A5011533153- Cardiac Health and Mental Health
- Frailty in Older Adults
- Heart Failure Treatment and Management
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Imaging and Diagnostics
- Cardiovascular Health and Risk Factors
- Blood Pressure and Hypertension Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Valve Diseases and Treatments
- Cardiovascular Function and Risk Factors
- Medication Adherence and Compliance
- Acute Myocardial Infarction Research
- Pharmaceutical Practices and Patient Outcomes
- Chronic Disease Management Strategies
- Dementia and Cognitive Impairment Research
- Atrial Fibrillation Management and Outcomes
- Cardiac Structural Anomalies and Repair
- Cardiac pacing and defibrillation studies
- Cardiovascular and exercise physiology
- Mechanical Circulatory Support Devices
- Aortic Disease and Treatment Approaches
- Nutrition and Health in Aging
- Cardiac Arrest and Resuscitation
- Mobile Health and mHealth Applications
- Heart Rate Variability and Autonomic Control
NYU Langone Health
2017-2025
New York University
2016-2025
New York City Health and Hospitals Corporation
2024
Columbia University Irving Medical Center
2006-2023
University of Massachusetts Chan Medical School
2021-2023
Yale University
2011-2021
Beth Israel Deaconess Medical Center
2021
Southerners on New Ground
2021
University of Pennsylvania
2021
University School
2020
<h3>Importance</h3> Epidemiological evidence suggests that physical activity benefits cognition, but results from randomized trials are limited and mixed. <h3>Objective</h3> To determine whether a 24-month program in better cognitive function, lower risk of mild impairment (MCI) or dementia, both, compared with health education program. <h3>Design, Setting, Participants</h3> A clinical trial, the Lifestyle Interventions Independence for Elders (LIFE) study, enrolled 1635 community-living...
Caring for older adults with multiple chronic conditions (MCCs) is challenging. The American Geriatrics Society (AGS) previously developed AGS Guiding Principles the Care of Older Adults With Multimorbidity using a systematic review literature and consensus. objective current work was to translate these principles into framework Actions accompanying Action Steps decision making clinicians who provide both primary specialty care people MCCs. A group geriatricians, cardiologists, generalists:...
Decision making in cardiology concentrates on diseasespecific outcomes following practice guidelines for specific conditions.Quality metrics implemented valuebased purchasing and public reporting also largely focus individual diseases.Disease-centered approaches are appropriate when individuals have a single predominant disease everyone with the desires same outcome, such as prolonged survival or stroke prevention. 1 This disease-centered framework is illsuited, however, persons multiple...
There is a need to describe contemporary outcomes of surgical aortic valve replacement (AVR) as the population ages and transcatheter options emerge.
Background Sleep apnea ( SA ) is associated with an increased risk of atrial fibrillation AF ). We sought to determine the effect on cardiac structure in patients , whether therapy for was beneficial structural remodelling, and remodelling translated into a reduced recurrence after pulmonary venous isolation PVI Methods Results A consecutive group 720 underwent magnetic resonance study before . Patients (n=142, 20%) were more likely be male, diabetic, hypertensive have artery pressure, right...
Heart failure (HF) is associated with cognitive impairment. However, we know little about the time course of change after HF diagnosis, importance comorbid atrial fibrillation, or role ejection fraction. We sought to determine associations incident rates decline and whether these differed by fibrillation status reduced versus preserved Participants were 4864 men women aged ≥65 years without a history free clinical stroke in CHS (Cardiovascular Health Study)-a community-based prospective...
Importance Among older adults with ischemic heart disease, participation in traditional ambulatory cardiac rehabilitation (CR) remains low. While mobile health CR (mHealth-CR) provides a novel opportunity to deliver care, age-specific impairments technology use may limit uptake, and efficacy data are currently lacking. Objective To test whether mHealth-CR improves functional capacity adults. Design, Setting, Participants The RESILIENT phase 2, multicenter, randomized clinical trial recruited...
Objective To characterise the trends in left ventricular assist device (LVAD) implantation rates and outcomes between 2004 2011 Medicare population. Since approval of HeartMate II 2008, use LVADs has steadily climbed. Given increase LVAD use, issues around discharge disposition, post-implant hospitalisations costs require further understanding. Methods We examined short-term long-term among fee-for-service beneficiaries hospitalised for implantation. also conducted analyses survivors 1-year...
Background— The epidemiology of aortic dissection (AD) has not been well described among older persons in the United States. It is known whether advancements AD care over last decade have accompanied by changes outcomes. Methods and Results— Inpatient Medicare data from 2000 to 2011 were used determine trends hospitalization rates for AD. Mortality ascertained through corresponding vital status files. A total 32 057 initial hospitalizations identified. overall rate remained unchanged at 10...
Studies of sex-based differences in older adults with acute myocardial infarction (AMI) have yielded mixed results. We, therefore, sought to evaluate presentation characteristics, treatments, functional impairments, and in-hospital complications a large, well-characterized population (≥75 years) hospitalized AMI.We analyzed data from participants enrolled SILVER-AMI (Comprehensive Evaluation Risk Factors Older Patients With Acute Myocardial Infarction)-a prospective observational study...
Data are sparse regarding the impacts of habitual physical activity (PA) and sedentary behavior on cardiovascular (CV) risk in older adults with mobility limitations.This study examined baseline, cross-sectional association between CV objectively measured PA among participants Lifestyle Interventions Independence for Elders (LIFE) study. The relationship accelerometry measures predicted 10-year Hard Coronary Heart Disease (HCHD) was modeled by using linear regression, stratified according to...
Background There are few data characterizing temporal changes in hospitalization for recurrent acute myocardial infarction ( AMI ) after . Methods and Results Using a national sample of 2 305 441 Medicare beneficiaries hospitalized from 1999 to 2010, we evaluated the incidence 1‐year mortality using Cox proportional hazards models. The observed rate declined 12.1% (95% CI 11.9 12.2) 8.9% 8.8 9.1) relative decline 26.4%. by 27.7% whites, 11.9% 11.8 12.1) 8.6% 8.5 8.8) versus blacks 13.6%...