Annual Report
2015 GW HEART & VASCULAR INSTITUTE
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DEAR FRIENDS OF THE GW HEART & VASCULAR INSTITUTE,
I am proud to present the many accomplishments of the GW Heart & Vascular Institute over the 2014-2015 academic year. Completing the Institute’s eighth year, we continue to expand our mission of community service, education and research. Locally, our fellows and faculty volunteered at Food & Friends, and internationally, Drs.Tracy and Mercader led their sixth annual mission to Honduras. Our educational programs
Letter from
included support of advanced interventional and electrophysiology fellowship trainees
our Director
and visiting professors. In addition, we launched the first annual Jacob Varghese visiting professorship and funded trainees to attend national cardiology educational meetings. Faculty research productivity was the greatest in the Institute’s history with more than 75 published manuscripts, abstract presentations, and keynote scientific presentations. In addition to our physicians’ high quality clinical care, the programs of the GW Heart & Vascular Institute represent our dedicated faculty’s commitment to academic excellence. I hope this report gives you an in-depth appreciation for the professional cardiovascular activities of the GW faculty. Thank you for trusting in our work and supporting our mission. Sincerely,
Richard J. Katz, MD Walter A. Bloedorn Professor of Cardiology Director, Division of Cardiology Director, GW Heart & Vascular Institute
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FACULTY &
LEADERSHIP CARDIOLOGY RICHARD J. KATZ, MD
WILLIAM BORDEN, MD
JANNET LEWIS, MD
JONATHAN REINER, MD
Director and Board Chairman, GW Heart & Vascular Institute
Associate Professor of Medicine
Professor of Medicine
Professor of Medicine
Director, Division of Cardiology
Director of Healthcare Delivery Transformation
Director of Non-Invasive Cardiology
Director, Cardiac Catheterization Laboratories
Walter A. Bloedorn Professor of Medicine
ANDREW D. CHOI, MD
RICHARD NEVILLE, MD
Assistant Professor of Medicine and Radiology
Co-Director, GW Heart & Vascular Institute
BRIAN G. CHOI, MD, MBA
Chief, Division of Vascular Surgery
Associate Professor of Medicine and Radiology
Professor of Surgery
Co-Director, Advanced Cardiac Imaging
JESSICA JOHNSON
Chief Medical Information Officer, GW MFA
Executive Director, GW Heart & Vascular Institute
STEVEN FARMER, MD, PhD
Associate Professor of Medicine and Public Health
SCOTT SHAPIRO, MD, PhD LISA W. MARTIN, MD
Assistant Professor of Medicine
Associate Professor of Medicine
Electrophysiology
Director, Lipid Research Clinic ALLEN SOLOMON, MD RAMESH MAZHARI, MD
Professor of Medicine
Associate Professor of Medicine
Director, Cardiology Fellowship
Director, Interventional Cardiology
Director, CCU CYNTHIA TRACY, MD
MARCO MERCADER, MD
Professor of Medicine
Associate Professor of Medicine
Associate Director of Cardiology
Director, Electrophysiology Research
Director of Electrophysiology ALAN WASSERMAN, MD
Associate Director, Office of Clinical Practice Innovation
CHRISTIAN NAGY, MD
Assistant Professor of Medicine
Chairman of the Department of Medicine
RICHARD J. KATZ, MD
Director, Structural Heart Disease Program
Eugene Meyer Professor of Medicine
GURUSHER PANJRATH, MD
WILLIAM WEGLICKI, MD
Assistant Professor of Medicine
Professor of Medicine
Director of Heart Failure and Mechanical Circulatory Support Program
Professor of Biochemistry & Molecular Medicine
Director and Board Chairman, GW Heart & Vascular Institute Director, Division of Cardiology Walter A. Bloedorn Professor of Medicine
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Director, Women’s Heart Center
VASCULAR SURGERY
BOARD OF DIRECTORS
RICHARD NEVILLE, MD
BYUNG-BOONG LEE, MD, PhD
RICHARD J. KATZ, MD
ALAN B. MILLER
Co-Director, GW Heart & Vascular Institute
Clinical Professor of Surgery
Chairman
Chief Executive Officer and Chairman of the Board
Chief, Division of Vascular Surgery
BAO-NGOC NGUYEN, MD
JEFFREY AKMAN, MD
Universal Health Services, Inc. (UHS)
Associate Professor of Surgery
Walter A. Bloedorn Professor of Administrative Medicine
Professor of Surgery ANTON SIDAWY, MD, MPH
Lewis B. Saltz Chair of Surgery
BASIC SCIENCES
Professor of Surgery TIMOTHY MCCAFFREY, PhD
ROBERT MILLER, PhD
Dean, GW School of Medicine and Health Sciences and Vice President for Health Affairs
Senior Associate Dean of Research
JOSEPH BABROWICZ, MD
RICHARD NEVILLE, MD
GW School of Medicine and Health Sciences
SUBODH ARORA, MD, FACS, FRCS
Professor Medicine
Director, The Vein Center
FRANCIS J. DUGGAN
JONATHAN S. REINER, MD
Director of Division of Genomic Medicine
Chairman, Transnational Law Group
ANTON SIDAWY, MD, MPH
Associate Professor of Surgery
CYNTHIA M. TRACY, MD
JOSEPH BABROWICZ, MD
ANASTASIA D. KELLY
Assistant Professor of Surgery
Co-Managing Partner (Americas)
ROBERT UNDERSTEIN
JAMES LAREDO, MD, PhD
Chair, Global Governance and Compliance
President, GTI-Government Transformation Initiative
Associate Professor of Surgery
DLA Piper
Director of Reston Vein Center
ALAN G. WASSERMAN, MD
Chairman, TASC
Chairman of the Department of Medicine
Private Consultant on Defense and Intelligence
Eugene Meyer Professor of Medicine
PETER A. MARINO
TIMOTHY MCCAFFREY, PhD
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COMMUNITY
OUTREACH Reducing Heart Failure Hospital Readmissions The GW Heart & Vascular
Drs. Gurusher Panjrath, Richard Katz,
Institute supports regional,
and GW heart failure nurse practitioner
national, and international
GW Hospital, the Institute for Public
community service programs.
an innovative program to improve heart
Linda Bostrom are collaborating with Health Innovation and Sensei Corp., in failure patients’ quality of life and to reduce hospital readmissions. This team trains and deploys community health workers to monitor patients at home, and provides patients with a mobile phone heart failure application to send communication back to the medical team.
