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AMYOTROPHIC LATERAL SCLEROSIS AND FRONTOTEMPORAL DEGENERATION
Shefner, Jeremy M.; Cudkowicz, Merit E.; Hardiman, Orla; Cockroft, Bettina M.; Lee, Jacqueline H.; Malik, Fady, I; Meng, Lisa; Rudnicki, Stacy A.; Wolff, Andrew A.; Andrews, Jinsy A.; Van Damme, Philip; Korngut, Lawrence; Johnston, Wendy; O\Connell, Colleen; Grant, Ian; Turnbull, John; Shoesmith, Christen; Zinman, Lorne; Botez, Stephan; Genge, Angela; Dionne, Annie; Couratier, Philippe; Attarian, Shahram; Pouget, Jean; Camu, William; Desnuelle, Claude; Salachas, Francois; Corcia, Philippe; Meyer, Thomas; Petri, Susanne; Ludolph, Albert; Calvo, Andrea; Lunetta, Christian; Silani, Vincenzo; van den Berg, Leonard; de Carvalho, Mamede; Mora Pardina, Jesus; Young, Carolyn; Al-Chalabi, Ammar; Radunovic, Aleksander; Hanemann, Clemens; Ladha, Shafeeq; Goyal, Namita; Ravits, John; Lewis, Richard; Joyce, Nanette; Oskarsson, Bjorn; Katz, Jonathan S.; So, Yuen; Quan, Dianna; Felice, Kevin; Bayat, Elham; Boylan, Kevin; Benatar, Michael G.; Tuan Vu; Glass, Jonathan; Sufit, Robert; Bodkin, Cynthia; Swenson, Andrea; Statland, Jeffrey; Maragakis, Nicholas; Berry, James; Brown, Robert; Salameh, Johnny; Goutman, Stephen; Newman, Daniel S.; Guliani, Gaurav; Maiser, Samuel; Pestronk, Alan; Hayat, Ghazala; Pattee, Gary; Cohen, Jeffrey; Brooks, Benjamin; Bedlack, Richard; Caress, James; Mitsumoto, Hiroshi; Lange, Dale; Bradshaw, Deborah; Kolb, Stephen J.; Karam, Chafic; Khoury, Julie; Goslin, Kimberly; Simmons, Zachary; Mc Cluskey, Leo; Heiman-Patterson, Terry; Donofrio, Peter; Heitzman, Daragh; Harati, Yadollah; Jackson, Carlayne; Phillips, Lawrence; Weiss, Michael; Nance, Christopher; Sultan, Shumaila; Barkhaus, Paul
ISI:000488128900016
ISSN: 2167-8421
CID: 5874392
Case presentation commentary on "Rosai-Dorfman disease and left ventricular noncompaction cardiomyopathy: A heart failure conundrum." [Editorial]
Phillips, Lawrence
PMID: 30397865
ISSN: 1532-6551
CID: 3520062
Value of gated-SPECT MPI for ischemia-guided PCI of non-culprit vessels in STEMI patients with multivessel disease after primary PCI
Phillips, Lawrence M; Vitola, João V; Shaw, Leslee J; Giubbini, Raffaele; Karthikeyan, Ganesan; Alexanderson, Erick; Dondi, Maurizio; Paez, Diana; Peix, Amalia
There remains a clinical question of which patients benefit from revascularization of non-culprit coronary artery stenosis in the setting of acute ST-segment elevation myocardial infraction (STEMI). This is a large population of patients with prior studies showing 40 to 70% of patients with STEMI having non-culprit stenosis. This article reviews the current state of the literature evaluating outcomes of those previously randomized to revascularization of non-culprit stenosis around the time of the STEMI. We propose a new study design to utilize gated-SPECT in the decision process by using an ischemic burden of > 5% as a cut-off for revascularization vs. complete revascularization without ischemia assessment.
PMID: 30069820
ISSN: 1532-6551
CID: 3217522
Case presentation commentary on "ammonia for positron emission tomography (PET): A promising technique for patients with LBBB and suspicion of coronary artery disease" [Editorial]
Phillips, Lawrence M
PMID: 29951893
ISSN: 1532-6551
CID: 3162922
Integrating imaging modalities for diagnosing cardiac amyloidosis
Ahluwalia, M; Reyentovich, A; Donnino, R; Phillips, L M
PMID: 29987632
ISSN: 1532-6551
CID: 3192452
Evolving, innovating, and revolutionary changes in cardiovascular imaging: We've only just begun!
Shaw, Leslee J; Hachamovitch, Rory; Min, James K; Di Carli, Marcelo; Mieres, Jennifer H; Phillips, Lawrence; Blankstein, Ron; Einstein, Andrew; Taqueti, Viviany R; Hendel, Robert; Berman, Daniel S
In this review, we highlight the need for innovation and creativity to reinvent the field of nuclear cardiology. Revolutionary ideas brought forth today are needed to create greater value in patient care and highlight the need for more contemporary evidence supporting the use of nuclear cardiology practices. We put forth discussions on the need for disruptive innovation in imaging-guided care that places the imager as a central force in care coordination. