Bradley Kay, MD
Assistant Professor of Medicine (Cardiovascular Medicine)Cards
About
Research
Publications
2024
Devices and Athletics Decision-Making Around Return to Play
Kay B, Lampert R. Devices and Athletics Decision-Making Around Return to Play. Cardiac Electrophysiology Clinics 2024, 16: 81-92. PMID: 38280816, DOI: 10.1016/j.ccep.2023.09.009.Peer-Reviewed Original ResearchConceptsSports participationSafety of sports participationSports-related deathsEmergency action planImplantable cardioverter defibrillatorAthletic cohortObservational registry dataCompetitive athletesAthletic activityRegistry dataAthletesExternal resuscitationOptimization of medical therapyAction planSocietal recommendationsSportsParticipantsCardioverter defibrillatorMedical therapyResuscitationCohortDevice settingsInappropriate shocksRecommendationsDefibrillation
2022
Devices and Athletics Decision-Making Around Return to Play
Kay B, Lampert R. Devices and Athletics Decision-Making Around Return to Play. Cardiology Clinics 2022, 41: 81-92. PMID: 36368813, DOI: 10.1016/j.ccl.2022.08.007.ChaptersConceptsImplantable cardioverter defibrillatorObservational registry dataSports-related deathsSports participationMedical therapyInappropriate shocksRegistry dataCardioverter defibrillatorSocietal recommendationsAthletic activityAthlete cohortCompetitive athleticsEmergency action planAthletesDevice settingsContraindicationsResuscitationTherapyCohortDefibrillatorContemporary US Trends In Heart Transplantation And LVAD Index Hospitalizations: Volumes Increase, Utilization And Cost Vary Over Time, 2015-2018
Clark K, Reinhardt S, Chouairi F, Miller E, Kay B, Fuery M, Guha A, Ahmad T, Desai N. Contemporary US Trends In Heart Transplantation And LVAD Index Hospitalizations: Volumes Increase, Utilization And Cost Vary Over Time, 2015-2018. Journal Of Cardiac Failure 2022, 28: s65. DOI: 10.1016/j.cardfail.2022.03.165.Peer-Reviewed Original ResearchLength of stayHeart transplantationHospital mortalityIndex hospitalizationLVAD implantationLonger median LOSMedian LOSLonger LOSPost-discharge utilizationNational Inpatient SampleHospitalization volumeInpatient mortalityHispanic patientsAsian patientsInpatient SampleHospitalizationMortalityStudy periodUS trendsPatientsTransplantationAdmissionLVADImplantationHigh percentageTrends In US Heart Failure Hospitalizations: Increased Volume And Patient Diversity With Decreased Total Costs, 2008-2018
Reinhardt S, Clark K, Chouairi F, Miller E, Kay B, Fuery M, Guha A, Ahmad T, Desai N. Trends In US Heart Failure Hospitalizations: Increased Volume And Patient Diversity With Decreased Total Costs, 2008-2018. Journal Of Cardiac Failure 2022, 28: s109-s110. DOI: 10.1016/j.cardfail.2022.03.280.Peer-Reviewed Original ResearchOverall heart failureHeart failureInpatient mortalityDiagnosis codesHospital costsChronic obstructive pulmonary diseaseIntroduction Heart failureHeart failure hospitalizationPeripheral arterial diseaseObstructive pulmonary diseaseCoronary artery diseaseNational Inpatient SampleLength of stayUS healthcare costsComorbid diabetesHF hospitalizationHospitalization volumeFailure hospitalizationHF cohortArtery diseaseEjection fractionMedian agePulmonary diseaseArterial diseaseHispanic patients
2021
Trends in transcatheter and surgical aortic valve replacement in the United States, 2008-2018
Clark KA, Chouairi F, Kay B, Reinhardt SW, Miller PE, Fuery M, Mullan CW, Guha A, Ahmad T, Desai NR. Trends in transcatheter and surgical aortic valve replacement in the United States, 2008-2018. American Heart Journal 2021, 243: 87-91. PMID: 34571040, DOI: 10.1016/j.ahj.2021.03.017.Peer-Reviewed Original ResearchTrends in Heart Failure Hospitalizations in the US from 2008 to 2018
Clark KAA, Reinhardt SW, Chouairi F, Miller PE, Kay B, Fuery M, Guha A, Ahmad T, Desai NR. Trends in Heart Failure Hospitalizations in the US from 2008 to 2018. Journal Of Cardiac Failure 2021, 28: 171-180. PMID: 34534665, DOI: 10.1016/j.cardfail.2021.08.020.Peer-Reviewed Original ResearchConceptsOverall heart failureHeart failureEjection fractionStudy periodHeart failure hospitalizationInpatient mortality rateNational Inpatient SampleLength of stayHospital inpatient costsVolume of patientsHealth care costsHFpEF subgroupsComorbid diabetesFailure hospitalizationInpatient mortalityMedian ageBlack patientsHispanic patientsSleep apneaEntire cohortInpatient costsInpatient SampleHF typeHospital costsMortality rateComparison of Transcatheter and Open Mitral Valve Repair Among Patients With Mitral Regurgitation
