Rachel Lampert, MD, FACC
Robert W Berliner Professor of Medicine (Cardiology)
Research & Publications
Biography
News
Research Summary
Although psychologic stress and sudden cardiac death have been strongly correlated in epidemiological studies, the underlying physiologic link remains poorly understood. The ICD population allows evaluation of effects of mental stress on arrhythmia. Recent investigation has included evaluation of effects of mental stress on ventricular tachycardia as well as mechanisms and prognostic implications of this effect. Ongoing studies include emotional triggering of atrial fibrillation and the role of stress reactivity.
A second, related area of interest involves heart rate variability, a measurement of autonomic balance derived from ambulatory ECG monitoring. Heart rate variability can provide a measure of effects of acute or chronic stress. Previous investigations include a study of correlations of socioeconomic status and life stress with heart rate variability, and an ongoing study of the predictive value of heart rate variability changes with stress.
Clinical aspects of ICD therapy, including safety of sports for patients with ICDs represent another avenue of research.
Specialized Terms: Arrhythmias, stress, and the autonomic nervous system; Management issues for patients with implantable defibrillators; End of life; Sports; Sports and exercise cardiology
Coauthors
Research Interests
Arrhythmias, Cardiac; Cardiology; Sports Medicine; Stress, Physiological; Exercise; Defibrillators, Implantable
Selected Publications
- Experiences of athletes with arrhythmogenic cardiac conditions in returning to playShapero K, Gier C, Briske K, Spatz ES, Wasfy M, Baggish AL, Pierce S, Ackerman MJ, Lampert R. Experiences of athletes with arrhythmogenic cardiac conditions in returning to play. Heart Rhythm O2 2022, 3: 133-140. PMID: 35496453, PMCID: PMC9043374, DOI: 10.1016/j.hroo.2022.01.009.
- Implantable Cardioverter Defibrillator Lead Survival in Athletic PatientsLink MS, Sullivan RM, Olshansky B, Cannom D, Berul CI, Hauser RG, Heidbuchel H, Jordaens L, Krahn AD, Morgan J, Patton KK, Saarel EV, Wilkoff BL, Li F, Dziura J, Brandt C, Barth C, Lampert R. Implantable Cardioverter Defibrillator Lead Survival in Athletic Patients. Circulation Arrhythmia And Electrophysiology 2021, 14: e009344. PMID: 33724879, DOI: 10.1161/circep.120.009344.
- Sport Participation in Patients with Implantable Cardioverter-DefibrillatorsLampert R. Sport Participation in Patients with Implantable Cardioverter-Defibrillators. Current Treatment Options In Cardiovascular Medicine 2019, 21: 66. PMID: 31728782, DOI: 10.1007/s11936-019-0772-x.
- Shared Decision Making for Athletes with Cardiovascular Disease: Practical Considerations.Baggish AL, Ackerman MJ, Putukian M, Lampert R. Shared Decision Making for Athletes with Cardiovascular Disease: Practical Considerations. Current Sports Medicine Reports 2019, 18: 76-81. PMID: 30855305, DOI: 10.1249/jsr.0000000000000575.
- Competitive athletes with implantable cardioverter–defibrillators—How to program? Data from the Implantable Cardioverter–Defibrillator Sports RegistryOlshansky B, Atteya G, Cannom D, Heidbuchel H, Saarel EV, Anfinsen OG, Cheng A, Gold MR, Müssigbrodt A, Patton KK, Saxon LA, Wilkoff BL, Willems R, Dziura J, Li F, Brandt C, Simone L, Wilhelm M, Lampert R. Competitive athletes with implantable cardioverter–defibrillators—How to program? Data from the Implantable Cardioverter–Defibrillator Sports Registry. Heart Rhythm 2018, 16: 581-587. PMID: 30389442, DOI: 10.1016/j.hrthm.2018.10.032.
- Safety of Sports for Athletes With Implantable Cardioverter-DefibrillatorsLampert R, Olshansky B, Heidbuchel H, Lawless C, Saarel E, Ackerman M, Calkins H, Estes NA, Link MS, Maron BJ, Marcus F, Scheinman M, Wilkoff BL, Zipes DP, Berul CI, Cheng A, Law I, Loomis M, Barth C, Brandt C, Dziura J, Li F, Cannom D. Safety of Sports for Athletes With Implantable Cardioverter-Defibrillators. Circulation 2013, 127: 2021-2030. PMID: 23690453, DOI: 10.1161/circulationaha.112.000447.
