A5074313065- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Climate Change Policy and Economics
- Diabetes Treatment and Management
- Atrial Fibrillation Management and Outcomes
- Cardiovascular Health and Risk Factors
- Cardiac Health and Mental Health
- Cardiac pacing and defibrillation studies
- Global trade and economics
- Atmospheric and Environmental Gas Dynamics
- Potassium and Related Disorders
- Environmental Impact and Sustainability
- Stroke Rehabilitation and Recovery
- Fiscal Policy and Economic Growth
- Primary Care and Health Outcomes
- Cardiac Valve Diseases and Treatments
- Clinical practice guidelines implementation
- Nutrition and Health in Aging
- Labor Movements and Unions
- Health Systems, Economic Evaluations, Quality of Life
- Energy, Environment, and Transportation Policies
Duke University Hospital
2022-2024
Duke University
2014-2022
Duke Medical Center
2022
Background: Guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF) improves clinical outcomes and quality of life. Optimizing GDMT in the hospital is associated greater long-term use HFrEF. This study aimed to describe efficacy a multidisciplinary virtual HF intervention on optimization among patients HFrEF admitted any cause. Methods: In this pilot randomized, controlled study, consecutive noncardiology medicine services cause were identified at...
Decompensated heart failure (HF) can be categorized as de novo or worsening of chronic HF. In PARAGLIDE-HF (Prospective comparison ARNI with ARB Given following stabiLization DEcompensated HFpEF), among patients an ejection fraction >40% that stabilized after HF, sacubitril/valsartan led to a significantly greater reduction in N-terminal pro-B-type natriuretic peptide (NT-proBNP) and was associated clinical benefit compared valsartan.
The Regional Greenhouse Gas Initiative (RGGI) is a consortium of Northeastern U.S. states that limit carbon dioxide emissions from electricity generation through regional trading program. Since RGGI started in 2009, have sharply dropped. We use econometric models to quantify the reductions due and those other factors such as recession, complementary environmental programs, lowered natural gas prices. analysis shows has induced greater within region than been achieved proportionally rest...
Background Prior studies showed an attenuated response to exercise training among patients with heart failure and type 2 diabetes mellitus. We explored the interaction between status a novel, transitional, tailored, progressive rehabilitation intervention that improved physical function compared usual care in Rehabilitation Therapy Older Acute Heart Failure Patients (REHAB-HF) trial. Methods The effect of on 3-month Short Physical Performance Battery (SPPB) (primary endpoint), 6-minute walk...
Engaging in timely, informative, and clinically relevant quality improvement (QI) initiatives should be a priority of health care organizations large small. As clinical science advances with new innovations, treatments, therapies, it becomes increasingly important to ensure that these discoveries are effectively implemented practice. Quality is systematic approach analyzing performance, identifying areas for improvement, testing the effectiveness change within system. In care, QI might...
Introduction: Guideline-directed medical therapy (GDMT) for heart failure with reduced ejection fraction (HFrEF) improves clinical outcomes and quality of life. Optimizing GDMT in the hospital is associated greater long-term use HFrEF. Hypothesis: A multidisciplinary virtual HF intervention optimization among patients HFrEF admitted any cause. Methods: In this pilot randomized, controlled study, consecutive to non-cardiology medicine services cause were identified at Duke Hospital between...
Introduction: Rates of uncontrolled hypertension are higher in Black men than the general population. Prior studies have shown that home self-monitoring blood pressure (SMBP), addition to clinical support and education, helps patients lower their (BP). This study evaluated a SMBP program for with at Federally Qualified Health Center (FQHC). Hypothesis: We hypothesized virtual outreach would increase adoption BP among Men FQHC. Methods: >18 years old severe (>160 mmHg systolic or >...
Background: Disparities in hypertension and cardiovascular outcomes among Black men the US are influenced by social determinants of health (SDOH) systemic inequity. Self-measured blood pressure (SMBP) monitoring programs may be an efficacious strategy to combat these disparities community setting. Leveraging advantages SMBP, however, requires improved understanding barriers engagement this population. Methods: A total 258 male patients a Federally Qualified Health Center, with severe ( >...