Robert McNamara, MD, MHS, FAHA, FACC, FASE
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Director of Echocardiography, Cardiovascular Medicine
Affiliated Faculty, Yale Institute for Global Health
Contact Info
Cardiovascular Medicine
PO Box 208017, 333 Cedar Street
New Haven, CT 06520-8017
United States
Are You a Patient?
View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.
View Doctor ProfileAdditional Titles
Director of Echocardiography, Cardiovascular Medicine
Affiliated Faculty, Yale Institute for Global Health
Contact Info
Cardiovascular Medicine
PO Box 208017, 333 Cedar Street
New Haven, CT 06520-8017
United States
Are You a Patient?
View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.
View Doctor ProfileAdditional Titles
Director of Echocardiography, Cardiovascular Medicine
Affiliated Faculty, Yale Institute for Global Health
Contact Info
Cardiovascular Medicine
PO Box 208017, 333 Cedar Street
New Haven, CT 06520-8017
United States
About
Titles
Professor
Director of Echocardiography, Cardiovascular Medicine; Affiliated Faculty, Yale Institute for Global Health
Biography
Robert L. McNamara, MD, MHS received his undergraduate bachelor of science degree in chemical engineering at the University of Notre Dame (1986) and his medical degree from Washington University (1991). He trained in internal medicine and clinical cardiology at the Hospital of the University of Pennsylvania (1995). He completed his fellowship in echocardiography at Johns Hopkins Hospital while earning a master’s degree in clinical epidemiology at the Johns Hopkins School of Hygiene and Public Health (1997).
He joined the faculty at the Johns Hopkins School of Public Health and School of Medicine (1997-1999) and later practiced as a staff physician at the Chinle Comprehensive Health Care Facility in the Navajo Nation (1999-2002). He then joined the faculty in Cardiovascular Medicine at Yale University (Assistant Professor of Medicine 2002-2006, Associate Professor of Medicine (2006-present). He was Director of Echocardiography (2003-2012) and Program Director of the Cardiovascular Fellowship (2007-2010). He serves as the medical director of the Yale New Haven Hospital ultrasound school (2003 to present).
He is a fellow of the American Heart Association, American College of Cardiology, and the American Society of Echocardiography. Nationally, he has worked with development of guidelines, data standards, and performance measures for the management of patients with atrial fibrillation and acute coronary syndromes. He works with the Yale-New Haven Health System Center for Outcomes Research and Evaluation, the American Heart Association, and the American College of Cardiology to assess and improve outcomes for patients with acute coronary syndromes and other cardiovascular conditions through registry research, risk modeling, performance measures, accreditation, and clinical trials. Internationally, he works with the Yale Global Health Institute and collaborates with colleagues in the United Kingdom, Sweden, China, Russia, Rwanda, Uganda, Colombia, Argentina, Dominican Republic, and Honduras on medical education and clinical research projects. Finally, he is the president of a nonprofit group dedicated to medical education across the world, the International Team of Educators Advancing Cardiovascular Health (ITEACH).
