- Blood Pressure and Hypertension Studies
- Heart Rate Variability and Autonomic Control
- Nutritional Studies and Diet
- Sodium Intake and Health
- Cardiovascular Health and Disease Prevention
- Health Systems, Economic Evaluations, Quality of Life
- Obesity, Physical Activity, Diet
- Cardiovascular Health and Risk Factors
- Consumer Attitudes and Food Labeling
- Primary Care and Health Outcomes
- Hemodynamic Monitoring and Therapy
- Cardiac Imaging and Diagnostics
- Cardiovascular Disease and Adiposity
- Healthcare Policy and Management
- Cardiovascular Syncope and Autonomic Disorders
- Pharmaceutical Practices and Patient Outcomes
- Cardiovascular Function and Risk Factors
- Hormonal Regulation and Hypertension
- Health Literacy and Information Accessibility
- Pharmacology and Obesity Treatment
- Venous Thromboembolism Diagnosis and Management
- Medication Adherence and Compliance
- Cardiac Health and Mental Health
- Innovations in Medical Education
- Healthcare cost, quality, practices
Duke University
2016-2025
Duke Medical Center
2016-2024
Duke University Health System
2022-2023
International Data Group (Sweden)
2022
Johns Hopkins University
2016-2020
Duke University Hospital
2016-2020
Gobierno de Canarias
2020
University of North Carolina at Chapel Hill
2009-2018
University of Mississippi Medical Center
2016-2017
University of Michigan
2017
Odds ratios (OR) are commonly reported in the medical literature as measure of association between exposure and outcome. However, it is relative risk that people more intuitively understand a association. Relative can be directly determined cohort study by calculating ratio (RR). In case-control studies, studies which outcome occurs less than 10% unexposed population, OR provides reasonable approximation RR. when an common (iY group), will exaggerate One method readers use to estimate RR...
Little is known regarding the association between level of blood pressure (BP) in young adulthood and cardiovascular disease (CVD) events by middle age.To assess whether adults who developed hypertension, defined 2017 American College Cardiology (ACC)/American Heart Association (AHA) BP guideline, before age 40 years have higher risk for CVD compared with those maintained normal BP.Analyses were conducted prospective cohort Coronary Artery Risk Development Young Adults (CARDIA) study,...
Retinal telescreening for evaluation of diabetic retinopathy (DR) in the primary care setting may be useful reaching rural and underserved patients.To evaluate telemedicine retinal screenings patients with type 1 or 2 diabetes identify factors ophthalmology referral North Carolina Diabetic Retinopathy Telemedicine Network.A preimplementation postimplementation was conducted from January 6, 2014, to November 1, 2015, at 5 clinics serving populations among 1787 adult who received obtained...
Although higher visit-to-visit variability (VVV) of blood pressure (BP) is associated with increased cardiovascular disease risk, the physiological basis for VVV BP incompletely understood.We examined associations aortic distensibility (assessed by magnetic resonance imaging) and artery elasticity indices (determined radial pulse contour analysis) in 2,640 4,560 participants, respectively, from Multi-Ethnic Study Atherosclerosis. Arterial measures were obtained at exam 1. readings taken 1 3...
BACKGROUND Several ambulatory blood pressure monitoring (ABPM) measures have been associated with increased cardiovascular disease risk independent of clinic (BP). African Americans higher BP compared Whites but few data are available on racial differences in ABPM measures. METHODS We between American (n = 178) and White 103) participants at the Year 5 Coronary Artery Risk Development Young Adults study visit. was measured during a visit second third measurements were averaged. conducted...
Bystander cardiopulmonary resuscitation (B-CPR) and defibrillation for out-of-hospital cardiac arrest (OHCA) vary by sex, with women being less likely to receive these interventions in public. It is unknown whether sex differences persist when considering neighborhood racial ethnic composition. We examined the odds of receiving B-CPR stratified location neighborhood. hypothesized that predominantly Black neighborhoods will have a lower B-CPR.
<i>Background:</i> We sought to assess primary care patients9 current knowledge about various aspects of high blood pressure (BP). <i>Methods:</i> mailed a questionnaire 700 hypertensive patients enrolled in practice-based research network cohort from 24 practices North Carolina. determined percentages respondents (total and by subgroups) incorrectly answering each 6 questions pertaining BP. then examined bivariate multivariate associations with 2 or more items ("lower hypertension...
Hypertension is associated with impaired endothelial function in cross-sectional studies. However, few longitudinal data exist on whether dysfunction precedes the development of hypertension. We examined and relationships between endothelial-dependent brachial artery flow-mediated dilation (FMD) hypertension prevalence incidence 3500 participants from Multi-Ethnic Study Atherosclerosis, an ethnically diverse, community-based cohort study. At baseline, ratios (95% CI) highest to lowest...
Abstract Background Global coronary heart disease (CHD) risk assessment is recommended to guide primary preventive pharmacotherapy. However, little known about physicians' understanding and use of global CHD assessment. Our objective was examine US awareness, use, attitudes regarding in clinical practice, how these vary by provider specialty. Methods Using a web-based survey family physicians, general internists, cardiologists, we examined awareness tools available calculate risk, method...