2019
Patient, clinician and logistic barriers to blood pressure control among adult hypertensives in rural district hospitals in Rwanda: a cross-sectional study
Sibomana J, McNamara R, Walker T. Patient, clinician and logistic barriers to blood pressure control among adult hypertensives in rural district hospitals in Rwanda: a cross-sectional study. BMC Cardiovascular Disorders 2019, 19: 231. PMID: 31638907, PMCID: PMC6805529, DOI: 10.1186/s12872-019-1203-3.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAntihypertensive AgentsBlood PressureClinical CompetenceCross-Sectional StudiesFemaleGuideline AdherenceHospitals, RuralHumansHypertensionMaleMedication AdherenceMiddle AgedPhysician's RolePractice Guidelines as TopicPractice Patterns, Physicians'RwandaTime FactorsTreatment OutcomeYoung AdultConceptsRural district hospitalDistrict hospitalsBlood pressure controlBarriers to effective blood pressure controlRural Rwandan district hospitalsAssociated with poor blood pressure controlRwandan district hospitalsBarriers to blood pressure controlPoor blood pressure controlMethodsThis cross-sectionalCross-sectional studyLogistical factorsMedication side effectsPressure controlAnti-hypertensive medicationsHypertensive patientsSociodemographic factorsBlood pressureBlood pressure dataPrescribed medicationsEffective blood pressure controlJNC 8 recommendationsGoal blood pressurePatient factorsMedical costs
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
2015
Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM)
McNamara RL, Spatz ES, Kelley TA, Stowell CJ, Beltrame J, Heidenreich P, Tresserras R, Jernberg T, Chua T, Morgan L, Panigrahi B, Rosas Ruiz A, Rumsfeld JS, Sadwin L, Schoeberl M, Shahian D, Weston C, Yeh R, Lewin J. Standardized Outcome Measurement for Patients With Coronary Artery Disease: Consensus From the International Consortium for Health Outcomes Measurement (ICHOM). Journal Of The American Heart Association 2015, 4: e001767. PMID: 25991011, PMCID: PMC4599409, DOI: 10.1161/jaha.115.001767.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHealth Outcomes MeasurementOutcome measurementsMyocardial infarctionCoronary artery disease outcomesPatient-reported health statusCoronary artery bypassPercutaneous coronary interventionCoronary artery diseasePatient-centered outcomesStandardized outcome measurementsLongitudinal outcomesCardiovascular hospital admissionsAsymptomatic CADAcute complicationsArtery bypassCoronary interventionRenal failureArtery diseaseHospital admissionInternational Working GroupRisk factorsCardiovascular diseaseDisease outcomeOutcome measures
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
2005
Hospital Improvement in Time to Reperfusion in Patients With Acute Myocardial Infarction, 1999 to 2002
McNamara RL, Herrin J, Bradley EH, Portnay EL, Curtis JP, Wang Y, Magid DJ, Blaney M, Krumholz HM, Investigators N. Hospital Improvement in Time to Reperfusion in Patients With Acute Myocardial Infarction, 1999 to 2002. Journal Of The American College Of Cardiology 2005, 47: 45-51. PMID: 16386663, PMCID: PMC1475926, DOI: 10.1016/j.jacc.2005.04.071.Peer-Reviewed Original ResearchConceptsST-segment elevation myocardial infarctionBalloon timeMin/yearNeedle timeMyocardial infarctionHospital characteristicsAcute ST-segment elevation myocardial infarctionPercutaneous coronary intervention cohortPercutaneous coronary intervention volumeElevation myocardial infarctionPercutaneous coronary interventionRetrospective observational studyFour-year study periodRapid reperfusionCoronary interventionFibrinolytic therapyHospital arrivalTherapy cohortReperfusion timeIntervention cohortNational registryIntervention volumeObservational studyHospital improvementPatients
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
2000
Efficacy of agents for pharmacologic conversion of atrial fibrillation and subsequent maintenance of sinus rhythm: a meta-analysis of clinical trials.
