Mehta
    Department of Cardiology, University of Michigan, Ann Arbor, Michigan 48105, USA
    Ann Thorac Surg 77:1622-8; discussion 1629. 2004
    ..Accordingly, we sought to evaluate the clinical features and outcomes and derive a simple risk stratification rule for elderly with ABAD...
  6. ncbi request reprint Influence of age on outcomes in patients undergoing mitral valve replacement
    Rajendra H Mehta
    Division of Cardiology, University of Michigan, Ann Arbor 48105, USA
    Ann Thorac Surg 74:1459-67. 2002
    ....
  7. ncbi request reprint Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan 48105, USA
    J Am Coll Cardiol 40:685-92. 2002
    ..We sought to evaluate the clinical characteristics, management, and outcomes of elderly patients with acute type A aortic dissection...
  8. ncbi request reprint Chronobiological patterns of acute aortic dissection
    Rajendra H Mehta
    Division of Cardiology, University of Michigan, Ann Arbor, USA
    Circulation 106:1110-5. 2002
    ..However, the effects of the time of the day, the day of the week, or monthly/seasonal changes on acute aortic dissection (AAD) have not been well studied...
  9. ncbi request reprint Differences in clinical presentation, management, and outcomes of acute type a aortic dissection in patients with and without previous cardiac surgery
    J Stewart Collins
    University of Michigan, Ann Arbor, Mich, USA
    Circulation 110:II237-42. 2004
    ..There are less data on the clinical and diagnostic imaging characteristics, management, and outcomes of patients with previous cardiac surgery (PCS) presenting with acute type A aortic dissection (AAD)...
  10. ncbi request reprint A rapid-cycle collaborative model to promote guidelines for acute myocardial infarction
    Cecelia K Montoye
    Division of Cardiology, University of Michigan UM, Ann Arbor, Michigan, USA
    Jt Comm J Qual Saf 29:468-78. 2003
    ..The GAP Pilot Project formed the basis for this project, which supported caregivers' efforts to improve their processes and consistently apply the evidence-based guidelines for AMI care...
  11. ncbi request reprint Effects of age on the quality of care provided to older patients with acute myocardial infarction
    Saif S Rathore
    Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Am J Med 114:307-15. 2003
    ..Furthermore, it is unclear whether age-associated variations in care are similar or vary among treatments...
  12. ncbi request reprint Syncope in acute aortic dissection: diagnostic, prognostic, and clinical implications
    Brahmajee K Nallamothu
    University of Michigan Medical School, Ann Arbor, Michigan, USA
    Am J Med 113:468-71. 2002
    ..Syncope is a well-recognized symptom of acute aortic dissection, often indicating the development of dangerous complications such as cardiac tamponade...
  13. ncbi request reprint Influence of concurrent renal dysfunction on outcomes of patients with acute coronary syndromes and implications of the use of glycoprotein IIb/IIIa inhibitors
    Rosario V Freeman
    Division of Cardiology, University of Washington, Seattle, Washington 98195, USA
    J Am Coll Cardiol 41:718-24. 2003
    ..The purpose of this study was to examine the in-hospital outcome and influence of glycoprotein (GP) IIb/IIIa antagonists on patients with acute coronary syndromes (ACS) across a range of renal function...
  14. ncbi request reprint Prognostic significance of an elevated creatine kinase in the absence of an elevated troponin I during an acute coronary syndrome
    Kimberly C Yee
    Division of Cardiology, Department of Internal Medicine, University of Michigan Health Systems, Ann Arbor, Michigan, USA
    Am J Cardiol 92:1442-4. 2003
    ..This risk is accentuated in troponin-negative, CK-MB positive patients who do not demonstrate ST elevation by electrocardiogram...