Athlete Screening Dr. Allen Solomon and cardiology fellows provide free heart screenings to 100 high school and middle school athletes at Albert Einstein High School in Silver Spring, MD. Dr. Solomon has led this annual
DR. GURUSHER PANJRATH WITH LINDA BOSTROM, NP, AND COMMUNITY HEALTH
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screening of young athletes in
WORKERS MEIA JONES AND KIMBERLEE
Montgomery County for more than
DESORMEAUX.
a decade.
Empowering Women for Heart-Healthy Lives Heart disease is the leading cause of death for women in the United States, and causes one in three women’s deaths each year. Prevention and early detection are crucial to reduce heart disease risks. Women often ignore symptoms and delay seeking medical care due to a lack of awareness regarding cardiovascular health. Led by Dr. Jannet Lewis, the Women’s Heart Center at the GW Heart & Vascular Institute provides a comprehensive approach to improving heart disease treatment and outcomes in women through community-based cardiovascular research and education. The Center is joined by Dr. Brian Choi, Helma Parikh, CRNP, and Kelli Metzger, MS, RD. The Center’s registered dietician, Kelli Metzger, provides free heart-healthy nutrition education sessions at five Washington, DC community health clinics each month. Emphasis is placed on the benefits of the Mediterranean diet, which has been shown to reduce risk of heart attack and stroke.
HEART MONTH COOKING CLASS AT L’ACADEMIE DE CUISINE.
During National Heart Month in 2015, the Center provided a Mediterranean diet cooking class at L’Academie de Cuisine to raise TOP: DR. LEWIS WELCOMES PARTICIPANTS TO
awareness of women’s heart health. L’Academie’s professional chef
HEART-HEALTHY COOKING DEMO SPONSORED BY
guided guests in cooking a heart-healthy meal while registered
WHOLE FOODS.
dietician Metzger provided diet tips.
ABOVE: THE WOMEN’S HEART CENTER TEAM: H. PARIKH, J. LEWIS, K. METZGER, B. CHOI.
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Mobile Health and Nutrition Drs. Brian Choi and Richard Katz, and dietician Kelli Metzger, have launched a study with Vignet, a Virginia-based mobile health company, to investigate the benefits of dietary counseling supplied
Alliance for Nutrition in Health and Disease
through the mobile phone application, Vibrent. Vibrent allows patients to create
Cardiology faculty, fellows and staff volunteer annually at Food & Friends to
online food diaries with meal photos that
prepare and package meals for people living with life-challenging illnesses such
can be reviewed by a nutritionist. Using
as HIV/AIDS and cancer. Food & Friends provides more than 1 million meals per
the Vibrent web portal, our nutritionist
year to people in the DC community.
provides personalized dietary advice to each participant, with an emphasis on adding components of a heart-healthy Mediterranean diet to the participant’s daily food choices. We intend to demonstrate that dietary counseling delivered through a smartphone can improve dietary habits in general, and enhance incorporation of elements of the Mediterranean diet into daily use.
In 2015, Dr. Panjrath partnered with Food & Friends to create a pilot program, Alliance for Nutrition in Health and Disease, to improve the care of patients with poorly controlled diabetes mellitus and co-morbidities such as heart failure and amputations. The 12-month study will evaluate the effectiveness of medical nutrition therapy (MNT) to reduce the need for hospitalization and urgent care visits, and improve blood sugar control and prevent further end-organ injury associated with poor metabolic control and co-morbidities. MNT will be provided by Food & Friends in the form of fresh cooked meals or groceries delivered to the patient’s home three times a week at no cost to them. A registered dietitian will provide ongoing nutrition education to all participants. Results of this program may serve as basis for expanding these services to a larger population.
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Our Mission in Honduras Starting in 2010, Dr. Cynthia Tracy and colleagues have traveled every
The GW team implants more devices
summer to Centro Medico Comayagua Colonial Hospital in Comayagua,
during the two-week mission than are
Honduras. During the two-week mission, the GW team evaluates heart failure
implanted the entire rest of the year
and arrhythmia patients, implanting free pacemakers and defibrillators in
throughout Honduras.
at-risk patients. Since 2010, Dr. Tracy has acquired more than $2,500,000 in donated heart devices. The Mission has gained popularity nationally and it is now advertised on TV and radio stations within the region. Patients travel as much as seven hours to be evaluated by our team.
Since 2010, the team has
Our Mission goal is to create a sustainable cardiac clinic for the underserved people of Honduras. To that end, the GW Heart & Vascular Institute has also
evaluated more
funded two Honduran physicians
than 500 heart
to come to George Washington
patients and
University for intensive training
implanted 165 devices.
on monitoring patients who have pacemakers and defibrillators to establish a follow-up clinic in Honduras. The Mission team has also provided onsite education to physicians, nurses, and patients while visiting Centro Medico Comayagua Colonial Hospital in Honduras.
Many previous mission patients are evaluated for follow-up care and device check-ups
Our annual trip is the only medical mission in Honduras to address these acute cardiac needs.
in later years.
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HIGHLIGHTS IN
EDUCATION Visiting Professors The Institute is dedicated to training the next generation
The GW Heart & Vascular Institute enhances the educational experience of our GW medical residents and cardiology fellows by inviting renowned cardiologists and master teachers to serve as visiting professors.
continuing medical education
The Understein Memorial Visiting
Cummings Family Endowment Visiting Professor Jagat Narula, MD, PhD, 2015
Professor endowment was established
Dr. Narula, Associate Dean of Global
throughout the region.
in 1978 by the family of Jack Understein,
Health at the Icahn School of Medicine
in gratitude for the care provided
at Mount Sinai, Professor of Medicine
at GW’s Division of Cardiology. Our
and Director of Cardiovascular Imaging
2015 Understein Lecturer was Elliott
Program, discussed “Reclassifying
M. Antman, MD, Associate Dean
Cardiomyopathies” at GW Cardiology
for Clinical/Translational Research at
Grand Rounds, and “New Imaging
Harvard Medical School, and past
Modalities to Predict Cardiac Events”
president of the American Heart
at GW Medical Grand Rounds.
of cardiologists and providing
Understein Memorial Visiting Professor
Association. Dr. Antman delivered “Management of Atrial Fibrillation: Can we be more precise?” at GW Cardiology Grand Rounds, and “Clinical Research and the Development of Medical Therapeutics,” at GW Medical Grand Rounds. 2015-16 CARDIOLOGY FELLOWS MEET WITH DR. ANTMAN DURING UNDERSTEIN MEMORIAL LECTURE.