Appointments
Cardiovascular Medicine
ProfessorPrimary
Other Departments & Organizations
Education & Training
- Fellow
- Johns Hopkins University (1997)
- MHS
- Johns Hopkins School of Hygiene and Public Health (1997)
- Fellow
- Hospital of the University of Pennsylvania (1995)
- Resident
- Hospital of the University of Pennsylvania (1993)
- MD
- Washington University School of Medicine (1991)
- BS
- University of Notre Dame (1986)
Research
Overview
Current projects include evaluating differences in the treatment and outcome of patients with myocardial infarction among different countries, designing ways to evaluate hospital performance in treating patients with acute myocardial infarction through use of the electronic
Medical Research Interests
ORCID
0000-0002-1364-7749
Research at a Glance
Yale Co-Authors
Publications Timeline
Research Interests
Harlan Krumholz, MD, SM
Jeptha Curtis, MD
Eric Velazquez, MD
Jeph Herrin, PhD
Kamil Faridi, MD, MSc
Rohan Khera, MD, MS
Atrial Fibrillation
Myocardial Infarction
Cardiology
Echocardiography
Cardiovascular Diseases
Electronic Health Records
Publications
2024
Artificial intelligence-guided screening of under-recognized cardiomyopathies adapted for point-of-care echocardiography
Oikonomou E, Holste G, Coppi A, Mcnamara R, Nadkarni G, Krumholz H, Wang Z, Miller E, Khera R. Artificial intelligence-guided screening of under-recognized cardiomyopathies adapted for point-of-care echocardiography. European Heart Journal 2024, 45: ehae666.157. DOI: 10.1093/eurheartj/ehae666.157.Peer-Reviewed Original ResearchConceptsConvolutional neural networkMulti-labelState-of-the-art performanceState-of-the-artCustom loss functionDeep learning modelsAI frameworkNeural networkLoss functionAutomated metricsLearning modelsAugmentation approachVideoAcquisition qualityAdvanced protocolsPoint-of-care ultrasonographyImagesTransthoracic echocardiogramClassifierATTR-CMAlgorithmNetworkAI screeningAcquisitionPresence of severe ASDeep-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 ResearchConceptsB-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 systemResidual Ultrasound-Enhancing Agents Mimicking Portal Venous Gas
Bitar R, Langdon J, Kaur M, Crandall I, McNamara R, Revzin M. Residual Ultrasound-Enhancing Agents Mimicking Portal Venous Gas. Ultrasound Quarterly 2024, 40: e00694. PMID: 39466239, DOI: 10.1097/ruq.0000000000000694.Peer-Reviewed Original ResearchMeSH Keywords and ConceptsConceptsUltrasound enhancing agentsPortal venous gasBowel ischemiaAbdominal ultrasoundVenous gasEchogenic fociContrast-enhanced echocardiographyEvaluation of cardiac functionPortal venous systemSeries of casesSonographic detectionCardiac functionDifferential diagnosisPortal veinVenous systemObservational studyLiver parenchymaPortal triadsVascular patencyBowelIschemiaEchocardiographyLiverUltrasoundA Multimodal Video-Based AI Biomarker for Aortic Stenosis Development and Progression
Oikonomou E, Holste G, Yuan N, Coppi A, McNamara R, Haynes N, Vora A, Velazquez E, Li F, Menon V, Kapadia S, Gill T, Nadkarni G, Krumholz H, Wang Z, Ouyang D, Khera R. A Multimodal Video-Based AI Biomarker for Aortic Stenosis Development and Progression. JAMA Cardiology 2024, 9: 534-544. PMID: 38581644, PMCID: PMC10999005, DOI: 10.1001/jamacardio.2024.0595.Peer-Reviewed Original ResearchCitationsAltmetricConceptsCardiac magnetic resonanceAortic valve replacementCardiac magnetic resonance imagingAV VmaxSevere ASAortic stenosisCohort studyPeak aortic valve velocityCohort study of patientsAortic valve velocityCohort of patientsTraditional cardiovascular risk factorsAssociated with faster progressionStudy of patientsCedars-Sinai Medical CenterAssociated with AS developmentCardiovascular risk factorsCardiovascular imaging modalitiesIndependent of ageModerate ASEjection fractionEchocardiographic studiesValve replacementRisk stratificationCardiac structureHigh- versus low-gradient aortic stenosis: Is our evaluation limited by aorto-mitral angle on cardiovascular CT?
