Bernardo Lombo, MD
Assistant Professor of Medicine (Cardiovascular Medicine)Cards
About
Research
Publications
2024
High- versus low-gradient aortic stenosis: Is our evaluation limited by aorto-mitral angle on cardiovascular CT?
See C, Kim Y, Park J, Wang Y, Reinhardt S, Shkolnik E, Faridi K, Lombo B, Bellumkonda L, McNamara R, Sugeng L, Hur D. High- versus low-gradient aortic stenosis: Is our evaluation limited by aorto-mitral angle on cardiovascular CT? International Journal Of Cardiology 2024, 409: 132174. PMID: 38754590, DOI: 10.1016/j.ijcard.2024.132174.Peer-Reviewed Original ResearchNormal-flow low-gradientAortic valve areaTranscatheter AV replacementParadoxical low-flow low-gradientCardiovascular CTTransthoracic echocardiogramCalcium scoreAS patientsDiagnosis of severe ASLow-gradient aortic stenosisHG-AS patientsLG-AS patientsLow-flow low-gradientAorto-mitral angleAortic valve (AV) stenosisLG-ASPLFLG-ASAV replacementSevere ASConsecutive patientsAortic stenosisValve areaAS phenotypeClinical managementEchocardiogramFactors associated with reporting left ventricular ejection fraction with 3D echocardiography in real‐world practice
Faridi K, Zhu Z, Shah N, Crandall I, McNamara R, Flueckiger P, Bachand K, Lombo B, Hur D, Agarwal V, Reinhardt S, Velazquez E, Sugeng L. Factors associated with reporting left ventricular ejection fraction with 3D echocardiography in real‐world practice. Echocardiography 2024, 41: e15774. PMID: 38329886, DOI: 10.1111/echo.15774.Peer-Reviewed Original ResearchConceptsTransthoracic echocardiogramVentricular ejection fractionOutpatient transthoracic echocardiogramsReal-world practiceEjection fractionLeft ventricular ejection fractionAssess left ventricular ejection fractionInpatient transthoracic echocardiogramsMultivariate logistic regressionLVEFHospitalized patientsMedical CenterSonographersClinical settingLogistic regressionUltrasound machineChemotherapyContrast enhancement agentsPortable studiesNegative association
2023
Variation in Reader-Reported Severity of Paradoxical Low-Flow Low-Gradient Aortic Stenosis
Shah N, Sugeng L, Zhang Z, Wang K, McNamara R, Agarwal V, Hur D, Lombo B, Bellumkonda L, Mankbadi M, Basem Dajani A, Forrest J, Krumholz H, Reinhardt S, Velazquez E, Faridi K. Variation in Reader-Reported Severity of Paradoxical Low-Flow Low-Gradient Aortic Stenosis. Journal Of The American Society Of Echocardiography 2023, 37: 466-467. PMID: 37995937, DOI: 10.1016/j.echo.2023.11.014.Peer-Reviewed Original Research
2022
Tricuspid and mitral remodelling in atrial fibrillation: a three-dimensional echocardiographic study
Ortiz-Leon XA, Posada-Martinez EL, Trejo-Paredes MC, Ivey-Miranda JB, Pereira J, Crandall I, DaSilva P, Bouman E, Brooks A, Gerardi C, Houle H, Hur DJ, Lin BA, McNamara RL, Lombo-Lievano B, Akar JG, Arias-Godinez JA, Sugeng L. Tricuspid and mitral remodelling in atrial fibrillation: a three-dimensional echocardiographic study. European Heart Journal - Cardiovascular Imaging 2022, 23: 944-955. PMID: 35243501, DOI: 10.1093/ehjci/jeac045.Peer-Reviewed Original ResearchConceptsAtrial fibrillationMitral annulusVentricular functionLV functionSinus rhythmThree-dimensional echocardiographic studyImpact of AFNon-valvular atrial fibrillationNormal left ventricular functionTricuspid annulus dilationLV systolic dysfunctionNormal LV functionLeft ventricular functionAbnormal ventricular functionMA dilationTA dilationSystolic dysfunctionFunctional regurgitationAtrial enlargementEchocardiographic studyTransoesophageal echocardiographyAF groupAnnulus dilationAtrioventricular valvePatients
2021
Patient Awareness and Clinical Inertia: Obstacles to Hypertension Control in Rural Communities in the Dominican Republic
Castro-Dominguez Y, Paredes M, Mones P, Spatz ES, Lombo B, Sepulveda P, Reyes-Uribe O, Otero J, Ramirez G, Urena P, Lopez E, Dominguez B, McNamara RL. Patient Awareness and Clinical Inertia: Obstacles to Hypertension Control in Rural Communities in the Dominican Republic. American Journal Of Hypertension 2021, 34: 939-947. PMID: 33822861, DOI: 10.1093/ajh/hpab054.Peer-Reviewed Original ResearchConceptsPrimary care clinicsUncontrolled blood pressureBlood pressureClinical inertiaHypertension controlMedical historyAdequate hypertension controlHealth care visitsTherapeutic intensificationUndiagnosed hypertensionCare visitsHypertension prevalenceCare clinicsPharmacological treatmentFemale sexPatient awarenessPCC patientsHypertensionClinical actionsHealth care informationPhysician actionPrivate insuranceCI rateRural communitiesPopulation awareness
2020
Understanding Non-P2 Mitral Regurgitation Using Real-Time Three-Dimensional Transesophageal Echocardiography: Characterization and Factors Leading to Underestimation
Posada-Martinez EL, Ortiz-Leon XA, Ivey-Miranda JB, Trejo-Paredes MC, Chen W, McNamara RL, Lin BA, Lombo B, Arias-Godinez JA, Sugeng L. Understanding Non-P2 Mitral Regurgitation Using Real-Time Three-Dimensional Transesophageal Echocardiography: Characterization and Factors Leading to Underestimation. Journal Of The American Society Of Echocardiography 2020, 33: 826-837. PMID: 32387034, DOI: 10.1016/j.echo.2020.03.011.Peer-Reviewed Original ResearchConceptsSevere mitral regurgitationTransthoracic echocardiographyDegenerative mitral regurgitationMitral regurgitationTransesophageal echocardiographyMR jetThree-dimensional (3D) TEESevere degenerative mitral regurgitationTwo-dimensional transthoracic echocardiographyPercent of patientsThree-dimensional transesophageal echocardiographyMR jet directionP2 prolapseEchocardiographic characteristicsProlapse groupMR severityCommon causeMR groupPatientsEchocardiographyProlapseSubstantial discordanceP2 groupRegurgitationSubgroupsUnderstanding tricuspid valve remodelling in atrial fibrillation using three-dimensional echocardiography.
Ortiz-Leon XA, Posada-Martinez EL, Trejo-Paredes MC, Ivey-Miranda JB, Pereira J, Crandall I, DaSilva P, Bouman E, Brooks A, Gerardi C, Ugonabo I, Chen W, Houle H, Akar JG, Lin BA, McNamara RL, Lombo-Lievano B, Arias-Godinez JA, Sugeng L. Understanding tricuspid valve remodelling in atrial fibrillation using three-dimensional echocardiography. European Heart Journal - Cardiovascular Imaging 2020, 21: 747-755. PMID: 32372089, DOI: 10.1093/ehjci/jeaa058.Peer-Reviewed Original ResearchConceptsLeft heart diseaseSevere tricuspid regurgitationTricuspid regurgitationAtrial fibrillationTransoesophageal echocardiographyBiatrial dilatationHigher systolic pulmonary artery pressureNormal right ventricular sizeSystolic pulmonary artery pressureImpact of AFSevere functional tricuspid regurgitationTricuspid annulus dilationPulmonary artery pressureRight ventricular sizeFunctional tricuspid regurgitationFractional area changeTA fractional area changeThree-dimensional echocardiographyRV enlargementArtery pressureBiventricular functionTricuspid valveVentricular sizeAF groupSinus rhythm
2019
Differentiating spontaneous echo contrast, sludge, and thrombus in the left atrial appendage: Can ultrasound enhancing agents help?