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Symposia Faculty and Fellows participate in Institute-sponsored symposia to share best practices in cardiology with clinicians and professors involved in multidisciplinary cardiac care
GW DIVISION OF CARDIOLOGY FACULTY AND FELLOWS,
throughout the country.
2014-2015 ACADEMIC YEAR.
Second Annual Heart Failure and Arrhythmia Symposium in Washington, DC Drs. Marco Mercader, Associate Professor of Medicine, Director of Electrophysiology Research, and Gurusher Panjrath, Assistant
Dr. Jonathan Reiner joins Vice President Dick Cheney to Discuss Living with Heart Failure Vice President Dick Cheney and Dr. Jonathan Reiner, co-authors of Heart: An American Medical Odyssey, participated in a live panel discussion “Living with Heart Failure: Patient, Physician, Surgeon and Nurse Perspectives,” at the American Heart Association (AHA)
Professor of Medicine, Director of Heart Failure and Mechanical Support Program, co-chaired the symposium in Washington, DC in May 2015. The program included presentations from GW faculty and fellows, and guest speakers. The symposium attracted nearly 100 medical professionals providing updates on heart failure, arrhythmias, myocardial ischemia and vascular issues.
Fellows Education and Training The GW Cardiology Fellowship program led by Dr. Allen Solomon, is a threeyear comprehensive clinical cardiology training program designed to prepare the next generations of cardiologists for careers in clinical or academic medicine. Outstanding candidates may pursue a fourth
Scientific Sessions in Chicago. Cheney
year of advanced training to specialize in
recounted nearly four decades of living with
electrophysiology, led by Dr. Cynthia Tracy,
cardiovascular disease, crediting advances in
or in interventional cardiology, led by Drs.
heart treatment technologies and dedicated
Jonathan Reiner and Ramesh Mazhari. In
health care providers.
FY15, the Institute provided training to eight core cardiology fellows and supported two electrophysiology fellows and two interventional cardiology fellows. Fellows participate in academic research studies provided by the Institute’s Annual Young Investigator Awards. 11
The Inaugural P. Jacob Varghese
Visiting Professor and Cardiology Alumni Dinner P. Jacob Varghese, MD, retired July 1,
School of Medicine, and past-President
2014, after 35 years of dedicated service.
of the American Heart Association.
In honor of Dr. Varghese’s many years
The alumni dinner was hosted by the
of commitment to GW, the Institute
GW Cardiology Alumni Committee:
established the P. Jacob Varghese, MD
Drs. Narian Rajan, Hamid Taheri, and
Visiting Professor Fund to provide an
Reza Sanai.
annual GW Cardiology Alumni Visiting Professorship. DR. SHAPIRO AND GW CARDIOLOGY ALUMNA
The inaugural P. Jacob Varghese Visiting
DR. FISHMAN.
Professor lecture was held May 2015 at the Cosmos Club. Robert O. Bonow, MD, MS, presented “Evidence-based Management of Mitral Regurgitation” during the alumni dinner. Dr. Bonow is Professor and Vice Chairman of the Department of Medicine and Director of the Center for Cardiovascular Innovation at Northwestern University Feinberg
TOP: GW CARDIOLOGY ALUMNA DR. MUKHERJEE, AND FELLOWS, DRS. HASSOUNA AND KIM, CONNECT AT RECEPTION. ABOVE: DR. ROBERT BONOW, JOINED BY DRS. JACOB VARGHESE AND ALLEN SOLOMON, ALONG WITH GW CARDIOLOGY ALUMNI COMMITTEE MEMBERS DRS. RAJAN AND TAHERI.
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CARDIOVASCULAR
RESEARCH As cardiovascular disease gains a larger foothold globally as the number one killer of people, the GW Heart & Vascular Institute has been at the forefront of cardiovascular research to closely connect research advances with the clinical practice of medicine. In 2015, our
The GW Heart &
faculty’s research productivity was the greatest in the Institute’s history
Vascular Institute
with more than 75 published manuscripts, abstract presentations, and
faculty are committed to exploring new
keynote scientific presentations.
innovations for the
GW Heart & Vascular Institute Faculty Research FY 2015
diagnosis and treatment
Young Investigator Pilot Research Funded by the Institute
of cardiovascular disease.
$
62,500
Research Funded by Federal/Foundation/Industry Grants: Federal Grants
$ 2,929,976
Foundation Grants
$ 2,280,761
Medical Industry Grants
$
Total Research Grant Support
$ 5,310,143
36,906
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DR. BORDEN DISCUSSES “OUTSIDE, IN: WILL POPULATION HEALTH SOLVE WHAT’S AILING OUR HEALTHCARE SYSTEM?” AT A POLITICO HOSTED EVENT.
GW Heart & Vascular Institute cardiologists Steven Farmer,
Healthcare Policy
MD, PhD, and William Borden, MD, are recognized national leaders in the fields of population health and health policy, often serving as keynote speakers at major health policy forums. Dr. Farmer’s research addresses contemporary national health policy issues, particularly in relation to variability in medical decision making, healthcare organizational structure, payment reform, and the costs and outcomes of care. Dr. Borden focuses on policy approaches to improving quality of care. Their work is published in major medical journals. DR. FARMER PRESENTS “LESSONS LEARNED AND THE PATH FORWARD” AT A MEDTALK MERKIN SERIES ON INNOVATIONS IN CARE DELIVERY AT THE BROOKINGS INSTITUTE.
PUBLISHED IN 2015 HEALTHCARE POLICY
Publications 1. Pines JM, Farmer SA, et al. The Maryland Medicare waiver and emergency care: mixed experiences deserve close scrutiny. Am J Med Qual. 2015; 30(2): 186-187. 2. Farmer SA, et al. A Case Study in Payment Reform to Support Optimal Pediatric Asthma Care. Washington, DC, Brookings Institution. 2015; 1-22. 3. Farmer SA, et al. Community Based Approaches for Optimal Asthma Outcomes and Accountable Population Health. Washington, DC. Brookings Institution. 2015.