See C, Kim Y, Park J, Wang Y, Reinhardt S, Shkolnik E, Faridi K, Lombo B, Bellumkonda L, McNamara R, Sugeng L, Hur D. High- versus low-gradient aortic stenosis: Is our evaluation limited by aorto-mitral angle on cardiovascular CT? International Journal Of Cardiology 2024, 409: 132174. PMID: 38754590, DOI: 10.1016/j.ijcard.2024.132174.Peer-Reviewed Original ResearchConceptsNormal-flow low-gradientAortic valve areaTranscatheter AV replacementParadoxical low-flow low-gradientCardiovascular CTTransthoracic echocardiogramCalcium scoreAS patientsDiagnosis of severe ASLow-gradient aortic stenosisHG-AS patientsLG-AS patientsLow-flow low-gradientAorto-mitral angleAortic valve (AV) stenosisLG-ASPLFLG-ASAV replacementSevere ASConsecutive patientsAortic stenosisValve areaAS phenotypeClinical managementEchocardiogramUltrasound evaluation of portal venous gas and its mimics
Bitar R, Kaur M, Crandall I, McNamara R, Revzin M. Ultrasound evaluation of portal venous gas and its mimics. Abdominal Radiology 2024, 49: 2756-2769. PMID: 38735019, DOI: 10.1007/s00261-024-04328-2.Peer-Reviewed Original ResearchAltmetricConceptsFactors associated with reporting left ventricular ejection fraction with 3D echocardiography in real‐world practice
Faridi K, Zhu Z, Shah N, Crandall I, McNamara R, Flueckiger P, Bachand K, Lombo B, Hur D, Agarwal V, Reinhardt S, Velazquez E, Sugeng L. Factors associated with reporting left ventricular ejection fraction with 3D echocardiography in real‐world practice. Echocardiography 2024, 41: e15774. PMID: 38329886, DOI: 10.1111/echo.15774.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsTransthoracic echocardiogramVentricular ejection fractionOutpatient transthoracic echocardiogramsReal-world practiceEjection fractionLeft ventricular ejection fractionAssess left ventricular ejection fractionInpatient transthoracic echocardiogramsMultivariate logistic regressionLVEFHospitalized patientsMedical CenterSonographersClinical settingLogistic regressionUltrasound machineChemotherapyContrast enhancement agentsPortable studiesNegative association
2023
Variation in Reader-Reported Severity of Paradoxical Low-Flow Low-Gradient Aortic Stenosis
Shah N, Sugeng L, Zhang Z, Wang K, McNamara R, Agarwal V, Hur D, Lombo B, Bellumkonda L, Mankbadi M, Basem Dajani A, Forrest J, Krumholz H, Reinhardt S, Velazquez E, Faridi K. Variation in Reader-Reported Severity of Paradoxical Low-Flow Low-Gradient Aortic Stenosis. Journal Of The American Society Of Echocardiography 2023, 37: 466-467. PMID: 37995937, DOI: 10.1016/j.echo.2023.11.014.Peer-Reviewed Original ResearchAltmetricPredicting aortic stenosis progression using a video-based deep learning model of aortic stenosis built for single-view two-dimensional echocardiography
Oikonomou E, Holste G, Mcnamara R, Velazquez E, Nadkarni G, Ouyang D, Krumholz H, Wang Z, Khera R. Predicting aortic stenosis progression using a video-based deep learning model of aortic stenosis built for single-view two-dimensional echocardiography. European Heart Journal 2023, 44: ehad655.040. DOI: 10.1093/eurheartj/ehad655.040.Peer-Reviewed Original ResearchConceptsLeft ventricular ejection fractionSevere aortic stenosisAortic stenosisAS progressionAV VmaxTransthoracic echocardiographyYale New Haven Health SystemBaseline left ventricular ejection fractionAortic stenosis progressionModerate aortic stenosisRetrospective cohort studyVentricular ejection fractionTwo-dimensional echocardiographyMean rateModerate ASAS severityCohort studyEjection fractionPatient sexStenosis progressionTTE studiesEligible participantsSerial monitoringSpecialized centersTimely diagnosisSevere aortic stenosis detection by deep learning applied to echocardiography