- Safety of Pacemaker Implantation in NonagenariansMandawat A, Curtis JP, Mandawat A, Njike VY, Lampert R. Safety of Pacemaker Implantation in Nonagenarians. Circulation 2013, 127: 1453-1465. PMID: 23513066, DOI: 10.1161/circulationaha.113.001434.
- Patient Preferences for Deactivation of Implantable Cardioverter-DefibrillatorsDodson JA, Fried TR, Van Ness PH, Goldstein NE, Lampert R. Patient Preferences for Deactivation of Implantable Cardioverter-Defibrillators. JAMA Internal Medicine 2013, 173: 377-379. PMID: 23358714, PMCID: PMC4017938, DOI: 10.1001/jamainternmed.2013.1883.
- Patients’ Attitudes and Perceptions of Implantable Cardioverter‐Defibrillators: Potential Barriers to Appropriate Primary ProphylaxisYUHAS J, MATTOCKS K, GRAVELIN L, REMETZ M, FOLEY J, FAZIO R, LAMPERT R. Patients’ Attitudes and Perceptions of Implantable Cardioverter‐Defibrillators: Potential Barriers to Appropriate Primary Prophylaxis. Pacing And Clinical Electrophysiology 2012, 35: 1179-1187. PMID: 22897624, DOI: 10.1111/j.1540-8159.2012.03497.x.
- Impact of a Recent Lead Recall on Utilization of Implantable Cardioverter Defibrillators: Data from the NCDR ICD Registry™BHATT P, CURTIS J, WANG Y, LAMPERT R. Impact of a Recent Lead Recall on Utilization of Implantable Cardioverter Defibrillators: Data from the NCDR ICD Registry™. Journal Of Cardiovascular Electrophysiology 2012, 23: 861-865. PMID: 22452744, DOI: 10.1111/j.1540-8167.2012.02310.x.
- Anger-Induced T-Wave Alternans Predicts Future Ventricular Arrhythmias in Patients With Implantable Cardioverter-DefibrillatorsLampert R, Shusterman V, Burg M, McPherson C, Batsford W, Goldberg A, Soufer R. Anger-Induced T-Wave Alternans Predicts Future Ventricular Arrhythmias in Patients With Implantable Cardioverter-Defibrillators. Journal Of The American College Of Cardiology 2009, 53: 774-778. PMID: 19245968, PMCID: PMC3979284, DOI: 10.1016/j.jacc.2008.10.053.
- Implantable Cardioverter‐Defibrillator Shocks Increase T‐Wave AlternansLAMPERT R, SOUFER R, McPHERSON CA, BATSFORD WP, TIRADO S, EARLEY C, GOLDBERG A, SHUSTERMAN V. Implantable Cardioverter‐Defibrillator Shocks Increase T‐Wave Alternans. Journal Of Cardiovascular Electrophysiology 2007, 18: 512-517. PMID: 17428273, DOI: 10.1111/j.1540-8167.2007.00787.x.
- Electrophysiologic characteristics of anger-triggered arrhythmiasStopper M, Joska T, Burg MM, Batsford WP, McPherson CA, Jain D, Lampert R. Electrophysiologic characteristics of anger-triggered arrhythmias. Heart Rhythm 2006, 4: 268-273. PMID: 17341385, DOI: 10.1016/j.hrthm.2006.11.003.
- Cost Advantage of Dual-Chamber Versus Single-Chamber Cardioverter-Defibrillator ImplantationGoldberger Z, Elbel B, McPherson CA, Paltiel AD, Lampert R. Cost Advantage of Dual-Chamber Versus Single-Chamber Cardioverter-Defibrillator Implantation. Journal Of The American College Of Cardiology 2005, 46: 850-857. PMID: 16139136, DOI: 10.1016/j.jacc.2005.05.061.
- Depression as a predictor for appropriate shocks among patients with implantable cardioverter-defibrillators Results from the Triggers of Ventricular Arrhythmias (TOVA) studyWhang W, Albert CM, Sears SF, Lampert R, Conti JB, Wang PJ, Singh JP, Ruskin JN, Muller JE, Mittleman MA, Investigators T. Depression as a predictor for appropriate shocks among patients with implantable cardioverter-defibrillators Results from the Triggers of Ventricular Arrhythmias (TOVA) study. Journal Of The American College Of Cardiology 2005, 45: 1090-1095. PMID: 15808769, DOI: 10.1016/j.jacc.2004.12.053.