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4. Pines JM, Farmer SA, et al. “Innovation” institutes in academic health centers: enhancing value through leadership, education, engagement, and scholarship. Academic Medicine. 2014; 89(9): 1204-1206. 5. Magid DJ and Farmer SA. Hypertension self-management: a home run for patients and payers. Circ Cardiovasc Qual Outcomes. 2014; 7(2): 205-206. 6. Farmer SA, McStay F, George M, McClellan M, Sennett C. Evidence Based Policy: Accountable Population Health for Pediatric Asthma. Brookings Institution. September 14, 2015.
7. Borden WB, Maddox TM, Tang F, Rumsfeld JS, Oetgen WJ, Mullen JB, Spinler SA, Peterson ED, Masoudi FA, Impact of the 2014 Expert Panel Recommendations for Management of High Blood Pressure on Contemporary Cardiovascular Practice: Insights from the NCDR PINNACLE Registry. J Am Coll Cardiol. 2014; 64(21):2196-2203. 8. Deaño RC, Pandya A, Jones EC, Borden WB. A Look at Statin CostEffectiveness in View of the 2013 ACC/AHA Cholesterol Management Guidelines. Current Atherosclerosis Reports. 2014 Sep; 16:9 pg 438. 9. Wasfy JH, Borden WB, Secemsky EA, McCabe JM, Yeh RW. Public Reporting in Cardiovascular Medicine: Accountability,
Unintended Consequences, and Promise for Improvement. Circulation. 2015; 131: 1518-1527. 10. Borden WB, Mushlin AI, Gordon JE, Leiman JM, Pardes H. A New Conceptual Framework for Academic Health Centers. Academic Medicine. 2015 May; 90(5):569-73. 11. Farmer SA and Borden WB. Setting the stage for evidence-based medicine. Circ Cardiovasc Qual Outcomes. 2015; 8(3): 223-225. 12. Ryan AM, Burgess JF, Pesko M, Borden WB, Dimick J. The Early Effects of Medicare’s Mandatory Hospital Payfor-Performance Program. Health Services Research. 15 JUL 2014.
13. Borden WB, Chiang YP, Kronick R. Bringing Patient-Centered Outcomes Research to Life. Value in Health. 2015 Jun; 18(4):355-7. 14. Sutherland JM, Borden WB. Bundled payments for care improvement initiative — insights from the test pilots of payment reform. Journal of Hospital Administration. Jan. 2015; 4: 2. Abstracts/Presentations 1. Alhamoud HA, Dudum R, Young H, Choi BG. Discrepancies between author self-disclosure and pharmaceutical company reporting of payments to physicians: an analysis of American College of Cardiology and American Heart Association guideline authors. J Am Coll Cardiol. 2015; 65(10): A336.
Coronary Artery Disease
n
Ramesh Mazhari, MD, is an expert on
radial artery heart catheterization, which uses the artery in the wrist, rather than traditional approach through the groin, to take pictures of the heart. Dr. Mazhari, along with Drs. Jonathan Reiner and
The GW Heart & Vascular
Christian Nagy, presented research on
n
Institute is dedicated to
transradial catheterization showing not
heart failure and death. Scott Shapiro,
developing new approaches
only a lower risk of bleeding and need
MD, PhD, published basic science
to enhance patient care of
for blood transfusion, but also a lower
research on stimulating damaged heart
incidence of heart catheterization related
muscle to regrow after heart attacks
kidney damage.
using gene therapy.
coronary artery disease.
2. Alhamoud HA, Dudum R, Young HA, Choi BG. Author self-disclosure compared to pharmaceutical company reporting of physician payments. American Journal of Medicine. 2015; pii:2015.06.028. 3. Borden WB. The Impact of Affordable Care Act on the Health Care Delivery System, Keynote Speaker. New York Cardiovascular Society 8th Annual Cardiovascular Symposium. 2015. 4. Borden WB, Maddox TM, Tang F, Ryan A, Rumsfeld JS, Oetgen WJ, Joynt KE, Deaño RC, Farmer S, et al. Assessing the Validity of Physician Quality Reporting. American College of Cardiology Scientific Sessions. 2015; San Diego, CA.
5. Borden WB. Plenary Speaker: The Role of Accountable Care Organizations in Cardiology. American College of Cardiology. Washington DC Cardiology Fellow’s Meeting, 2015. 6. Borden WB. Practice/Provider/System Demand for Integration, Invited Panelist. The Academy for Integrating Behavioral Health and Primary Care National Integration Academy Council. September 3-4, 2014; Rockville, MD. 7. Borden WB. Plenary Speaker: Care Delivery Transformation in Academic Health Centers. Academic Internal Medicine Week Administrators of Internal Medicine. Sept. 2014; Washington, DC.
Damaged heart muscle can lead to
CORONARY ARTERY DISEASE
Publications 1. Guzman-Martinez G, FernandezFriera L, Moral S, Shapiro S, Bates D. et al. Intra-scar perfusion heterogeneity by cardiac magnetic resonance in a porcine model of non-reperfused myocardial infarction. International Journal of Cardiology. 2014; 176(3), 1288-1289. 2. Mazhari R, Kapur N. Increased risk and increased reward in coronary intervention in older patients with acute coronary syndrome. Heart. 2014 Jun 19.
3. Mercader M, et al. STEMI, 3-Minute Diagnosis, 90 Minute Intervention, Saving Time, Saves Lives. Create Space. February 2014. Abstracts/Presentations 1. Borden WB. Dyslipidemia Management in Patients at Risk for Atherosclerotic Heart Disease. Heart Failure and Arrhythmia Symposium. May 2015; Washington, DC.
DRS. REINER, MAZHARI AND NAGY LEAD THE INSTITUTE’S RESEARCH AND EDUCATION PROGRAMS IN INTERVENTIONAL CARDIOLOGY.
2. Sadri M, Nagy C, Chawla M, Reiner J, Mazhari R. Avoiding the Low road. Cath access site and acute kidney injury. SCAI. 2015; San Diego, CA. 3. Maziar S, Chawla M, Nagy C, Reiner JS, Mazhari R. Risk of CIN in patients with ACS undergoing trans-femoral vs trans-radial coronary angiography and intervention. SCAI. 2015; San Diego, CA.
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DRS. SHAPIRO, SOLOMON, TRACY, AND MERCADER ARE EXPERTS IN HEART RHYTHM DISORDERS AND RECOGNIZED NATIONALLY FOR PARTICIPATION IN RESEARCH ADVANCES AND PRACTICE GUIDELINES.
Cynthia Tracy, MD, Marco Mercader, MD, and Allen Solomon, MD, contributed to national heart rhythm practice guidelines
Heart Rhythm Disorders
and presented their research advances on the diagnosis and treatment of cardiac arrhythmias. Dr. Mercader presented a series of updates on his innovative atrial fibrillation catheter system. The ablation procedure uses a catheter positioned in the heart to “knock out” spots in the inner lining of the heart chamber that are the source of abnormal heart rhythms. This new technology allows cardiologists to continuously “see” the inside of the heart with light and better target areas of the heart needing treatment. Dr. Mercader’s LuxCath optical tissue interrogation system is a major milestone in the development of a visualization and optical tissue interrogation tool for cardiac ablation procedures.
HEART RHYTHM DISORDERS
Publications 1. Tangherlini F, Choi BG, Solomon AJ. 63-year-old woman presents with palpitations. Heart. 2014; 101(3):184,229. 2. Sodhi G, Shea J, Najam F, Solomon AJ. Can a genetic test predict the development of postoperative atrial fibrillation? Int J Clin Cardiology. 2015; 2:3. 3. Shea J, Sodhi G, Najam F, Solomon AJ. Does the addition of atrial pacing to amiodarone reduce the incidence of postoperative atrial fibrillation: a pilot study? Journal of Thoracic and Cardiovascular Surgery. 2014; 148, 4, 1752-1753.
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4. January CT, Wann LS, Alpert JS, Calkins H, Cigarroa JE, Cleveland JC Jr, Conti JB, Ellinor PT, Ezekowitz MD, Field ME, Murray KT, Sacco RL, Stevenson WG, Tchou PJ, Tracy CM, Yancy CW. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2014 Dec 2; 130(23):2071-104. 5. Tracy C. Pacemaker after transcatheter aortic valve replacement: unexpected, but not infrequent outcome. J Am Coll Cardiol. 2014; 64(2):141-143.
6. Tracy C, Boushahri A. Managing arrhythmias in the intensive care unit. Crit Care Clin. 2014 Jul; 30(3):365-90. 7. January CT, Wann LS, Alpert JS, Calkins H, Cigarroa JE, Cleveland JC Jr, Conti JB, Ellinor PT, Ezekowitz MD, Field ME, Murray KT, Sacco RL, Stevenson WG, Tchou PJ, Tracy CM, Yancy CW. 2014 AHA/ACC/ HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society. American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014 Dec 2; 64(21):e1-76. Erratum in: J Am Coll Cardiol. 2014 Dec 2; 64(21):2305-7.
8. Levine GN, Tracy CM, et al. 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With STElevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of STElevation Myocardial Infarction: A Report of the American College of Cardiology/ American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol. 2015 Oct 21. 9. Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ, Estes NA 3rd, Field ME, Goldberger ZD, Hammill
SC, Indik JH, Lindsay BD, Olshansky B, Russo AM, Shen WK, Tracy CM, Al-Khatib SM. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2015 Sep 16. 10. Zipes DP, Tracy CM, et al. 2015 ACC/ AHA/HRS Advanced Training Statement on Clinical Cardiac Electrophysiology (A Revision of the ACC/AHA 2006 Update of the Clinical Competence Statement on Invasive Electrophysiology Studies, Catheter Ablation, and Cardioversion). J Am Coll Cardiol. 2015 Sep 14.
mHealth is the 21st Century approach to making quality-care
Mobile Health
more accessible. Richard Katz, MD, and colleagues are using mobile phones to enhance patient management of chronic disease. His ongoing research in evaluating the impact of cell phone applications on the management of diabetes and hypertension advance the field of patient-centered care that provide patients with information to help them make betterinformed decisions about their care. Dr. Katz, an expert in mHealth interventions, presented his work at the American Diabetes Association, the National Institutes of Health and the American Association of the Advancement of Science.
DR. KATZ, TIM MAVERITT, AND LINDA WITKIN GUIDE RESEARCH PARTICIPANTS IN USE OF MOBILE PHONE APPS FOR PATIENT-CENTERED CARE.
Abstracts 1. Mercader M, Moak J, He D, Emerson D, Trachiotis G, Blicharz A, Montague E, Li X, Borzin G, Berul C, Jonas R. Selective Cardiac Neurostimulation for Rate Control of Post-Operative Atrial Arrhythmias. Heart Rhythm Society. May 2015; Boston, MA. 2. Armstrong KC, Ransbury T, Reddy V, Koruth J, Amirana O, Sarvazyan N, Larson C, Bowen J, Mercader M. Optical Tissue Interrogation for Real-Time Monitoring of Catheter-Tissue Contact and RF lesion Progression. Heart Rhythm Society. May 2015; Boston, MA. 3. Koruth J, Kusa S, Panizo J, Dukkipati S, Neuzil P, Ransbury T, Armstrong KC, Larson C, Bowen J, Amirana O, Mercader M,
et al. Direct Assessment of Catheter-Tissue Contact and RF Lesion Formation: A Novel approach Using Endogenous NADH Fluorescence. Heart Rhythm Society. May 2015; Boston, MA. 4. Armstrong KC, Ransbury T, Reddy V, Koruth J, Amirana O, Sarvazyan N, Larson C, Bowen J, Mercader M. Real-Time Dual Monitoring of Catheter-Tissue Contact and RF Lesion Progression Using NADH Fluorescence. 20th Annual International Atrial Fibrillation Symposium. Jan 2015; Orlando, FL. 5. Tracy CM. Debate entitled Only Patients with Left Bundle Branch Block Should Receive CRT- Antagonist. Heart Rhythm Society. May 2015; Boston, MA.
MOBILE HEALTH
Abstracts/Presentations 1. Katz R, Nunlee-Bland G, Magee M, Cioletti A, Cohen J, Getaneh A, Larbi D, Witkin L, Nassar C, Payne D. Making mHealth work to manage diabetes: Integrating mHealth with Community Health Workers. 75th Scientific Sessions of the American Diabetes Association. 2015; Boston, MA. 2. Katz R, Patel S, Cohen J, Young H. Diabetes and Hypertension SelfManagement: A Randomized Trial of a mHealth Strategy in a Community Setting. 75th Scientific Sessions of the American Diabetes Association. 2015; Boston, MA.