Holste G, Oikonomou E, Mortazavi B, Coppi A, Faridi K, Miller E, Forrest J, McNamara R, Ohno-Machado L, Yuan N, Gupta A, Ouyang D, Krumholz H, Wang Z, Khera R. Severe aortic stenosis detection by deep learning applied to echocardiography. European Heart Journal 2023, 44: 4592-4604. PMID: 37611002, PMCID: PMC11004929, DOI: 10.1093/eurheartj/ehad456.Peer-Reviewed Original ResearchCitationsMeSH Keywords and Concepts
Clinical Trials
Current Trials
MitraClip REPAIR MR Study
HIC ID2000031013RoleSub InvestigatorPrimary Completion Date02/28/2024Recruiting ParticipantsGenderBothAge18+ yearsRandomized Clinical Evaluation of the AccuCinch® Ventricular Restoration System in Patients who Present with Symptomatic Heart Failure with Reduced Ejection Fraction (HFrEF): The CORCINCH-HF Study
HIC ID2000028335RoleSub InvestigatorPrimary Completion Date01/27/2025Recruiting ParticipantsGenderBothAge18+ years
Academic Achievements & Community Involvement
activity Hypertension control in primary care clinics in Bani, Dominican Republic
ResearchDetails05/07/2018 - 05/11/2018Baní, Peravia Province, Dominican RepublicCollaborators- Yulanka Castro-Dominguez
- Bernardo Lombo, MD
- Jorge Otero, MD, MS, RDMS
Abstract/SynopsisCluster randomized clinical trial of education and site visits versus education alone for improved hypertension management in primary care clinics in rural Dominican Republic
activity China Peace Project
ResearchDetails09/01/2015 - PresentBeijing, Beijing, ChinaAbstract/SynopsisComparing care and outcomes for patients with Acute Myocardial Infarction or Percutaneous Coronary Artery Disease in China and The US
activity Fundación Sante Fe de Bogota - Yale Collaboration
ResearchDetails07/01/2015 - PresentBogotá, Bogota, ColombiaAbstract/SynopsisTeaching and research
activity International Consortium for Healthcare Outcomes (ICHOM), Coronary Artery Disease Working Group
ResearchDetails01/01/2013 - PresentCambridge, MA, United StatesAbstract/SynopsisGroup dedicated to establishing and implementing international standards for data collection in order to compare outcomes.
honor Fellow
National AwardAmerican Heart AssociationDetails11/15/2010United States
Clinical Care
Overview
Robert McNamara, MD, MHS, is a specialist in cardiovascular medicine and cardiac imaging, diagnosing and treating heart conditions, such as ischemic heart disease, congestive heart failure, valvular heart disease, atrial fibrillation, hypertension, and hyperlipidemia. He is the Director of Echocardiography for Yale New Haven Health System.
Dr. McNamara's research interests include advancing quality of care for patients with cardiovascular conditions and employing the use of artificial intelligence in cardiac imaging.
Dr. McNamara is a professor at Yale University School of Medicine.
Clinical Specialties
Fact Sheets
Heart Disease in Women
Learn More on Yale MedicineCoronary Artery Disease (CAD)
Learn More on Yale MedicineImplantable Cardioverter Defibrillator
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Yale Medicine News
Are You a Patient?
View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.
View Doctor ProfileNews & Links
News
- April 01, 2024
Yale Faculty Present Groundbreaking Clinical Research at the 2024 American College of Cardiology Scientific Sessions
- August 23, 2023
Artificial Intelligence Automates Diagnosis of Severe Heart Valve Disease
- February 01, 2023
2023 American College of Cardiology late-breaking clinical trials and abstracts from Yale
- October 25, 2022
An International Nonprofit Promotes Cardiovascular Disease Training and Education Worldwide
Get In Touch
Contacts
Cardiovascular Medicine
PO Box 208017, 333 Cedar Street
New Haven, CT 06520-8017
United States
Locations
Cardiology Offices
Academic Office
Dana Clinic Building
789 Howard Avenue, Ste 320
New Haven, CT 06519
Appointments
203.785.4127Fax
203.785.7144Patient Care Locations
Are You a Patient? View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.