2024
Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure
Baloescu C, Chen A, Varasteh A, Hall J, Toporek G, Patil S, McNamara R, Raju B, Moore C. Deep-learning generated B-line score mirrors clinical progression of disease for patients with heart failure. The Ultrasound Journal 2024, 16: 42. PMID: 39283362, PMCID: PMC11405569, DOI: 10.1186/s13089-024-00391-4.Peer-Reviewed Original ResearchB-line scoreComposite congestion scoreCongestion scoreHeart failureSeverity scoreB-linesCongestive heart failurePatients suspectedPulmonary congestionLung zonesClinical progressionRothman IndexClinical assessmentDisease severityPatientsPresence of artifactsEvaluate changesLungDetect fluidUltrasound experienceMixed effects modelsScoresDiseaseInterstitial spaceUltrasound system
2023
Two‐ Versus 8‐Zone Lung Ultrasound in Heart Failure: Analysis of a Large Data Set Using a Deep Learning Algorithm
Baloescu C, Chen A, Varasteh A, Toporek G, McNamara R, Raju B, Moore C. Two‐ Versus 8‐Zone Lung Ultrasound in Heart Failure: Analysis of a Large Data Set Using a Deep Learning Algorithm. Journal Of Ultrasound In Medicine 2023, 42: 2349-2356. PMID: 37255051, DOI: 10.1002/jum.16262.Peer-Reviewed Original ResearchConceptsHeart failureLung ultrasoundBland-Altman plot analysisSubgroup analysisUltrasound protocolMore lung zonesProspective observational studyReal-world clinical useB-linesAdult patientsLung zonesObservational studyClinical useScanning protocolVideo loopsPatientsPlot analysisRate severityUltrasoundAverage severitySeverityScoresTwo- VersusFailureSeverity information
2018
Three-Dimensional Ultrasound Imaging of Inferior Vena Cava Outperforms Standard Two-Dimensional Imaging as a Diagnostic Tool in Heart Failure
Struyk G, Essa M, Flueckiger P, Bregasi A, McNamara R, Sugeng L, Testani J, Lin B. Three-Dimensional Ultrasound Imaging of Inferior Vena Cava Outperforms Standard Two-Dimensional Imaging as a Diagnostic Tool in Heart Failure. Journal Of Cardiac Failure 2018, 24: s41. DOI: 10.1016/j.cardfail.2018.07.119.Peer-Reviewed Original ResearchRight atrial pressureJugular venous pressureHeart failureCollapsibility indexIVC diameterDiagnostic performanceInferior vena cava diameterSphericity indexMethods 200 patientsIntravascular volume statusVena cava diameterCertain clinical variablesROC curve analysisDiuretic therapyAtrial pressureVenous pressureVolume statusClinical parametersClinical variablesIVC diameter measurementsCHF diagnosisIVC measurementsIVC areaASE guidelinesIVC parameters
2017
Contemporary risk model for inhospital major bleeding for patients with acute myocardial infarction: The acute coronary treatment and intervention outcomes network (ACTION) registry®–Get With The Guidelines (GWTG)®
Desai NR, Kennedy KF, Cohen DJ, Connolly T, Diercks DB, Moscucci M, Ramee S, Spertus J, Wang TY, McNamara RL. Contemporary risk model for inhospital major bleeding for patients with acute myocardial infarction: The acute coronary treatment and intervention outcomes network (ACTION) registry®–Get With The Guidelines (GWTG)®. American Heart Journal 2017, 194: 16-24. PMID: 29223432, DOI: 10.1016/j.ahj.2017.08.004.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionIntervention Outcomes Network RegistryAcute Coronary TreatmentInhospital major bleedingMajor bleedingRisk scoreCoronary TreatmentValidation cohortMyocardial infarctionHigh riskLower riskContemporary risk modelsProspective risk stratificationSimplified risk scoreHospital quality assessmentRisk adjustment methodsBaseline hemoglobinCardiogenic shockCreatinine clearanceFrequent complicationDerivation cohortHeart failureRisk stratificationSignificant morbidityCardiac arrest