3. Cohen J, Johnson J, Katz R. Engagement with a Mobile Health Diabetes Self-Management Program. 75th Scientific Sessions of the American Diabetes Association. 2015; Boston, MA. 4. Katz R. Panelist: mHealth and the Law (2). American Association of the Advancement of Science. May 2015; Washington, DC. 5. Panjrath G, Schwarzberg R, Garson A, Katz R. Maximizing the Potential of mHealth Heart Failure Management: Integrating mHealth with Grand Aides速. Wireless Health 2014. Oct 2014; NIH, Bethesda, MD.
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THE WOMEN’S HEART CENTER AND DR. SCOTT SHAPIRO HOST A HEART-HEALTHY COOKING CLASS. RESEARCH HAS SHOWN THAT THE TRADITIONAL MEDITERRANEAN DIET REDUCES THE RISK OF HEART DISEASE.
Women’s Heart Health
Women’s risk of heart disease is
The study examines the probability
complicated by known and unknown
of adherence to the heart-healthy
gender-specific differences. Nearly 75 percent of cardiovascular
Mediterranean diet and the socioeconomic challenges that some
clinical trials do not report sex-specific results, making it difficult to
DC residents face in trying to access healthy foods.
draw conclusions about their effects on women. GW Cardiology has been a major contributor to the National Institutes of Health sponsored Women’s Health Initiative (WHI) for more than 15 years. Lisa W. Martin, MD, principal investigator, is co-author on several WHI extension studies analyzing postmenopausal women’s health.
Though women have heart attacks as frequently as men, women’s response to symptoms are often missed or delayed. Dr. Jannet Lewis evaluated the U.S. Department of Health and Human Services’ national awareness campaign, “Make the Call, Don’t Miss a Beat” using the National Emergency Medical Services
Advancing community-based research is a priority of the Institute’s
Information System (NEMSIS). The mass media campaign targeted
Women’s Heart Center. Dr. Jannet Lewis, registered dietician Kelli
women to increase their awareness of the common symptoms of a
Metzger, and nurse practitioner Helma Parikh, launched a study
heart attack and to call 9-1-1 right away.
assessing the nutritional habits of underserved women in DC.
WOMEN’S HEART HEALTH
Publications/Presentations 1. Lewis JF. Panel Leader: Women’s Heart Health with ABC7 News On Your Side. ABC7 News. February 2015. 2. Lewis JF. Co-investigator: Evaluation of the Make the Call, Don’t Miss a Beat Campaign using the National Emergency Medical Services Information System (NEMSIS). Department of Health and Human Services/Office of Women’s Health. March 2015. 3. Schmiegelow MD, Hedlin H, Stefanick ML, Mackey RH, Allison M, Martin LW et al. Insulin Resistance and Risk of Cardiovascular Disease in Postmenopausal Women. Circulation Outcomes. 2015; 114.001563.
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4. Saleb K, Gibreal M, Sodhi G, Solomon A. Spontaneous coronary artery dissection: a rare diagnosis in a postmenopausal woman. Oxf Med Case Reports. 2015; 1:173-76. 5. Schmiegelow, MD, Hedlin H, Stefanick ML, Mackey RH, Allison M, Martin LW, et al. Insulin Resistance and Risk of Cardiovascular Disease in Postmenopausal Women A Cohort Study From the Women’s Health Initiative. Circulation Outcomes. May 5, 2015. 6. Greenberg JA, Manson JE, Buijsse B, Wang L, Allison MA, Neuhouser ML, Tinker L, Waring ME, Isasi CR, Martin LW, Thompson CA. Chocolate-Candy Consumption and 3-Year Weight Gain Among Postmenopausal U.S. Women. Obesity. 2015; 23, 677-683.
7. Salmoirago-Blotcher E, Hovey KM, Andrews CA, Robinson JG, Johnson KC, Wassertheil-Smoller S, Crawford S, Qi L, Martin LW, et al. Statin use and risk of haemorrhagic stroke in a communitybased cohort of postmenopausal women: an observational study from the Women’s Health Initiative. BMJ. Feb 2015; Open2015;5:e007075/ bmjopen-2014-007075. 8. Donneyong MM, Hornung CA, Taylor KC, Baumgartner RN, Myers JA, Eaton CB, Gorodeski EZ, Klein L, Martin LW, et al. Risk of Heart Failure Among Postmenopausal Women A Secondary Analysis of the Randomized Trial of Vitamin D Plus Calcium of the Women’s Health Initiative. Circulation: Heart Failure. 2015; 8: 49-56.
9. Tabung FK, Zhang J, Ma Y, Liese AD, Agalliu I, Hingle M, Hou L, Hurley TG, Jiao L, Martin LW, et al. Construct Validation of the Dietary Inflammatory Index among Postmenopausal Women. Annals of Epidemiology. March 12, 2015. 10. Seyerle AA, Young AM, Jeff JM, Melton PE, Jorgensen NW, Lin Y, Carty CL, Deelman E, Heckbert SR, Hindorff LA, Jackson RD, Martin LW, et al. Evidence of heterogeneity by race/ethnicity in genetic determinants of QT interval. Epidemiology. 2014 Nov; 25(6):790-8. 11. Paynter NP, LaMonte MJ, Manson JE, Martin LW, et al. Comparison of lifestylebased and traditional cardiovascular disease prediction in a multiethnic cohort of nonsmoking women. Circulation. 2014 Oct 21; 130(17):1466-73.
12. Agha G, Loucks EB, Tinker LF, Waring ME, Michaud DS, Foraker RE, Li W, Martin LW, et al. Healthy lifestyle and decreasing risk of heart failure in women: the Women’s Health Initiative observational study. J Am Coll Cardiol. 2014 Oct 28; 64(17):1777-85. 13. Paynter NP, LaMonte MJ, Manson JE, Martin LW, et al. Comparison of lifestylebased and traditional cardiovascular disease prediction in a multiethnic cohort of nonsmoking women. Circulation. 2014 Oct 21; 130(17):1466-73. 14. Zaslavsky O, Cochrane B, Woods NF, LaCroix A, Liu J, Herting J, Goveas JS, Johnson KC, Kuller LK, Martin LW, et al. Trajectories of Positive Aging: Observations from the Women’s Health Initiative Stud. International Psychogeriatrics Association. 2014; Doi: 10. 1017.
DR. PANJRATH AND LINDA BOSTROM UTILIZE COMMUNITY HEALTH WORKERS AND CELL PHONE APPLICATIONS TO REDUCE HEART FAILURE READMISSION.
