Rachel A. Gladstone

ORCID: 0000-0002-6485-4879
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About
Contact & Profiles
Research Areas
  • Atrial Fibrillation Management and Outcomes
  • Cardiac Arrhythmias and Treatments
  • Pregnancy and preeclampsia studies
  • Cardiac electrophysiology and arrhythmias
  • Cardiovascular Issues in Pregnancy
  • Cardiac Ischemia and Reperfusion
  • Alcohol Consumption and Health Effects
  • Cardiac Arrest and Resuscitation
  • Anesthesia and Neurotoxicity Research
  • Birth, Development, and Health
  • Maternal and fetal healthcare
  • Cardiac Health and Mental Health
  • Cardiovascular Effects of Exercise
  • Substance Abuse Treatment and Outcomes
  • Healthcare cost, quality, practices
  • Reproductive Health and Contraception
  • Global Maternal and Child Health
  • Acute Myocardial Infarction Research
  • Gestational Diabetes Research and Management
  • Maternal and Perinatal Health Interventions
  • Healthcare Systems and Technology
  • Palliative Care and End-of-Life Issues
  • Congenital heart defects research
  • Cardiac, Anesthesia and Surgical Outcomes
  • Mobile Health and mHealth Applications

University of Toronto
2013-2024

Sinai Hospital
2023

University of California, San Francisco
2016-2021

Queen's University
2018-2019

Harvard University
2014

Massachusetts Institute of Technology
2014

Harvard Stem Cell Institute
2014

Brigham and Women's Hospital
2014

Hospital for Sick Children
2011

<h3>Importance</h3> Atrial fibrillation (AF) affects 34 million people worldwide and is a leading cause of stroke. A readily accessible means to continuously monitor for AF could prevent large numbers strokes death. <h3>Objective</h3> To develop validate deep neural network detect using smartwatch data. <h3>Design, Setting, Participants</h3> In this multinational cardiovascular remote cohort study coordinated at the University California, San Francisco, smartwatches were used obtain heart...

10.1001/jamacardio.2018.0136 article EN JAMA Cardiology 2018-03-21

Rationale: Neonatal mice have the capacity to regenerate their hearts in response injury, but this potential is lost after first week of life. The transcriptional changes that underpin mammalian cardiac regeneration not been fully characterized at molecular level. Objective: objectives our study were determine whether myocytes revert phenotype a less differentiated state during and systematically interrogate data identify validate regulators process. Methods Results: We derived core...

10.1161/circresaha.116.304269 article EN Circulation Research 2014-12-05

Background Alcohol consumption has been associated with atrial fibrillation ( AF ) in several epidemiologic studies, but the underlying mechanisms remain unknown. We sought to test hypothesis that an myopathy, manifested by echocardiographic left enlargement, explains association between chronic alcohol use and . Methods Results evaluated relationship cumulative risk of incident 5220 Offspring Original Framingham Heart Study participants (mean age 56.3 years, 54% women) size measurements....

10.1161/jaha.116.004060 article EN cc-by-nc-nd Journal of the American Heart Association 2016-09-01

Catheter ablation for ventricular tachycardia and premature complexes (PVCs) is common. of atrial fibrillation associated with a risk cerebral emboli attributed to cardioversions numerous lesions in the low-flow left atrium, but embolic has not been evaluated.We enrolled 18 consecutive patients meeting study criteria scheduled or PVC over 9-month period. Patients undergoing (LV) were compared control group those right only. excluded if they had implantable cardioverter defibrillators...

10.1161/circulationaha.116.025546 article EN Circulation 2017-01-25

Patients' self-reports suggest that acute alcohol consumption may trigger a discrete atrial fibrillation (AF) event.To objectively ascertain whether heightens risk for an AF episode.A prospective, case-crossover analysis.Ambulatory persons in their natural environments.Consenting patients with paroxysmal AF.Participants were fitted continuous electrocardiogram (ECG) monitor and ankle-worn transdermal ethanol sensor 4 weeks. Real-time documentation of each alcoholic drink consumed was...

10.7326/m21-0228 article EN Annals of Internal Medicine 2021-08-30

rIPC [remote IPC (ischaemic preconditioning)] has been shown to invoke potent myocardial protection in animal studies and recent clinical trials. Although the important role of PI3K (phosphoinositide 3-kinase)/Akt activation cardioprotection afforded by local is well described, our understanding intracellular signalling remains incomplete. We therefore examined hypothesis that mediated via PI3K/Akt/GSK3β (glycogen synthase kinase 3β) pathway, which associated with nuclear accumulation...

10.1042/cs20100466 article EN Clinical Science 2011-01-28

Background— Ascertainment of hospitalizations is critical to assess quality care and the effectiveness adverse effects various therapies. Smartphones, mobile geolocators that are ubiquitous, have not been leveraged ascertain hospitalizations. Therefore, we evaluated use smartphone-based geofencing track Methods Results— Participants aged ≥18 years installed a application programmed geofence all hospitals using global positioning systems cell phone tower triangulation trigger questionnaire...

10.1161/circoutcomes.116.003326 article EN cc-by-sa Circulation Cardiovascular Quality and Outcomes 2017-03-01

Previous studies have shown that electroacupuncture (EA) can induce cardioprotection against ischemia-reperfusion (IR) injury, but its mechanisms are incompletely understood. We previously several other forms of remote preconditioning the heart work, at least in part, via release circulating cardioprotective factors into bloodstream, be dialyzed and subsequently to reduce IR injury isolated hearts. used same methods assess whether EA leads similar humoral cardioprotection. rabbits were...

10.1007/s12576-013-0259-6 article EN The Journal of Physiological Sciences 2013-03-25

<b>Objective</b>&nbsp;To investigate the relation between alcohol consumption and heart disease by using differences in county level sales laws as a natural experiment. <b>Design</b>&nbsp;Observational cohort study laws. <b>Setting</b>&nbsp;Hospital based healthcare encounters Texas, USA. <b>Population</b>&nbsp;1 106 968 patients aged 21 or older who were residents of "wet" (no restrictions) "dry" (complete prohibition sales) counties admitted to hospital 2005 2010, identified Texas...

10.1136/bmj.i2714 article EN cc-by-nc BMJ 2016-06-14

Early preterm birth (ie, at less than 34 weeks' gestation) confers a high risk for adverse health outcomes, yet no universal screening strategy exists, preventing targeted delivery of effective interventions.

10.1001/jamanetworkopen.2024.44454 article EN cc-by-nc-nd JAMA Network Open 2024-11-14

Background Atrial refractoriness may be an important determinant of atrial fibrillation (AF) risk, but its measurement is not clinically accessible. Because the QT interval predicts incident AF and atrium ventricle share repolarizing ion currents, we investigated association between individual's effective refractory period (AERP). Methods In paroxysmal patients presenting for catheter ablation, was measured from surface 12‐lead electrocardiogram. The AERP defined as longest S1–S2 coupling...

10.1111/pace.12962 article EN Pacing and Clinical Electrophysiology 2016-10-18

Genome wide association studies have identified several single nucleotide polymorphisms (SNPs) associated with atrial fibrillation (AF), but the mechanisms underlying these relationships not yet been elucidated. Inflammation and fibrosis posited as important responsible for AF. We sought to investigate impact of SNP carrier status on inflammation in left appendage tissue.Carrier 10 AF-associated SNPs was evaluated DNA extracted from tissue 176 individuals (120 AF). The presence through...

10.1111/jce.13083 article EN Journal of Cardiovascular Electrophysiology 2016-08-30
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