  15. ncbi request reprint Enhancing quality of care for acute myocardial infarction: shifting the focus of improvement from key indicators to process of care and tool use: the American College of Cardiology Acute Myocardial Infarction Guidelines Applied in Practice Project in Mich
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan 48109, USA
    J Am Coll Cardiol 43:2166-73. 2004
    ..This project evaluated if by focusing on process changes and tool use rather than key indicator rates, the use of evidence-based therapies in patients with acute myocardial infarction (AMI) would increase...
  16. ncbi request reprint Clinical characteristics of hypotension in patients with acute aortic dissection
    Thomas T Tsai
    University of Michigan, Ann Arbor, USA
    Am J Cardiol 95:48-52. 2005
    ..We concluded that hypotension that occurred in >25% of patients who had AAD was associated with a much higher rate of in-hospital adverse events. Our study also identified factors associated with hypotension in patients who had AAD...
  17. ncbi request reprint Cardiac-specific norepinephrine mass transport and its relationship to left ventricular size and systolic performance
    P Michael Grossman
    Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA
    Am J Physiol Heart Circ Physiol 287:H878-88. 2004
    ..These data support the concept that this new model of organ-specific NE kinetics has physiological relevance...
  18. ncbi request reprint Prognostic significance of transient no-reflow during primary percutaneous coronary intervention for ST-elevation acute myocardial infarction
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan, USA
    Am J Cardiol 92:1445-7. 2003
    ..04) and 6-month mortality (3% vs 31%, adjusted odds ratio 5.4, 95% confidence interval 1.01 to 29.0, p=0.0001)...
  19. ncbi request reprint Impact of combined pharmacologic treatment with clopidogrel and a statin on outcomes of patients with non-ST-segment elevation acute coronary syndromes: perspectives from a large multinational registry
    Michael J Lim
    Division of Cardiology, School of Medicine, Saint Louis University, St Louis, MO, USA
    Eur Heart J 26:1063-9. 2005
    ..To evaluate clinical outcomes associated with the combined use of clopidogrel and statins vs. clopidogrel alone on a background of aspirin therapy in patients with the spectrum of acute coronary syndromes (ACS)...
  20. ncbi request reprint 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
    ..The objectives of this study were to assess treatment practices and hospital outcomes in patients with ACS and prior PAD...
  21. ncbi request reprint Predicting death in patients with acute type a aortic dissection
    Rajendra H Mehta
    University of Michigan, Ann Arbor 48109, USA
    Circulation 105:200-6. 2002
    ..Given the high mortality rates in patients with type A aortic dissection, predictive tools to identify patients at increased risk of death are needed to assist clinicians for optimal treatment...
  22. ncbi request reprint Taking the ACC/AHA guidelines for care of Acute Myocardial Infarction to the bedside: the GAP projects in southeastern Michigan
    Kim A Eagle
    University of Michigan Health System, Ann Arbor, Mich 48109 0366, USA
    Am Heart J 148:S49-51. 2004
  23. ncbi request reprint Impact of internal mammary artery conduit on long-term outcomes after percutaneous intervention of saphenous vein graft
    Rajendra H Mehta
    Division of Cardiology, Department of Internal Medicine, Duke University Medical Center and Duke Clinical Research Institute, Durham, NC, USA
    Circulation 114:I396-401. 2006
    ..The influence of an internal mammary artery (IMA) graft on long-term outcomes after percutaneous saphenous vein graft (SVG) intervention is currently unknown...
  24. ncbi request reprint Compared with control subjects, the systemic sympathetic nervous system is activated in patients with mitral regurgitation
    Rajendra H Mehta
    TOP University of Michigan and Veterans Affairs Healthcare Systems, Ann Arbor, USA
    Am Heart J 145:1078-85. 2003
    ....
  25. ncbi request reprint Guideline-based standardized care is associated with substantially lower mortality in medicare patients with acute myocardial infarction: the American College of Cardiology's Guidelines Applied in Practice (GAP) Projects in Michigan
    Kim A Eagle
    University of Michigan Cardiovascular Center, Ann Arbor, Michigan 48109 0477, USA
    J Am Coll Cardiol 46:1242-8. 2005
    ....