2014
International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries
McNamara RL, Chung SC, Jernberg T, Holmes D, Roe M, Timmis A, James S, Deanfield J, Fonarow GC, Peterson ED, Jeppsson A, Hemingway H. International comparisons of the management of patients with non-ST segment elevation acute myocardial infarction in the United Kingdom, Sweden, and the United States: The MINAP/NICOR, SWEDEHEART/RIKS-HIA, and ACTION Registry-GWTG/NCDR registries. International Journal Of Cardiology 2014, 175: 240-247. PMID: 24882696, PMCID: PMC4112832, DOI: 10.1016/j.ijcard.2014.04.270.Peer-Reviewed Original ResearchConceptsNon-ST segment elevation myocardial infarctionPercutaneous coronary interventionManagement of patientsMyocardial infarctionRIKS-HIAAcute non-ST segment elevation myocardial infarctionNon-ST segment elevation acute myocardial infarctionEnzyme inhibitors/angiotensin receptor blockersSegment elevation acute myocardial infarctionElevation acute myocardial infarctionSegment elevation myocardial infarctionFuture comparative effectiveness researchAngiotensin receptor blockersPrior heart failureDual antiplatelet agentsElevation myocardial infarctionAcute myocardial infarctionComparative effectiveness researchCoronary interventionDischarge medicationsOngoing registryReceptor blockersHeart failureAntiplatelet agentsClinical registry
2008
Systolic Function as a Predictor of Mortality and Quality of Life in Long‐term Survivors with Heart Failure
McNamara R, Austin B, Wang Y, Smith G, Vaccarine V, Krumholz H. Systolic Function as a Predictor of Mortality and Quality of Life in Long‐term Survivors with Heart Failure. Clinical Cardiology 2008, 31: 119-124. PMID: 18383045, PMCID: PMC6653267, DOI: 10.1002/clc.20118.Peer-Reviewed Original ResearchConceptsQuality of lifeEjection fractionHeart failureLong-term survivorsFunctional declineSystolic functionKansas City Cardiomyopathy Questionnaire scoreModest survival advantageReduced ejection fractionDaily living scoreDisease-related qualityPredictors of mortalityHeart failure patientsClinical summary scoreLong-term survivalHigh mortality rateKCCQ scoresRenal insufficiencyFailure patientsLiving scoreDiabetes mellitusOverall mortalityPrimary outcomeLimitation scoresQOL scores
2003
Predictors of cause‐specific hospital readmission in patients with heart failure
Babayan Z, McNamara R, Nagajothi N, Kasper E, Armenian H, Powe N, Baughman K, Lima J. Predictors of cause‐specific hospital readmission in patients with heart failure. Clinical Cardiology 2003, 26: 411-418. PMID: 14524597, PMCID: PMC6654034, DOI: 10.1002/clc.4960260906.Peer-Reviewed Original ResearchMeSH KeywordsAgedAngioplasty, Balloon, CoronaryCohort StudiesCoronary Artery BypassFemaleFollow-Up StudiesHeart FailureHumansLength of StayMaleMarylandMiddle AgedMyocardial IschemiaPatient ReadmissionPredictive Value of TestsPrevalenceRecurrenceRegression AnalysisSex FactorsStroke VolumeTime FactorsVentricular Dysfunction, LeftConceptsCause-specific readmissionsCoronary artery bypass graftPercutaneous transluminal coronary angioplastyIschemic etiologyRecurrent heart failureHeart failureCardiovascular diseaseHospital readmissionLV dysfunctionVentricular functionMyocardial infarctionAnnual readmission ratesTotal hospital readmissionsArtery bypass graftRisk of readmissionTransluminal coronary angioplastyLeft ventricular functionCox hazard ratiosAvailable clinical dataCause readmissionHF etiologyHazard ratioReadmission ratesRetrospective cohortConsecutive patients