Featured Publications
Experiences of athletes with arrhythmogenic cardiac conditions in returning to play
Shapero 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.Peer-Reviewed Original ResearchGenetic heart diseaseSudden cardiac deathMost common diagnosesLong QT syndromeCardiac deathCommon diagnosisHeart diseasePhysicians' knowledgeExperiences of athletesHypertrophic cardiomyopathyCommon sportsCardiac conditionsQT syndromeTelephone interviewsEmergency action planConservative approachDiagnosisAthletesPoor communicationQualitative componentCommon themesCardiomyopathyRegistrySyndromeClinicImplantable Cardioverter Defibrillator Lead Survival in Athletic Patients
Link 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.Peer-Reviewed Original ResearchSport Participation in Patients with Implantable Cardioverter-Defibrillators
Lampert 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.Peer-Reviewed Original ResearchImplantable cardioverter defibrillatorCardioverter defibrillatorSports participationAHA/ACCRecent consensus statementIIb recommendationICD patientsCardiovascular diseaseConsensus statementConsensus recommendationsPhysical activityInterscholastic athletesYounger subgroupPatientsCompetitive sportsAthletesAthletic eligibilitySubanalysesArrhythmiasRegistryInjuryDefibrillatorDiseaseShared 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.Peer-Reviewed Original ResearchConceptsSports medicine communityCardiovascular diseaseCompetitive athletesAmerican Heart AssociationSports medicine teamPatients/familiesPatient-centered care modelMedicine communitySports eligibilityHeart AssociationHeart diseaseCare modelEffective treatmentAmerican CollegeMedicine teamCompetitive athleticsDiseaseScientific statementAthletesDiagnosisPrimary objectiveContinued participationCliniciansCardiologyEligibility decisionsCompetitive athletes with implantable cardioverter–defibrillators—How to program? Data from the Implantable Cardioverter–Defibrillator Sports Registry
Olshansky 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.Peer-Reviewed Original ResearchConceptsHigh-rate cutoffTransient lossICD shocksRisk of totalInappropriate ICD shocksLonger detection intervalsDual-chamber devicesRisk of shockAppropriate shocksVentricular tachycardiaInappropriate shocksInternational registrySudden deathCompetitive athletesRate cutoffICDOccurrence of shockPatientsAthletesRegistryRiskLonger detectionDeathDetection rateTotal shocks
2024
State of the art of mobile health technologies use in clinical arrhythmia care
Sridhar A, Cheung J, Lampert R, Silva J, Gopinathannair R, Sotomonte J, Tarakji K, Fellman M, Chrispin J, Varma N, Kabra R, Mehta N, Al-Khatib S, Mayfield J, Navara R, Rajagopalan B, Passman R, Fleureau Y, Shah M, Turakhia M, Lakkireddy D. State of the art of mobile health technologies use in clinical arrhythmia care. Communications Medicine 2024, 4: 218. PMID: 39472742, PMCID: PMC11522556, DOI: 10.1038/s43856-024-00618-4.Peer-Reviewed Original ResearchPersonal health managementElectronic medical record integrationHealth technologiesData managementSensor technologyMedical record integrationHealth care professionalsMobile health technologyArrhythmia careConsumer health technologiesRecord integrationSmartphone-basedCare professionalsQuality oversightTarget populationHealth managementPhotoplethysmographyTechnologyClinical practiceCareLong-term rhythm monitoringManagement of cardiac arrhythmiasSensorAutonomic Reactivity to Mental Stress is Associated with Cardiovascular Mortality