  26. ncbi request reprint The new definition of myocardial infarction: diagnostic and prognostic implications in patients with acute coronary syndromes
    Mark A Meier
    Division of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48105, USA
    Arch Intern Med 162:1585-9. 2002
    ..The clinical implications of the recently revised criteria for diagnosis of acute myocardial infarction (AMI) in patients with suspected acute coronary syndromes are unknown...
  27. ncbi request reprint Clinical correlates of long-term mortality after percutaneous interventions of saphenous vein grafts
    Rajendra H Mehta
    Department of Internal Medicine, Division of Cardiology, Duke University Medical Center and the Duke Clinical Research Institute, Durham, NC 27715, USA
    Am Heart J 152:801-6. 2006
    ..Accordingly, the goal of present study was to evaluate clinical correlates of long-term mortality and to develop a simple bedside tool for risk stratification in patients undergoing SVG interventions...
  28. doi request reprint Trends in acute reperfusion therapy for ST-segment elevation myocardial infarction from 1999 to 2006: we are getting better but we have got a long way to go
    Kim A Eagle
    University of Michigan Cardiovascular Center, Ann Arbor, MI 48109 0477, USA
    Eur Heart J 29:609-17. 2008
    ..Many patients who are eligible for acute reperfusion therapy receive it after substantial delays or not at all. We wanted to determine whether over the years more patients are receiving reperfusion therapy...
  29. ncbi request reprint Myocardial proinflammatory cytokine expression and left ventricular remodeling in patients with chronic mitral regurgitation
    Hakan Oral
    Division of Cardiology, University of Michigan and Veterans Affairs Medical Centers, Ann Arbor, USA
    Circulation 107:831-7. 2003
    ....
  30. ncbi request reprint Sustained ventricular tachycardia or fibrillation in the cardiac catheterization laboratory among patients receiving primary percutaneous coronary intervention: incidence, predictors, and outcomes
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan, USA
    J Am Coll Cardiol 43:1765-72. 2004
    ....
  31. ncbi request reprint Improving quality of care for acute myocardial infarction: The Guidelines Applied in Practice (GAP) Initiative
    Rajendra H Mehta
    Division of Cardiology, University of Michigan Hospital, 1500 E Medical Center Dr, Ann Arbor, MI 48109, USA
    JAMA 287:1269-76. 2002
    ..However, it is unknown if a structured initiative for improving care of patients with AMI can be effectively implemented at a wide variety of hospitals...
  32. ncbi request reprint Clinical and angiographic correlates and outcomes of suboptimal coronary flow inpatients with acute myocardial infarction undergoing primary percutaneous coronary intervention
    Rajendra H Mehta
    University of Michigan, Ann Arbor, Michigan, USA
    J Am Coll Cardiol 42:1739-46. 2003
    ..The purpose of this study was to determine the clinical and angiographic correlates and outcomes of patients with suboptimal coronary flow after primary percutaneous coronary interventions (PCI)...
  33. doi request reprint Age and outcomes in ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: findings from the APEX-AMI trial
    S Michael Gharacholou
    Division of Cardiology, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
    Arch Intern Med 171:559-67. 2011
    ....
  34. ncbi request reprint Effects of end-of-month admission on length of stay and quality of care among inpatients with myocardial infarction
    James P Smith
    University of Michigan Heart Care Program, Ann Arbor, Michigan, USA
    Am J Med 113:288-93. 2002
    ..We studied whether transfer of care when house staff and faculty switch services affects length of stay or quality of care among hospitalized patients...
  35. ncbi request reprint Asymptomatic coronary artery disease in a pregnant patient. A case report and review of literature
    J Stewart Collins
    Division of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor, USA
    Herz 27:548-54. 2002
    ..However, it is unknown how available therapies can be utilized in the pregnant patient with identified ischemic heart disease to minimize these risks...
