Attila Feher, MD, PhD
Assistant Professor of Medicine (Cardiovascular Medicine)Cards
About
Research
Publications
2025
Integrating Perfusion with AI-derived Coronary Calcium on CT attenuation scans to improve selection of low-risk studies for stress-only SPECT MPI
Miller R, Barrett O, Shanbhag A, Rozanski A, Dey D, Lemley M, Van Kriekinge S, Kavanagh P, Feher A, Miller E, Einstein A, Ruddy T, Bateman T, Kaufmann P, Liang J, Berman D, Slomka P. Integrating Perfusion with AI-derived Coronary Calcium on CT attenuation scans to improve selection of low-risk studies for stress-only SPECT MPI. Journal Of Nuclear Cardiology 2025, 102482. PMID: 40939829, DOI: 10.1016/j.nuclcard.2025.102482.Peer-Reviewed Original ResearchTotal perfusion deficitComputed tomography attenuation correctionStress total perfusion deficitCACS 0Hybrid SPECT/CTSPECT-MPIMACE riskLower risk of MACELow riskCT attenuation scansStress-only imagingRisk of MACEProportion of patientsCoronary artery diseaseCAC scoreCoronary calciumCT scanMinimal abnormalitiesNormal perfusionPerfusion deficitsArtery diseaseSPECT/CTPatientsMACEAttenuation correctionEvaluating Blood Pressure Response Patterns to Exercise Stress Testing
Nene A, Lee D, Agboola O, Herrin J, Onuma O, Feher A, Miller E, Lu Y, Meadows J, Spatz E. Evaluating Blood Pressure Response Patterns to Exercise Stress Testing. Hypertension 2025, 82: 1663-1674. PMID: 40859827, DOI: 10.1161/hypertensionaha.124.23717.Peer-Reviewed Original ResearchConceptsHypertensive response to exerciseBlood pressureComposite outcomeResponse to exerciseCardiovascular eventsBlood pressure trajectoriesClass IIComposite outcome of myocardial infarctionBlood pressure response patternsAssociated with future cardiovascular eventsPeak blood pressureAssociated with cardiovascular outcomesOutcome of myocardial infarctionPressure trajectoriesExercise stress testDiastolic blood pressureSystolic blood pressureExercise tolerance testClass II and IIITrajectories of blood pressureSystolic blood pressure trajectoriesStages 1 to 3Heart failureCardiovascular outcomesTolerance testCAD at the Intersection of Cardiology and Rheumatology: Focus on Cardiovascular Imaging
Williams K, DiGregorio H, Jagannath D, Feher A. CAD at the Intersection of Cardiology and Rheumatology: Focus on Cardiovascular Imaging. Methodist DeBakey Cardiovascular Journal 2025, 21: 65-75. PMID: 40822375, PMCID: PMC12352401, DOI: 10.14797/mdcvj.1646.Peer-Reviewed Original ResearchConceptsAutoimmune rheumatologic diseasesAtherosclerotic coronary artery diseaseDevelopment of atherosclerotic coronary artery diseaseCoronary artery diseaseIntersection of cardiologyCardiovascular imaging techniquesTraditional risk factorsEndothelial damageRheumatologic diseasesArtery diseaseInflammatory pathwaysRisk factorsThe REgistry of Flow and Perfusion Imaging for Artificial INtelligEnce with PET (REFINE PET): Rationale and Design
Ramirez G, Lemley M, Shanbhag A, Kwiecinski J, Miller R, Kavanagh P, Liang J, Dey D, Slipczuk L, Travin M, Alexanderson E, Carvajal-Juarez I, Packard R, Al-Mallah M, Einstein A, Feher A, Acampa W, Knight S, Le V, Mason S, Sanghani R, Wopperer S, Chareonthaitawee P, Buechel R, Rosamond T, deKemp R, Berman D, Di Carli M, Slomka P. The REgistry of Flow and Perfusion Imaging for Artificial INtelligEnce with PET (REFINE PET): Rationale and Design. Journal Of Nuclear Cardiology 2025, 102449. PMID: 40774620, DOI: 10.1016/j.nuclcard.2025.102449.Peer-Reviewed Original ResearchMajor adverse cardiovascular eventsCoronary artery calciumCardiovascular eventsClinical dataPerfusion imagingOccurrence of Major Adverse Cardiovascular eventsMedian Follow-UpAdverse cardiovascular eventsComprehensive clinical dataPositron emission tomographyInvasive angiographyLate revascularizationArtery calciumCT scanRisk stratificationInternational registryPET scansFollow-upUnstable anginaMyocardial infarctionPatientsEmission tomographyMultimodal imagingRegistryClinical questionsBlunted Hemodynamic Response to Pharmacological Stress is Predictive of Mortality in Liver Transplant Candidates
Csecs I, Sharma A, Khungar V, Sinusas A, Possick S, Miller E, Feher A. Blunted Hemodynamic Response to Pharmacological Stress is Predictive of Mortality in Liver Transplant Candidates. Journal Of Nuclear Cardiology 2025, 102454. PMID: 40769316, DOI: 10.1016/j.nuclcard.2025.102454.Peer-Reviewed Original ResearchLiver transplant candidatesMELD scoreAssociated with mortalityRetrospective studyCardiovascular comorbiditiesLiver diseaseMedian follow-up periodTransplant candidatesResponse to pharmacological stressSingle-photon Emission Computed TomographyRegadenoson stress testingEnd-stage liver diseaseIncremental prognostic valueNuclear stress testingRetrospective cohort analysisFollow-up periodChronic liver diseaseBody mass indexCoronary artery diseaseHemodynamic responseStress testEmission Computed TomographyDiastolic blood pressurePredictive of mortalityPositron emission tomographyAssessing the Threshold of Coronary Calcification on Attenuation Correction CT Acquired With Nuclear Myocardial Perfusion Imaging Which Equates to Secondary Prevention