Shah A, Vaccarino V, Moazzami K, Almuwaqqat Z, Garcia M, Ward L, Elon L, Ko Y, Sun Y, Pearce B, Raggi P, Bremner J, Lampert R, Quyyumi A, Shah A. Autonomic Reactivity to Mental Stress is Associated with Cardiovascular Mortality. European Heart Journal Open 2024, oeae086. DOI: 10.1093/ehjopen/oeae086.Peer-Reviewed Original ResearchHazard ratioCardiovascular diseaseHigher CVD mortality riskAssociated with CVD mortalityHeart rate variabilityCardiovascular disease risk factorsCVD mortality riskCardiovascular disease mortalityCardiovascular disease deathsCardiovascular disease outcomesCause-specific survival modelsAssociated with cardiovascular mortalityAll-cause mortalityCVD causeAssociated with HRCVD mortalityMental stress testMeasure of autonomic dysfunctionMortality riskAssess autonomic functionAutonomic dysfunctionCardiovascular mortalityStable cardiovascular diseaseRisk factorsPooled cohortVIGOROUS EXERCISE AND SPORTS PARTICIPATION IN INDIVIDUALS WITH HYPERTROPHIC CARDIOMYOPATHY
Gray B, Ackerman M, Link M, Lampert R. VIGOROUS EXERCISE AND SPORTS PARTICIPATION IN INDIVIDUALS WITH HYPERTROPHIC CARDIOMYOPATHY. Trends In Cardiovascular Medicine 2024 PMID: 39357663, DOI: 10.1016/j.tcm.2024.09.004.Peer-Reviewed Original ResearchWearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation.
Rosman L, Lampert R, Zhuo S, Li Q, Varma N, Burg M, Gaffey A, Armbruster T, Gehi A. Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation. Journal Of The American Heart Association 2024, 13: e033750. PMID: 39011944, DOI: 10.1161/jaha.123.033750.Peer-Reviewed Original ResearchHealth care useCare useHealth care resourcesSymptom monitoringAtrial fibrillationPsychological well-beingCare resourcesWearable usersPatients' health care useWell-beingElectronic health record dataTreatment concernsHealth record dataHealth care systemStudy of patientsAssociated with higher ratesPropensity-matched studyCare systemPatient behaviorRandomized studyRecord dataHealth managementPatientsHealthNonusersStress-Induced Autonomic Dysfunction is Associated With Mental Stress–Induced Myocardial Ischemia in Patients With Coronary Artery Disease
Osei J, Vaccarino V, Wang M, Shah A, Lampert R, Li L, Ko Y, Pearce B, Kutner M, Garcia E, Piccinelli M, Raggi P, Bremner J, Quyyumi A, Sun Y, Ahmed H, Haddad G, Daaboul O, Roberts T, Stefanos L, Correia L, Shah A. Stress-Induced Autonomic Dysfunction is Associated With Mental Stress–Induced Myocardial Ischemia in Patients With Coronary Artery Disease. Circulation Cardiovascular Imaging 2024, 17: e016596. PMID: 38868952, PMCID: PMC11187646, DOI: 10.1161/circimaging.124.016596.Peer-Reviewed Original ResearchConceptsMental stress-induced myocardial ischemiaLow heart rate variabilityAssociated with MSIMICoronary artery diseaseAssociated with higher oddsStable coronary artery diseaseStress-induced myocardial ischemiaAutonomic dysfunctionLow-frequency heart rate variabilityArtery diseaseHeart rate variabilityHigher oddsHigher heart rate variabilityResponse to stressIndicator of autonomic dysfunctionMyocardial ischemiaSpeech stressorAssociated with adverse cardiovascular outcomesMultivariate logistic regression modelAssociation of autonomic dysfunctionAdverse cardiovascular outcomesLogistic regression modelsBlack participantsHolter monitoringClinical factorsHeart Rate Variability, Deceleration Capacity of Heart Rate, and Death: A Veteran Twins Study