  36. doi request reprint Sustained ventricular tachycardia and ventricular fibrillation complicating non-ST-segment-elevation acute coronary syndromes
    Jonathan P Piccini
    Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, PO Box 17969, Durham, NC 27705, USA
    Circulation 126:41-9. 2012
    ..However, the incidence and prognosis of sustained ventricular tachycardia/ventricular fibrillation (VT/VF) in contemporary non-ST-segment-elevation (NSTE) ACS populations are not well described...
  37. ncbi request reprint Prolonged low-dose thrombolytic therapy: a novel adjunctive strategy in the management of an infected right atrial thrombus
    Sheila Chuang
    Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, USA
    Clin Cardiol 25:346-9. 2002
    ..Prolonged courses of fibrinolytic agents may be a good alternative to surgical intervention in selected patients with infected, right-sided intracardiac thrombi...
  38. ncbi request reprint Taking the national guideline for care of acute myocardial infarction to the bedside: developing the guideline applied in practice (GAP) initiative in Southeast Michigan
    Kim A Eagle
    Division of Cardiology, University of Michigan Health System, Ann Arbor, Michigan, USA
    Jt Comm J Qual Improv 28:5-19. 2002
    ..Ten Michigan hospitals participated in implementing the project, which began in March 2000...
  39. doi request reprint Decreased readmissions and improved quality of care with the use of an inexpensive checklist in heart failure
    Abhijeet Basoor
    Division of Cardiology, St Joseph Mercy Oakland Hospital, Pontiac, MI
    Congest Heart Fail 19:200-6. 2013
    ..001). Both 30-day (19% to 6%) and 6-month (42% to 23%) readmissions were lower in the checklist group. The use of an HF checklist was associated with better quality of care and decreased readmission rates for patients admitted with HF. ..
  40. ncbi request reprint High-speed heart
    Amisha J Patel
    University of Michigan, Ann Arbor, Mich, USA
    Am J Med 120:503-5. 2007
  41. ncbi request reprint Effect of losartan in aging-related endothelial impairment
    Sanjay Rajagopalan
    Department of Internal Medicine, Divisions of Cardiology, University of Michigan School of Medicine, Ann Arbor, Michigan 48109 0273, USA
    Am J Cardiol 89:562-6. 2002
    ..47, p = 0.05). Thus, administration of losartan for a duration of 6 weeks has favorable effects on inflammatory markers in healthy older subjects, but does not alter peripheral conduit endothelial function...
  42. ncbi request reprint Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD)
    Toru Suzuki
    Division of Cardiology, University Hospital Rostock, Rostock School of Medicine, E Heydemann Str 6, 18057 Rostock, Germany
    Circulation 108:II312-7. 2003
    ..Clinical profiles and outcomes of patients with acute type B aortic dissection have not been evaluated in the current era...
  43. ncbi request reprint Recent trends in the care of patients with non-ST-segment elevation acute coronary syndromes: insights from the CRUSADE initiative
    Rajendra H Mehta
    Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
    Arch Intern Med 166:2027-34. 2006
    ..We sought to determine recent trends in adherence to guideline-based therapies for NSTE ACS...
  44. ncbi request reprint Bedside tool for predicting the risk of postoperative dialysis in patients undergoing cardiac surgery
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, NC 27715, USA
    Circulation 114:2208-16; quiz 2208. 2006
    ..Estimation of an individual patient's risk for postoperative dialysis can support informed clinical decision making and patient counseling...
  45. pmc Valve surgery in octogenarians: in-hospital and long-term outcomes
    Eduardo Bossone
    Institute of Clinical Physiology, National Research Council of Italy, Lecce Section
    Can J Cardiol 23:223-7. 2007
    ..However, their preoperative risk factors, and in-hospital and long-term outcomes have not been thoroughly investigated...
  46. ncbi request reprint Impact of initial heart rate and systolic blood pressure on relation of age and mortality among fibrinolytic-treated patients with acute ST-elevation myocardial infarction presenting with cardiogenic shock
    Rajendra H Mehta
    Duke University Medical Center, Duke Clinical Research Institute, Durham, North Carolina, USA
    Am J Cardiol 99:793-6. 2007
    ..This information may help physicians in deciding treatment options for patients with cardiogenic shock and counseling them about their risks...
