Ileana L. Piña

ORCID: 0000-0002-4986-7129
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About
Contact & Profiles
Research Areas
  • Heart Failure Treatment and Management
  • Cardiovascular Function and Risk Factors
  • Cardiac pacing and defibrillation studies
  • Cardiovascular and exercise physiology
  • Cardiac Health and Mental Health
  • Health Systems, Economic Evaluations, Quality of Life
  • Potassium and Related Disorders
  • Cardiac Imaging and Diagnostics
  • Cardiac Structural Anomalies and Repair
  • Medication Adherence and Compliance
  • Cardiovascular Effects of Exercise
  • Mechanical Circulatory Support Devices
  • Diabetes Treatment and Management
  • Acute Myocardial Infarction Research
  • Cardiac, Anesthesia and Surgical Outcomes
  • Blood Pressure and Hypertension Studies
  • Pharmaceutical Practices and Patient Outcomes
  • Cardiac electrophysiology and arrhythmias
  • Cardiovascular Issues in Pregnancy
  • Cardiac Arrhythmias and Treatments
  • Transplantation: Methods and Outcomes
  • Cardiac Arrest and Resuscitation
  • Erythropoietin and Anemia Treatment
  • Cardiac Valve Diseases and Treatments
  • Heart Rate Variability and Autonomic Control

Thomas Jefferson University
2010-2025

Thomas Jefferson University Hospital
1999-2025

Central Michigan University
2019-2024

Center for Devices and Radiological Health
2013-2023

United States Food and Drug Administration
2013-2023

Wayne State University
2019-2023

Western University of Health Sciences
2022-2023

Clinical Research Institute
2008-2023

Philadelphia University
2000-2023

Massachusetts General Hospital
2012-2023

Background— Heart failure (HF) is an important contributor to both the burden and cost of national healthcare expenditures, with more older Americans hospitalized for HF than any other medical condition. With aging population, impact expected increase substantially. Methods Results— We estimated future costs by adapting a methodology developed American Association project epidemiology from 2012 2030 without double counting attributed comorbid conditions. The model assumes that prevalence...

10.1161/hhf.0b013e318291329a article EN Circulation Heart Failure 2013-04-25

<h3>Context</h3>Guidelines recommend that exercise training be considered for medically stable outpatients with heart failure. Previous studies have not had adequate statistical power to measure the effects of on clinical outcomes.<h3>Objective</h3>To test efficacy and safety among patients failure.<h3>Design, Setting, Patients</h3>Multicenter, randomized controlled trial 2331 failure reduced ejection fraction. Participants in Heart Failure: A Controlled Trial Investigating Outcomes Exercise...

10.1001/jama.2009.454 article EN JAMA 2009-04-07

T he purpose of this report is to provide revised standards and guidelines for the exercise testing training individuals who are free from clinical manifestations cardiovascular disease those with known disease.These intended physicians, nurses, physiologists, specialists, technologists, other healthcare professionals involved in these populations.This accord "Statement on Exercise" published by American Heart Association (AHA). 1 These a revision 1995 AHA that addressed issues training. 2An...

10.1161/hc3901.095960 article EN Circulation 2001-10-02

IS A SYNDROME characterized by dyspnea and fatigue; however, patients with heart failure often also experience diminished health status, including reductions in physical social functioning other dimensions of health-related quality life. 1,2harmacological device interventions disease management programs for have provided little or modest improvements healthrelated 3,4The extent to which exercise training addition optimal evidence-based therapy improves patients' status is unknown.

10.1001/jama.2009.457 article EN JAMA 2009-04-07

In patients with heart failure and reduced ejection fraction (HFrEF), treatment sacubitril-valsartan reduces N-terminal pro-b-type natriuretic peptide (NT-proBNP) concentrations. The effect of on cardiac remodeling is uncertain.To determine whether NT-proBNP changes in HFrEF treated correlate measures volume function.Prospective, 12-month, single-group, open-label study enrolled 78 outpatient sites the United States. Sacubitril-valsartan was initiated dose adjusted. Enrollment commenced...

10.1001/jama.2019.12821 article EN JAMA 2019-09-02

HomeCirculationVol. 102, No. 9Core Components of Cardiac Rehabilitation/Secondary Prevention Programs

10.1161/01.cir.102.9.1069 article EN Circulation 2000-08-29

Background— The prognostic value of serum sodium in patients hospitalized for worsening heart failure has not been well defined. Methods and Results— Outcomes a Prospective Trial Intravenous Milrinone Exacerbations Chronic Heart Failure (OPTIME-CHF) study randomized 949 with systolic dysfunction to receive 48 72 hours intravenous milrinone or placebo addition standard therapy. In retrospective analysis, we investigated the relationship between admission primary end point days cardiovascular...

10.1161/01.cir.0000165065.82609.3d article EN Circulation 2005-05-03

<h3>Importance</h3> The natriuretic peptides are biochemical markers of heart failure (HF) severity and predictors adverse outcomes. Smaller studies have evaluated adjusting HF therapy based on peptide levels ("guided therapy") with inconsistent results. <h3>Objective</h3> To determine whether an amino-terminal pro–B-type (NT-proBNP)–guided treatment strategy improves clinical outcomes vs usual care in high-risk patients reduced ejection fraction (HFrEF). <h3>Design, Settings,...

10.1001/jama.2017.10565 article EN JAMA 2017-08-22

<h3>Background</h3> Mild hyponatremia is relatively common in patients hospitalized with heart failure (HF). To our knowledge, the association of outcomes has not been evaluated context in-hospital clinical course including central hemodynamics and changes serum sodium level. <h3>Methods</h3> The ESCAPE trial (Evaluation Study Congestive Heart Failure Pulmonary Artery Catheterization Effectiveness) was a randomized, controlled study designed to evaluate utility pulmonary artery catheter plus...

10.1001/archinte.167.18.1998 article EN Archives of Internal Medicine 2007-10-08
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