Washington, DC has a high prevalence of heart failure and hospital readmission rates compared to other regions in the country. Lower access to care and higher
Heart Failure and Genomics
likelihood of poor control of comorbidities such as hypertension and obesity contribute to this disparity. The Institute’s research of heart failure investigates ways to improve patients’ quality of life using self-management support techniques for
DR. MAZHARI AND MCCAFFREY LEAD GROUNDBREAKING RESEARCH IN CARDIAC GENOMICS.
personalized care. Gurusher Panjrath, MD, and Richard Katz, MD, presented pilot innovative research utilizing community health workers and cell phone applications to help Washington, DC region patients manage heart failure. Drs. Lewis, Choi, Katz and GW cardiology fellows extended this research by evaluating the impact on hypertension of heart and lung function. Ramesh Mazhari, MD, and Timothy McCaffrey, PhD, presented groundbreaking work on the genomics of the failing heart to improve prognosis and individualize treatment. Dr. Mazhari also published a review on stem cell therapy for heart muscle repair.
15. Schnatz, PF, Martin LW, et al. Calcium/Vitamin D (CaD) Supplementation, Serum 25(OH) Vitamin D Concentrations, and Cholesterol Profiles in the Women’s Health Initiative CaD Randomized Trial. Menopause. 2014; 21 (8):823-833. 16. Azarbal F, Stefanick ML, SalmoiragoBlotcher E, Manson JE, Albert CM, LaMonte MJ, Larson JC, Li W, Martin LW, et al. Obesity, physical activity, and their interaction in incident atrial fibrillation in postmenopausal Women. J Am Heart Assoc. 2014 Aug 20; 3(4). 17. Shimbo D, Martin LW, et al. The effect of hormone therapy on mean blood pressure and visit-to-visit blood pressure variability in postmenopausal women: results from the Women’s Health Initiative randomized controlled trials. Journal of Hypertension. 2014 July; 32(10).
HEART FAILURE AND GENOMICS
Publications 1. Farmer SA, et al. Hospital-level variation in use of cardiovascular testing for adults with incident heart failure: findings from the cardiovascular research network heart failure study. JACC Cardiovasc Imaging. 2014; 7(7): 690-700. 2. Mazhari R, Toma IV. Immunogenic aspects of stem cell therapy in regenerative medicine. MJHS. 2014 Jan; 23. 3. Dusaj RS, Mukherjee M, Furmark L, Katz RJ, Choi BG, Lewis JF. Pulmonary Hypertension Complicating Systemic Hypertension, Is Diastolic Dysfunction the Culprit? J Cardiol Clin Res. 2014; 2:1015-8.
4. Shapiro SD, Amresh K Ranjan AK, et al. Cyclin A2 induces cardiac regeneration after myocardial infarction through cytokinesis of adult cardiomyocytes. Science Translational Medicine. 19 Feb 2014; Vol. 6, Issue 224, pp. 224ra27.
2. Mazhari R, Konjedi N, Moussavi F, Murphy C, Sadri M, Panjrath G, Shah P, Kim J. Application Of Genomic Markers To Predict Outcome In Patients Receiving Left Ventricular Assist Device (LVAD) Therapy. Circulation. 2014; 130: A16341.
5. Mukherjee M, Mehta NK, Connolly JJ, Dusaj RS, Choi BG, Katz RJ, Lewis JF. Pulmonary hypertension in hypertensive patients: association with diastolic dysfunction and increased pulmonary vascular resistance. Echocardiography. 2014; 31(4):442-8.
3. Murphy C, Sadri M, Panjrath G, Shah P, Desai S, Burton NA, Toma I, McCaffrey T. Application Of Genomic Markers To Predict Outcome In Patients Receiving Left Ventricular Assist Device (LVAD) Therapy. American Heart Association Scientific Sessions. November 2014; Chicago, IL.
Abstracts 1. Panjrath GS, Schwarzberg R, Garson A, Katz R. Maximizing the potential of mHealth Heart Failure management: Integrating mHealth with Grand Aides®. Wireless Health 2014. Oct 2014; NIH, Bethesda, MD.
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Cardiac Imaging The ability to image the heart continues to expand dramatically. This past year our noninvasive cardiologists Brian Choi, MD, and Jannet Lewis, MD, along with other faculty and trainees TOP LEFT: 3D ECHO MITRAL VALVE TOP RIGHT: CARDIAC MRI ABOVE: 3D HEART CARDIAC CT
published an array of manuscripts and presented abstracts at national heart meetings demonstrating advances in the use of cardiac ultrasound (echocardiography) and nuclear cardiology techniques. This research aims to improve medical diagnosis, treatment and outcomes in cardiac care.
DR. BRIAN CHOI, ALONG WITH DRS. JANNET LEWIS AND ANDREW CHOI, LEAD STUDIES IN IMPROVING DIAGNOSIS AND TREATMENT OF HEART DISEASE USING ADVANCED CARDIAC IMAGING TECHNIQUES.
CARDIAC IMAGING
Publications 1. Choi BG, Akinniyi DC, Young HA, Alzenaidi A, Twum-Ampofo JK, Lewis JF. Assessment of appropriate use criteria for stress echocardiography in the emergency room evaluation of chest pain. Experimental & Clinical Cardiology. 2014; 20(8): 4507-24. 2. Michelis KC, Choi BG. Cardiovascular Imaging in the Developing World. In: Mollura DJ et al, ed. Radiology and Global Health: Implementation and Optimization of Imaging Services in the Developing World. New York, NY: Springer Publishing, 2014. 3. Vedanthan R, Choi BG, Baber U, Narula J, Fuster V. Bio-imaging and
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subclinical cardiovascular disease in low-and middle-income countries. The Journal of Cardiovascular Translational Research. 2014; 7(8):701-10. 4. Mollura DJ, Shah N, Mazal J, Choi BG (RAD-AID Conference Writing Group). White paper report of the 2013 RAD-AID conference on international radiology for developing countries: access to radiology services in limited resource regions. Journal of the American College of Radiology. 2014; 11(9):913-9. 5. Vehian AV, Choi BG, Rekhi SS, Young HA, Dusaj RS, Zeman RK. Clinical significance of left atrial anatomic abnormalities identified by CT. Advances in Computed Tomography. 2015; 4(1): 1-8.