  47. ncbi request reprint Comparison of in-hospital outcomes of patients with versus without previous carotid endarterectomy undergoing carotid stenting (from the German ALKK CAS Registry)
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, North Carolina, USA
    Am J Cardiol 99:1288-93. 2007
    ..This low risk along with the less invasive nature of the procedure should make CAS an attractive and perhaps preferred option for the treatment of these patients...
  48. ncbi request reprint Insurance coverage and care of patients with non-ST-segment elevation acute coronary syndromes
    James E Calvin
    Section of Cardiology, Rush University Medical Center, Chicago, Illinois 60612, USA
    Ann Intern Med 145:739-48. 2006
    ..The impact of insurance coverage on the care of patients with non-ST-segment elevation acute coronary syndromes (NSTE ACS) is unclear...
  49. ncbi request reprint Prognostic role of transesophageal echocardiography in acute type A aortic dissection
    Eduardo Bossone
    National Research Council, Lecce, Italy
    Am Heart J 153:1013-20. 2007
    ..The prognostic significance of specific findings on imaging studies is less well described. We sought to identify the prognostic value of transesophageal echocardiography (TEE) in medically and surgically treated patients with AAD...
  50. ncbi request reprint Clinical and angiographic correlates of short- and long-term mortality in patients undergoing coronary artery bypass grafting
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, North Carolina, USA
    Am J Cardiol 100:1538-42. 2007
    ..These differences should be kept in context when counseling patients undergoing CABG and may help facilitate targeted strategies to improve short- and long-term mortality risks after CABG...
  51. doi request reprint Clinical characteristics and in-hospital outcomes of patients with cardiogenic shock undergoing coronary artery bypass surgery: insights from the Society of Thoracic Surgeons National Cardiac Database
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, NC 27715, USA
    Circulation 117:876-85. 2008
    ..There exist few studies that characterize contemporary clinical features and outcomes or risk factors for operative mortality in cardiogenic shock (CS) patients undergoing coronary artery bypass grafting (CABG)...
  52. ncbi request reprint Comparison of patients with acute coronary syndrome with and without systemic hypertension
    Silja K Majahalme
    Tampere University Hospital, Tampere, Finland
    Am J Cardiol 92:258-63. 2003
    ....
  53. doi request reprint A randomized, double-blind, placebo-controlled, multicenter study to evaluate the cardioprotective effects of MC-1 in patients undergoing high-risk coronary artery bypass graft surgery: MC-1 to Eliminate Necrosis and Damage in Coronary Artery Bypass Graft
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, NC 27715, USA
    Am Heart J 155:600-8. 2008
    ....
  54. doi request reprint Achieving rapid reperfusion with primary percutaneous coronary intervention remains a challenge: insights from American Heart Association's Get With the Guidelines program
    Rajendra H Mehta
    Duke Clinical Research Institute and Duke University Medical Center, Durham, NC, USA
    Am Heart J 155:1059-67. 2008
    ..Although preferably D2B times should be <or=90 minutes, it is unclear how consistently this is achieved in community practice, particularly in women, elderly people, and minorities...
  55. doi request reprint Clinical characteristics associated with poor long-term survival among patients with diabetes mellitus undergoing saphenous vein graft interventions
    Rajendra H Mehta
    Duke University Medical Center, Durham, NC, USA
    Am Heart J 156:728-35. 2008
    ..Limited data exist on the long-term outcomes among diabetic patients undergoing saphenous vein graft (SVG) interventions. Thus, the baseline clinical factors associated with long-term adverse events in these patients are less known...
  56. ncbi request reprint Assessing performance reports to individual providers in the care of acute coronary syndromes
    Obli Mani
    Hahnemann University, Philadelphia, USA
    Jt Comm J Qual Improv 28:220-32. 2002
    ....