Miller M, McNamara R, Segal J, Kim N, Robinson K, Goodman S, Powe N, Bass E. Efficacy of agents for pharmacologic conversion of atrial fibrillation and subsequent maintenance of sinus rhythm: a meta-analysis of clinical trials. The Journal Of Family Practice 2000, 49: 1033-46. PMID: 11093570.Peer-Reviewed Original ResearchConceptsAF conversionAtrial fibrillationSinus rhythmOdds ratioModerate evidenceMultiple antiarrhythmic agentsAdverse event ratesClinical trials databasesEfficacy of agentsAdverse event dataPharmacologic conversionAdverse eventsRandomized trialsTrials databasesCochrane CollaborationAntiarrhythmic agentsClinical trialsStudy qualityAgent efficacySuggestive evidenceEvent ratesFlecainideDisopyramideRelative efficacyStrong evidenceManagement of new onset atrial fibrillation.
McNamara R, Bass E, Miller M, Segal J, Goodman S, Kim N, Robinson K, Powe N. Management of new onset atrial fibrillation. Evidence Report Technology Assessment 2000, 1-7. PMID: 11471248, PMCID: PMC4781222.Peer-Reviewed Original ResearchAdultAge DistributionAgedAged, 80 and overAmbulatory CareAnti-Arrhythmia AgentsAnticoagulantsAspirinAtrial FibrillationClinical Trials as TopicComorbidityDecision Support TechniquesEchocardiographyElectric CountershockEvidence-Based MedicineFemaleHumansIncidenceMaleMiddle AgedPrognosisRisk FactorsSex DistributionSurvival RateThromboembolismTreatment OutcomeDistribution, Severity and Risk Factors for Aortic Atherosclerosis in Cerebral Ischemia
Sen S, Wu K, McNamara R, Lima J, Piantadosi S, Oppenheimer S. Distribution, Severity and Risk Factors for Aortic Atherosclerosis in Cerebral Ischemia. Cerebrovascular Diseases 2000, 10: 102-109. PMID: 10686448, DOI: 10.1159/000016038.Peer-Reviewed Original ResearchConceptsRisk factorsAortic atheromaAortic plaquesCarotid stenosisStroke/TIA patientsSymptomatic coronary artery diseaseAortic plaque thicknessThoracic aortic plaqueTransesophageal echocardiography assessmentIndependent risk factorCoronary artery diseaseIschemic heart diseaseExtracranial carotid stenosisTIA patientsAortic atherosclerosisAsymptomatic patientsIschemic strokeArtery diseaseCerebral ischemiaConsecutive patientsEchocardiography assessmentMultivariable analysisProximal aortaCardiac screeningHeart disease
1998
Usefulness of Transesophageal Echocardiography in Predicting Mortality and Morbidity in Stroke Patients Without Clinically Known Cardiac Sources of Embolus 11The views expressed in this article are those of the authors and do not reflect the official policy of the United States Navy, Department of Defense, or the United States Government.
O’Brien P, Thiemann D, McNamara R, Roberts J, Raska K, Oppenheimer S, Lima J. Usefulness of Transesophageal Echocardiography in Predicting Mortality and Morbidity in Stroke Patients Without Clinically Known Cardiac Sources of Embolus 11The views expressed in this article are those of the authors and do not reflect the official policy of the United States Navy, Department of Defense, or the United States Government. The American Journal Of Cardiology 1998, 81: 1144-1151. PMID: 9605057, DOI: 10.1016/s0002-9149(98)00132-5.Peer-Reviewed Original ResearchConceptsSpontaneous echo contrastRecurrent strokeTransesophageal echocardiographyMyocardial infarctionEcho contrastAtrial spontaneous echo contrastMitral valve strandsNonfatal myocardial infarctionTransient ischemic attackIschemic stroke patientsMitral annular calcificationMitral valve thickeningRecent myocardial infarctionAtrial septal defectMultiplane transesophageal echocardiographyAscending aorticCardiovascular survivalHeart thrombusIschemic attackPeripheral embolismAortic atherosclerosisCardiac causesFatal strokeVascular causesAnnular calcification