Huang M, Shah A, Lampert R, Bliwise D, Johnson D, Clifford G, Sloan R, Goldberg J, Ko Y, Da Poian G, Perez‐Alday E, Almuwaqqat Z, Shah A, Garcia M, Young A, Moazzami K, Bremner J, Vaccarino V. Heart Rate Variability, Deceleration Capacity of Heart Rate, and Death: A Veteran Twins Study. Journal Of The American Heart Association 2024, 13: e032740. PMID: 38533972, PMCID: PMC11179789, DOI: 10.1161/jaha.123.032740.Peer-Reviewed Original ResearchConceptsLow-frequency heart rate variabilityHazard of deathAssociated with reduced mortality riskMortality riskMultivariable Cox frailty modelsHeart rate variabilityAssociated with decreased hazard of deathNational Death IndexDeceleration capacityAssociated with lower hazardWithin-pair analysesTwin studiesCox frailty modelsHazard ratio of deathRatio of deathDeceleration capacity of heart rateAssociated with decreased hazardDeath IndexHeart rateAll-cause deathHazard ratioFrequency domain heart rate variabilityStrong associationsDevices 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 shocksRecommendationsDefibrillationHousehold food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes
Bermúdez-Millán A, Feinn R, Lampert R, Pérez-Escamilla R, Segura-Pérez S, Wagner J. Household food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes. PLOS ONE 2024, 19: e0297681. PMID: 38394186, PMCID: PMC10889858, DOI: 10.1371/journal.pone.0297681.Peer-Reviewed Original ResearchConceptsDiastolic blood pressureAutonomic function testsAutonomic nervous systemType 2 diabetesHousehold food insecurityDysfunction indexFunction testsHigher diastolic blood pressureAverage diastolic blood pressureAssociated with ANS dysfunctionU.S. Household Food Security Survey ModuleHousehold Food Security Survey ModuleFood Security Survey ModuleBaseline supineFood insecuritySustained handgripBenefit health outcomesLow-income LatinosANS dysfunctionScore 0Improve food accessHandgrip testInsulin useBlood pressureHeart rate variabilitySafety of Sports for Patients with Subcutaneous Implantable Cardioverter Defibrillator (SPORT S-ICD): study rationale and protocol
Chorin E, Lampert R, Bijsterveld N, Knops R, Wilde A, Heidbuchel H, Krahn A, Goldenberg I, Rosso R, Viskin D, Frydman S, Lupu L, Viskin S. Safety of Sports for Patients with Subcutaneous Implantable Cardioverter Defibrillator (SPORT S-ICD): study rationale and protocol. Heart Rhythm O2 2024, 5: 182-188. PMID: 38560377, PMCID: PMC10980925, DOI: 10.1016/j.hroo.2024.01.007.Peer-Reviewed Original ResearchSports participationSafety of sports participationContinuation of sportsSports activitiesSafety of sportsReturn to sportShared-decision makingImplantable cardioverter defibrillatorCompetitive sportsSportsClinical decision-makingBaseline assessmentTesting hypothesesStudy coordinatorsDecision-makingStudy rationaleObservational studyParticipantsAthletesBaseline characteristicsNon-interventionalSubcutaneous implantable cardioverter defibrillatorS-ICDSafetyS-ICD systemSports Participation by Athletes With Cardiovascular Disease
Martinez M, Ackerman M, Annas G, Baggish A, Day S, Harmon K, Kim J, Levine B, Putukian M, Lampert R. Sports Participation by Athletes With Cardiovascular Disease. Journal Of The American College Of Cardiology 2024, 83: 865-868. PMID: 38383101, DOI: 10.1016/j.jacc.2023.12.021.Peer-Reviewed Original Research
2023
A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices
Rosman L, Mazzella A, Gu X, Vives C, Lanctin D, Natera A, Gehi A, Lampert R. A Patient-Centered Intervention Reduces Disparities in Remote Monitoring in Patients With Implanted Cardiac Devices. JACC Clinical Electrophysiology 2023, 10: 316-330. PMID: 37999668, DOI: 10.1016/j.jacep.2023.10.001.Peer-Reviewed Original ResearchPatient-centered interventionsIntervention groupClinic-level barriersGuideline-directed careRetrospective cohort analysisCardiovascular implantable electronic devicesImplantable electronic devicesIntervention launchMultivariable modelNeighborhood socioeconomic characteristicsCohort analysisU.S. clinicsPatientsControl groupMultilevel interventionsCardiac devicesLogistic regressionEarly activationAdherenceCareHome deliveryInterventionUnderserved groupsUnderserved communitiesClinicLay health worker research personnel for home-based data collection in clinical and translational research: Qualitative and quantitative findings from two trials in hard-to-reach populations