  57. ncbi request reprint Association of painless acute aortic dissection with increased mortality
    Seung Woo Park
    Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minn 55905, USA
    Mayo Clin Proc 79:1252-7. 2004
    ..To evaluate the clinical characteristics and outcomes of patients with painless acute aortic dissection (AAD)...
  58. ncbi request reprint Challenges in predicting the need for coronary artery bypass grafting at presentation in patients with non-ST-segment elevation acute coronary syndromes
    Rajendra H Mehta
    Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
    Am J Cardiol 98:624-7. 2006
    ....
  59. ncbi request reprint Acute clopidogrel use and outcomes in patients with non-ST-segment elevation acute coronary syndromes undergoing coronary artery bypass surgery
    Rajendra H Mehta
    Division of Cardiology and the Duke Clinical Research Institute, Durham, North Carolina 27715, USA
    J Am Coll Cardiol 48:281-6. 2006
    ....
  60. ncbi request reprint Impact of interventionalist volume, experience, and board certification on coronary angioplasty outcomes in the era of stenting
    Kishore J Harjai
    Cardiac Catheterization Laboratories, Guthrie Clinic, One Guthrie Square, Sayre, PA 18840, USA
    Am J Cardiol 94:421-6. 2004
    ..Rather, patients' clinical risk score is the overriding determinant of clinical outcomes. Our findings emphasize the power of a well-organized high-volume system to minimize the impact of operator factors on outcomes of PCI...
  61. ncbi request reprint Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience
    Santi Trimarchi
    Istituto Policlinico S Donato, Milanese, Italy
    J Thorac Cardiovasc Surg 129:112-22. 2005
    ....
  62. ncbi request reprint Impact of age on management and outcome of acute coronary syndrome: observations from the Global Registry of Acute Coronary Events (GRACE)
    Alvaro Avezum
    Dante Pazzanese Cardiology Institute, Research Division, Sao Paulo, Brazil
    Am Heart J 149:67-73. 2005
    ..Evidence-based cardiac therapies are underutilized in elderly patients. We assessed differences in practice patterns, comorbidities, and in-hospital event rates, by age and type of acute coronary syndrome (ACS)...
  63. ncbi request reprint Influence of circadian rhythm on mortality after myocardial infarction: data from a prospective cohort of emergency calls
    Roberto Manfredini
    Section of Internal Medicine, Department of Clinical and Experimental Medicine, University of Ferrara, Via Savonarola 9, I 14400 Ferrara, Italy
    Am J Emerg Med 22:555-9. 2004
    ..This could be of practical interest for emergency doctors and could have significant implications for acute treatment, because several studies have reported a lowered efficacy of thrombolytic drugs in the morning hours...
  64. ncbi request reprint Branch vessel complications are increased in aortic dissection patients with renal insufficiency
    Joshua A Beckman
    Cardiovascular Division, Brigham and Women s Hospital, Boston, MA, USA
    Vasc Med 9:267-70. 2004
    ..Upon recognition, renal impairment indicates a need for close monitoring, aggressive blood pressure control, and evaluation of aortic branch vessel circulations...
  65. ncbi request reprint Reperfusion strategies for acute myocardial infarction in the elderly: benefits and risks
    Rajendra H Mehta
    Duke Clinical Research Institute and Duke University Medical Center, Durham, North Carolina 27710, USA
    J Am Coll Cardiol 45:471-8. 2005
    ..Clearly targeted large-scale clinical trials are needed to evaluate the relative merits of available reperfusion strategies as well as newer antithrombotic adjunctive therapies in the elderly with STEMI...
  66. ncbi request reprint Comparison of aortic dissection in patients with and without Marfan's syndrome (results from the International Registry of Aortic Dissection)
    James L Januzzi
    Thoracic Aorta Center and Cardiology Division, Massachusetts General Hospital, Boston, 02114, USA
    Am J Cardiol 94:400-2. 2004
    ..Our data support the importance of aneurysm surveillance and prophylactic surgical intervention for patients with Marfan's syndrome to potentially reduce the risk of mortality...