Posada‐Martinez E, Trejo‐Paredes C, Ortiz‐Leon X, Ivey‐Miranda J, Lin BA, McNamara RL, Arias‐Godinez J, Lombo B, Sugeng L. Differentiating spontaneous echo contrast, sludge, and thrombus in the left atrial appendage: Can ultrasound enhancing agents help? Echocardiography 2019, 36: 1413-1417. PMID: 31260135, DOI: 10.1111/echo.14405.Peer-Reviewed Original Research
2016
Hyperuricemia and Cardiovascular Disease in Patients with Hypertension.
Acevedo A, Benavides J, Chowdhury M, Lopez M, Pena L, Montenegro A, Lievano M, Lombo B. Hyperuricemia and Cardiovascular Disease in Patients with Hypertension. Connecticut Medicine 2016, 80: 85-90. PMID: 27024979.Peer-Reviewed Original Research
2015
Prevalence of Metabolic Syndrome in Patients with HIV in the Era of Highly Active Antiretroviral Therapy.
Lombo B, Alkhalil I, Golden MP, Fotjadhi I, Ravi S, Virata M, Lievano M, Diez J, Ghantous A, Donohue T. Prevalence of Metabolic Syndrome in Patients with HIV in the Era of Highly Active Antiretroviral Therapy. Connecticut Medicine 2015, 79: 277-81. PMID: 26245015.Peer-Reviewed Original ResearchConceptsCombination antiretroviral therapyInternational Diabetes FederationMetabolic syndromeProtease inhibitor darunavirAntiretroviral therapyNational Cholesterol Education Program Adult Treatment Panel III criteriaAdult Treatment Panel III criteriaDuration of cARTHighly Active Antiretroviral TherapyActive antiretroviral therapyATP III criteriaMetabolic syndrome prevalenceStandard of careUrban community hospitalLogistic regression analysisHIV patientsStudy patientsHIV diseaseIDF criteriaDiabetes FederationHIV infectionSyndrome prevalenceCommunity hospitalHigh prevalenceObservational study
Academic Achievements & Community Involvement
Clinical Care
Overview
Bernardo Lombo, MD, is a cardiologist and internal medicine specialist who treats patients in Connecticut and abroad.
Dr. Lombo’s special interests include portable echocardiography technology, transcatheter aortic valve replacement (TAVR), metabolic syndrome, hypertension, and the development of online platforms that provide free access to educational materials for the medical community.
He is part of the team that created the Yale Cardiovascular Global Health Initiative and the International Team of Educators to Advance Cardiovascular Health (ITEACH). These two groups aim to improve cardiovascular care in underserved communities. With ITEACH, Dr. Lombo and his team have spearheaded clinical collaborations and research projects in Colombia, Rwanda, Indonesia, Russia, the Dominican Republic, and Argentina.
Dr. Lombo was awarded the Global Health Education Innovation Award in 2020 by Yale School of Medicine for his work. He is an assistant professor of clinical medicine at Yale School of Medicine.
Clinical Specialties
Internal Medicine; Cardiovascular Medicine
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Board Certifications
Cardiovascular Disease
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2016
Internal Medicine
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2014
Yale Medicine News
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News
- July 19, 2024
Spring 2024 Spark Award Recipients Announced
- April 12, 2024Source: Yale Daily News
GUTIÉRREZ TORRES: Their Worst Disease: Our Indifference
- April 02, 2024
Yale Department of Internal Medicine Promotions and Appointments (April 2024)
- April 10, 2023
Integrating Chagas Disease Screening Into Primary Health Care
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