Wagner J, Barth C, Bermúdez-Millán A, Buxton O, Kong S, Kuoch T, Lampert R, Pérez-Escamilla R, Scully M, Segura-Pérez S. Lay health worker research personnel for home-based data collection in clinical and translational research: Qualitative and quantitative findings from two trials in hard-to-reach populations. Journal Of Clinical And Translational Science 2023, 7: e228. PMID: 38028343, PMCID: PMC10643917, DOI: 10.1017/cts.2023.647.Peer-Reviewed Original ResearchTranslational research studiesHealth workersTranslational researchCommunity-based organizationsHome-based data collectionDiabetic participantsFidelity checklistResearch personnelIndependent observersParticipant safetyLHRLower ratesReach populationsTrialsResearch rolesData collectionResearch studiesQualitative interviewsStudyQuantitative findingsRoleWeeks
2017
Food Insecurity, Glycemic Control, and Heart Rate Variability among Latinos with Type 2 Diabetes
Bermúdez‐Millán A, Pérez‐Escamilla R, Lampert R, Segura‐Pérez S, Damio G, Chhabra J, Wagner J. Food Insecurity, Glycemic Control, and Heart Rate Variability among Latinos with Type 2 Diabetes. The FASEB Journal 2017, 31 DOI: 10.1096/fasebj.31.1_supplement.lb432.Peer-Reviewed Original ResearchHeart rate variabilityGlycemic controlRate variabilityPoor cardiovascular outcomesAmerican Diabetes AssociationType 2 diabetesNon-invasive measureAmbulatory ECG monitorCardiovascular outcomesFood insecurityDiabetes AssociationDiabetes outcomesLower SDNNSecondary data analysisAutonomic statusType 2HRV indicesR intervalHealth disparitiesMinority HealthSocioeconomic statusSocial adversityBaseline dataNational InstituteManagement trials
2013
Safety of Sports for Athletes With Implantable Cardioverter-Defibrillators
Lampert 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.Peer-Reviewed Original ResearchConceptsPhysical activityImplantable cardioverter defibrillator patientsSafety of sportsCardioverter-defibrillator patientsVentricular arrhythmia episodesImplantable cardioverter defibrillatorSports participationHigh-risk sportsAppropriate shocksMedian ageClinical outcomesVentricular arrhythmiasInformed physicianMedical recordsClinical dataLead malfunctionCardioverter defibrillatorCommon sportsArrhythmia episodesPatient decisionCompetitive athletesPrimary endArrhythmiasICDPhone interviewsSafety of Pacemaker Implantation in Nonagenarians
Mandawat 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.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedAged, 80 and overArrhythmias, CardiacComorbidityCross-Sectional StudiesFemaleHealth Care CostsHospital MortalityHumansLength of StayLinear ModelsLogistic ModelsMaleMultivariate AnalysisOutcome and Process Assessment, Health CarePacemaker, ArtificialPredictive Value of TestsUnited StatesConceptsLength of stayYears of ageSevere comorbiditiesPacemaker implantationUtilization Project Nationwide Inpatient SampleInitial pacemaker implantationCase-mix variationMantel-Haenszel testStepwise linear regression modelHospital mortalityUnadjusted mortalityComplication rateMultivariable analysisUnadjusted outcomesInpatient SampleHealthcare costsPatientsComorbiditiesHierarchical logistic modelsStayNonagenariansMortalityAgeOutcomesComplications