  67. ncbi request reprint Differences in quality of care among patients hospitalized with atrial fibrillation as primary or secondary cause for admission
    Michael J Lim
    The Duke Clinical Research Institute, Durham, NC, USA
    Int J Qual Health Care 17:255-8. 2005
    ..Accordingly, we sought to evaluate the differences in quality of care of Medicare patients admitted with primary diagnosis versus secondary diagnosis of AF...
  68. ncbi request reprint Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes
    Rajendra H Mehta
    Duke Clinical Research Institute and Duke University Medical Center, Durham, NC 27710, USA
    JAMA 293:1746-50. 2005
    ..Incorrect dosing of alteplase has been associated with worse clinical outcomes in patients. However, patients at high risk of adverse events are more prone to dosing errors, thus confounding this relationship...
  69. ncbi request reprint Improved quality of stroke care for hospitalized Medicare beneficiaries in Michigan
    Bradley S Jacobs
    Department of Neurology, Wayne State University School of Medicine, Detroit, Michigan, USA
    Stroke 36:1227-31. 2005
    ..We investigated whether these and other measures improved after a quality improvement initiative...
  70. ncbi request reprint Relation of timing of cardiac catheterization to outcomes in patients with non-ST-segment elevation myocardial infarction or unstable angina pectoris enrolled in the multinational global registry of acute coronary events
    Gilles Montalescot
    Institut de Cardiologie, Centre Hospitalier Universitaire, Pitié Salptrière, Paris, France
    Am J Cardiol 95:1397-403. 2005
    ....
  71. ncbi request reprint Ischemia-driven target vessel revascularization after-primary percutaneous coronary intervention: patients at risk and their outcomes
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, North Carolina, USA
    J Interv Cardiol 18:149-54. 2005
    ..Importantly, our data suggest that no increase in mortality occur, if ITVR is promptly performed to treat recurrent ischemia after primary PCI...
  72. ncbi request reprint Comparison of coronary stenting versus conventional balloon angioplasty on five-year mortality in patients with acute myocardial infarction undergoing primary percutaneous coronary intervention
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, North Carolina, USA
    Am J Cardiol 96:901-6. 2005
    ..These data support the routine use of coronary stenting in most patients undergoing primary PCI, when feasible...
  73. ncbi request reprint Gender-related differences in acute aortic dissection
    Christoph A Nienaber
    Division of Cardiology, University Hospital Rostock, Rostock School of Medicine, Ernst Heydemann Strasse 6, 18057 Rostock, Germany
    Circulation 109:3014-21. 2004
    ..Few data exist on gender-related differences in clinical presentation, diagnostic findings, management, and outcomes in acute aortic dissection (AAD)...
  74. ncbi request reprint Differences in the clinical features and outcomes in African Americans and whites with myocardial infarction
    Rajendra H Mehta
    Duke Clinical Research Institute, Durham, NC, USA
    Am J Med 119:70.e1-8. 2006
    ..Accordingly, the current study examines the relationship of African American race to patient-related clinical factors, angiographic findings, and clinical events...
  75. ncbi request reprint Association of statin therapy with outcomes of acute coronary syndromes: the GRACE study
    Frederick 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...
  76. ncbi request reprint Acute ischemic stroke in hospitalized medicare patients: evaluation and treatment
    Canopy Roychoudhury
    Michigan Peer Review Organization, Plymouth, Mich 48170, USA
    Stroke 35:e22-3. 2004
    ..This study describes several quality indicators of care in hospitalized stroke patients in Michigan from 1998 to 1999...
  77. ncbi request reprint The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromes
    Rajendra H Mehta
    Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
    Am Heart J 152:648-60. 2006
    ..We sought to assess the influence of emergency department (ED) structure and care processes on adherence to practice guidelines for the treatment of patients with non-ST-segment elevation acute coronary syndromes...