6. Dusaj RS, Mukherjee M, Furmark L, Katz RJ, Choi BG, Lewis JF. Pulmonary hypertension complicating systemic hypertension: is diastolic dysfunction the culprit? Journal of Cardiology & Clinical Research. 2014; 2(1): 1015. 7. Choi BG, Yang BK, Sanai R, Dusaj RS, Mazhari R, Reiner JS, Young HA, Lewis JF. Contrast echocardiography transit time for estimation of pulmonary vascular resistance and cardiac index: a prospective pilot study. Cardiovascular Ultrasound. 2014; 12(1):44. 8. Fishman ML, Shea J, Choi BG, Solomon AJ. Feasibility of focused cardiac ultrasound in pre-participation screening. Int J Sports Exerc Med. 2015; 1:011.
9. Fan P, Mukherjee M, Mehta NK, Connolly JJ, Dusaj RS, Choi BG, Katz RJ, Lewis JF. Continuing medical education activity in echocardiography. Echocardiography. 2014; 31(4):441. 10. Dilsizian V, Arrighi JA, Cohen RS, Miller TD, Solomon AJ, Udelson JE. COCATS 4 Task Force 6: Training in Nuclear Cardiology. J Am Coll Cardiol. 2015; 5;65(17):1800-9. 11. Dilsizian V, Arrighi JA, Cohen RS, Miller TD, Solomon AJ, Udelson JE. COCATS 4 Task Force 6: Training in Nuclear Cardiology: Endorsed by the American Society of Nuclear Cardiology. J Nucl Cardiol. 2015; 4:812-25.
Abstracts 1. Ummat B, Mukherjee M, Mehta H, Choi B, Lewis J. Right Ventricular Strain by Speckle Tracking Imaging: Assessment in Stable Outpatient Hypertensive Patients. J Am Soc Echo. 2014. 2. Emerson DA, Amdur RL, Morrissette JR, Mordini FE, Nagy CD, Greenberg MD, Trachiotis GD. Using cardiac magnetic resonance imaging to evaluate cardiac function and predict outcomes in patients with valvular heart disease. Innovations (Phila). 2015; JanFeb;10(1):63-7.
Heart disease kills more than 500,000 people a year in
DR. MARTIN, TOP,
the United States, more than all cancers combined. It is also
Prevention
AND DRS. BORDEN
the leading killer of women. For 50 percent of individuals
AND FARMER, LEFT,
with coronary artery disease, their first symptom is a
ARE LEADING STUDIES IN CHOLESTEROL
heart attack or sudden death. Making lifestyle changes
MANAGEMENT AND
to manage key risk factors for heart disease, such as
PATIENT-CENTERED
high blood pressure, high cholesterol levels, obesity and
CARE FOR PRIMARY AND SECONDARY
smoking, can help reduce the risk of heart disease and
PREVENTION OF
heart attack. Our prevention experts, William Borden, MD,
HEART DISEASE.
Steven A. Farmer, MD, and Lisa W. Martin, MD, are leading research studies in the prevention of heart disease through cholesterol management, evidence-based guidelines, and patient-centered care.
PREVENTION
Publications 1. Maddox T, Tang F, Virani SS, Oetgen WB, Mullen B, Chan P, Casale P, Douglas PS, Masoudi FA, Farmer SA, et al. Implications of the 2013 ACC/AHA Cholesterol Guidelines for Adults in Contemporary Cardiovascular Practice: Insights From the NCDR PINNACLE Registry. J Am Coll Cardiol. 2014; 64(21): 2183-2192. 2. Crosby J, Martin LW, et al. Lossof-Function Mutations in APOC3, Triglycerides, and Coronary Disease. New England Journal of Medicine and the TG and HDL Working Group of the Exome Sequencing Project, National Heart, Lung, and Blood Institute. 2014 July; 371:22-31.
3. Maddox TM, Borden WB, Tang F, Virani SS, Oetgen WJ, Mullen JB, Chan PS, Casale PN, Douglas PS, Masoudi FA, Farmer SA, Rumsfeld JS. Implications of the 2013 ACC/AHA Cholesterol Guidelines for Adults in Contemporary Cardiovascular Practice: Insights from the NCDR PINNACLE Registry. J Am Coll Cardiol. 2014; 64(21):2183-2192. 4. Borden WB, Marier AF, Dennison TH, Freund DA, Cook K, Mushlin AI. Assessing Variation in Utilization for Acute Myocardial Infarction in New York State. Healthcare. 2014 Sep; 2(3):196200.
Abstracts 1. Borden WB, Lin H, Bishop TF, Mushlin AI, Simon KI. Impact of Medical Study Publication on Cholesterol Medication Prescriptions. American Heart Association Scientific Sessions. 2014. 2. Maddox TM, Borden WB, Tang F, Virani SS, Oetgen WJ, Mullen JB, Chan PS, Casale PN, Douglas PS, Masoudi FA, Farmer SA, Rumsfeld JS. Implications of the 2013 ACC/AHA Cholesterol Guidelines for Adults in Contemporary Cardiovascular Practice: Insights from the NCDR PINNACLE Registry. American Heart Association Scientific Sessions. 2014.
3. Borden WB, Maddox TM, Tang F, Rumsfeld JS, Oetgen WJ, Mullen JB, Spinler SA, Peterson ED, Masoudi FA. Impact of the 2014 Expert Panel Recommendations for Management of High Blood Pressure on Contemporary Cardiovascular Practice: Insights from the NCDR PINNACLE Registry. American Heart Association Scientific Sessions. 2014.
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THE INSTITUTE
AT-A-GLANCE Our Priorities RESEARCH
15%
26% COMMUNITY
Our Mission
OUTREACH EDUCATION
10%
The mission of the GW Heart & Vascular Institute is to promote cardiac and vascular research, education, and community service with the goal of accelerating the pace of scientific discovery, reducing mortality and improving
49% FELLOWSIN-TRAINING
the quality of life of Americans with heart and vascular disease. To achieve these goals, the GW Heart & Vascular Institute seeks to provide an interdisciplinary structure to integrate basic and clinical investigators, clinicians, medical educators, health policy experts and community leaders.
Our Supporters
The Institute’s goal is to be the leading center for heart and vascular research, education and community service — and to do so by leveraging the enormous resources of The George Washington University.
CORPORATIONS AND FOUNDATIONS
27% IN-KIND GIFTS
INDIVIDUALS
18% INVESTMENTS 7% OTHER REVENUE 22
21%
27%
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2150 Pennsylvania Avenue NW, 4th Floor 202-741-2977
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n
n
Washington, DC 20037
www.gwheartandvascular.org