Kay B, Chouairi F, Clark KAA, Reinhardt SW, Fuery M, Guha A, Ahmad T, Kaple RK, Desai NR. Comparison of Transcatheter and Open Mitral Valve Repair Among Patients With Mitral Regurgitation. Mayo Clinic Proceedings 2021, 96: 1522-1529. PMID: 34088415, DOI: 10.1016/j.mayocp.2021.01.029.Peer-Reviewed Original ResearchConceptsMitral valve repairMitral regurgitationValve repairInternational ClassificationPatient underwent mitral valve repairOpen mitral valve repairUnderwent mitral valve repairTranscatheter mitral valve repairStudy periodComparison of transcatheterProhibitive surgical riskTenth Revision codesTotal hospital chargesDegenerative mitral regurgitationNational Inpatient SampleLength of stayTranscatheter mitral valve repair deviceDischarge homeHospital mortalityDischarge dispositionPatient comorbiditiesSurgical riskHospital chargesMedian lengthNinth RevisionNational Trends in the Burden of Atrial Fibrillation During Hospital Admissions for Heart Failure
Reinhardt SW, Chouairi F, Miller PE, Clark KAA, Kay B, Fuery M, Guha A, Freeman JV, Ahmad T, Desai NR, Friedman DJ. National Trends in the Burden of Atrial Fibrillation During Hospital Admissions for Heart Failure. Journal Of The American Heart Association 2021, 10: e019412. PMID: 34013736, PMCID: PMC8483517, DOI: 10.1161/jaha.120.019412.Peer-Reviewed Original ResearchConceptsReduced ejection fractionComorbid atrial fibrillationHeart failureAtrial fibrillationEjection fractionHospital mortalityHF hospitalizationBackground Heart failureConclusion Atrial fibrillationWhite individualsNational Inpatient SampleMedian hospital chargesMore comorbiditiesComorbid hypertensionHF admissionsHF outcomesPatient demographicsDiabetes mellitusHospital admissionHospital chargesInpatient SampleVascular diseaseHospitalizationPatientsMortality
2019
Fractional flow reserve use during elective coronary angiography among elderly patients in the US
Kay B, Joseph T, Lehrich J, Curzen N, Nallamothu B. Fractional flow reserve use during elective coronary angiography among elderly patients in the US. IJC Heart & Vasculature 2019, 22: 160-162. PMID: 30828601, PMCID: PMC6383174, DOI: 10.1016/j.ijcha.2019.01.005.Peer-Reviewed Original Research
Clinical Care
Overview
Bradley Kay, MD, is a cardiovascular imaging specialist with a specific interest in point-of-care (by the bedside) echocardiographic imaging in the cardiac intensive care unit. He has expertise in using an echocardiogram, a scan that uses sound waves to create pictures of the heart and show blood flow.
“I've always had a passion for helping others,” say Dr. Kay, who volunteered in high school and college for a Muscular Dystrophy Association summer camp, Unicamp, at University of California, Los Angeles (UCLA), which links student volunteers with urban L.A. youth. “Combining my love for helping others with my passion for science led me to medicine. My background in biochemistry [which he studied at UCLA] with an extra interest in physics made cardiology a natural fit.”
Dr. Kay says the patient population in Southern Connecticut is extremely diverse, which was also something he loved about Southern California. “Namely, I feel that I am always in the fortunate position of learning something new from my patients,” he says, adding that can mean everything from how patients feel about care to where to get the best Columbian roast coffee beans. “These daily rewarding and engaging interactions make it easy to get up for work in the morning,” he says.
An assistant professor of medicine (cardiovascular) at Yale School of Medicine, Dr. Kay is currently investigating echo parameters of extubation in the cardiac intensive care unit for patients with heart failure. This essentially involves using measurements of the heart obtained via ultrasound to predict which patients will do well after the breathing tube is removed, he says.