A5042754065- Cardiac Health and Mental Health
- Mobile Health and mHealth Applications
- Lipoproteins and Cardiovascular Health
- Cardiovascular Health and Risk Factors
- Digital Mental Health Interventions
- Technology Use by Older Adults
- Telemedicine and Telehealth Implementation
- Heart Failure Treatment and Management
- Stroke Rehabilitation and Recovery
- Blood Pressure and Hypertension Studies
- Heart Rate Variability and Autonomic Control
- Medication Adherence and Compliance
- Health Systems, Economic Evaluations, Quality of Life
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Atrial Fibrillation Management and Outcomes
- Obstructive Sleep Apnea Research
- Acute Myocardial Infarction Research
- Cardiovascular and exercise physiology
- Health Literacy and Information Accessibility
- Diabetes Management and Research
- Nursing care and research
- Cardiac pacing and defibrillation studies
- Impact of Technology on Adolescents
- Child and Adolescent Psychosocial and Emotional Development
- ECG Monitoring and Analysis
Johns Hopkins University
2016-2024
Johns Hopkins Medicine
2016-2024
Johns Hopkins Hospital
2020-2024
University of Maryland, Baltimore
2021
Digital Health Cooperative Research Centre
2020
Center for Innovation
2020
Marvell (Israel)
2018-2019
Brigham and Women's Hospital
2017
University of Miami
2006-2009
University of Virginia
2003
Cumulative exposure to low-density lipoprotein cholesterol (LDL-C) is a key driver of atherosclerotic cardiovascular disease (ASCVD) risk. An armamentarium therapies achieve robust and sustained reduction in LDL-C can reduce ASCVD The gold standard for assessment ultracentrifugation but routine clinical practice usually calculated the most accurate calculation obtained through Martin/Hopkins equation. For primary prevention, consideration estimated risk frames decision making regarding use...
<h3>Importance</h3> Low-density lipoprotein cholesterol (LDL-C) is typically estimated with the Friedewald or Martin/Hopkins equation; however, if triglyceride levels are 400 mg/dL greater, laboratories reflexively perform direct LDL-C (dLDL-C) measurement. The use of chemical assays and estimation via National Institutes Health Sampson equation not well validated, data on accuracy at higher limited. <h3>Objective</h3> To compare an extended for values to 799 equations. <h3>Design, Setting,...
Background: Thirty-day readmissions among patients with acute myocardial infarction (AMI) contribute to the US health care burden of preventable complications and costs. Digital interventions (DHIs) may improve patient self-management outcomes. We aimed determine if AMI using a DHI have lower 30-day unplanned all-cause than historical control. Methods: This nonrandomized controlled trial control, conducted at 4 hospitals from 2015 2019, included 1064 (DHI n=200, control n=864). The...
Background Cardiac rehabilitation (CR) is an evidence‐based, guideline‐recommended intervention for patients recovering from a cardiac event, surgery or procedure that improves morbidity, mortality, and functional status. CR traditionally provided in‐center, which limits access engagement, most notably among underrepresented racial ethnic groups due to barriers including cost, scheduling, transportation access. This study designed evaluate the Corrie Hybrid CR, technology‐based,...
Background: Unplanned readmissions after hospitalization for acute myocardial infarction are among the leading causes of preventable morbidity, mortality, and healthcare costs. Digital health interventions could be an effective tool in promoting self-management, adherence to guideline-directed therapy, cardiovascular risk reduction. A digital intervention developed at Johns Hopkins—the Corrie Health Platform (Corrie)—includes first cardiology Apple CareKit smartphone application, which is...
Drug and juvenile justice involved youths show remarkably high rates of human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk behaviors. However, existing interventions aimed at reducing adolescent HIV behavior have rarely targeted these vulnerable young adolescents, many approaches focus on individual‐level change without attention to family or contextual influences. We describe a new, family‐based HIV/STD prevention model that embeds focused multifamily groups within...
: Associations between income disparity and utilization of cardiovascular disease (CVD) preventive care services, such as receipt lifestyle advice screening for CVD risk factors in populations with without CVD, are not well understood. The purpose this study was to evaluate associations CVD-preventive services among U.S. adults.: We included adults ≥18 years from the 2006 2015 Medical Expenditure Panel Survey. categorized participants high-income (>400% federal poverty level [FPL]), middle...
Elevated lipoprotein(a) [Lp(a)] is an independent, genetically determined risk factor for atherosclerotic cardiovascular disease (ASCVD). We evaluated the frequency of testing elevated Lp(a) and subsequent management at Johns Hopkins Hospital, a large academic medical center, over 5-year period. The Hospital (JHH) electronic record was queried to identify patients with encounter between 2017-2021, either established ASCVD or increased risk, defined as being on any lipid lowering medication...
Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have surged in popularity recent years, with discussions about their on-label and off-label use spilling into the public forum. No study has analyzed online GLP-1RAs.
Background As smartphone ownership continues to rise, health care systems and technology companies are driven develop mobile (mHealth) interventions as both diagnostic therapeutic tools. An important consideration during mHealth intervention development is how achieve equity despite demographic differences in ownership. One solution through the recirculation of loaner smartphones; however, best practices for implementing such programs optimize security, privacy, scalability, convenience...
Background: Acute myocardial infarction (AMI) is a common cause of hospital admissions, readmissions, and mortality worldwide. Digital health interventions (DHIs) that promote self-management, adherence to guideline-directed therapy, cardiovascular risk reduction may improve outcomes in this population. The “Corrie” DHI consists smartphone application, smartwatch, wireless blood pressure monitor support medication tracking, education, vital signs monitoring, care coordination. We aimed...
Digital health technologies such as smartphone apps, Web-based platforms, and wearable devices are rapidly emerging promising interventions for acute chronic disease management, particularly in the field of cardiovascular medicine. However, there is limited guidance on how to effectively develop rigorously test digital (DHIs). Through our experience with innovating Corrie, a smartphone-based app paired smartwatch blood pressure monitor myocardial infarction recovery setting, we aim provide...