Kyriakoulis I, Csecs I, Ahmed A, Wright C, Sinusas A, Miller E, Kokkinidis D, Feher A. Assessing the Threshold of Coronary Calcification on Attenuation Correction CT Acquired With Nuclear Myocardial Perfusion Imaging Which Equates to Secondary Prevention. Journal Of Nuclear Cardiology 2025, 50: 102303. DOI: 10.1016/j.nuclcard.2025.102303.Peer-Reviewed Original ResearchComparison Between Myocardial Scar Detection With Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging and Nuclear Myocardial Perfusion Imaging
Csecs I, Kyriakoulis I, Ahmed A, Wright C, Kokkinidis D, Sinusas A, Miller E, Feher A. Comparison Between Myocardial Scar Detection With Late Gadolinium Enhancement Cardiac Magnetic Resonance Imaging and Nuclear Myocardial Perfusion Imaging. Journal Of Nuclear Cardiology 2025, 50: 102418. DOI: 10.1016/j.nuclcard.2025.102418.Peer-Reviewed Original ResearchGadolinium enhancement cardiac magnetic resonance imagingLate gadolinium enhancement cardiac magnetic resonance imagingEnhancement cardiac magnetic resonance imagingNuclear myocardial perfusion imagingCardiac magnetic resonance imagingMyocardial perfusion imagingMyocardial scar detectionMagnetic resonance imagingLongitudinal Trends of Coronary Calcifications and Myocardial Flow Reserve in Heart Transplant Recipients
Wright C, Kiage J, Kyriakoulis I, Csecs I, Ahmed A, Liu Y, Bellumkonda L, Kokkinidis D, Sinusas A, Miller E, Feher A. Longitudinal Trends of Coronary Calcifications and Myocardial Flow Reserve in Heart Transplant Recipients. Journal Of Nuclear Cardiology 2025, 50: 102312. DOI: 10.1016/j.nuclcard.2025.102312.Peer-Reviewed Original ResearchLayered but Loaded: Prognostic Implications of Sequential Stress Imagingfor Diagnosing Coronary Artery Disease in Contemporary Practice
Ahmed A, Csecs I, Wright C, Kyriakoulis I, Kokkinidis D, Miller E, Feher A. Layered but Loaded: Prognostic Implications of Sequential Stress Imagingfor Diagnosing Coronary Artery Disease in Contemporary Practice. Journal Of Nuclear Cardiology 2025, 50: 102382. DOI: 10.1016/j.nuclcard.2025.102382.Peer-Reviewed Original ResearchAI-based Aortic Measurements from Cardiac CT Attenuation Scans Identify High-risk Patients
Shanbhag A, Marcinkiewicz A, Zhang W, Zaid R, Cadet S, Lemley M, Yi J, Hijazi W, Einstein A, Miller E, Feher A, Ruddy T, Le V, Mason S, Knight S, Slipczuk L, Travin M, Rosamond T, Wopperer S, Chareonthaitawee P, Berman D, Dey D, Di Carli M, Miller R, Slomka P. AI-based Aortic Measurements from Cardiac CT Attenuation Scans Identify High-risk Patients. Journal Of Nuclear Cardiology 2025, 50: 102409. DOI: 10.1016/j.nuclcard.2025.102409.Peer-Reviewed Original Research
Academic Achievements & Community Involvement
Clinical Care
Overview
Attila Feher, MD, PhD, is a cardiologist who specializes in multimodality cardiovascular imaging, which involves analyzing pictures of the heart taken with the help of such technologies as CT scan, MRI, and nuclear imaging. He also has a special interest in preventing and managing heart disease in patients who have underlying autoimmune and rheumatologic disorders through Yale Medicine’s Cardio-Rheumatology Program.
Dr. Feher says a curiosity of human biology inspired him to study medicine, but it was during his training, when he began to interact with patients, that he knew he’d chosen the right path.
“Understanding patients’ inner feelings and helping them emotionally has always been as important to me as understanding the nature of their medical conditions,” Dr. Feher says. “I truly believe in and try to practice the instruction left by Sir William Osler, MD, one of the greatest internists of the 20th century, about keeping the patient in the center: ‘Care more particularly for the individual patient than for the special features of the disease.’”
Dr. Feher says caring for cardiology patients provides him with many opportunities to build long-lasting relationships, which are especially important in cardio-rheumatology, since autoimmune disease requires continuous monitoring. “I think meaningful interactions and paying attention to the details while keeping the patient's needs in the center are key to successfully prevent, treat, and potentially cure cardiovascular disease,” he says.
Dr. Feher’s research interests include studying the impact of autoimmune conditions on cardiovascular health, and the best ways to apply cardiovascular imaging techniques to the evaluation of coronary microvascular disease. “My clinic actively shapes my research,” he says. “I believe the bedside is the perfect place to find research topics that are relevant not only to scientists, but to patients as well.”
Clinical Specialties
Cardiovascular Medicine
Board Certifications
Cardiovascular Disease
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2021
Internal Medicine
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2016
News
News
- September 10, 2024
Microvasculature Imaging Shows Promise for Peripheral Artery Disease Management
- July 03, 2024
Gallegos and Feher Join the Journal of Nuclear Cardiology’s Early Career Editorial Board
- April 01, 2024
Yale Faculty Present Groundbreaking Clinical Research at the 2024 American College of Cardiology Scientific Sessions
- February 05, 2024
Yale Team Wins American Society of Nuclear Cardiology Award for Cardiology Decision Support Tool
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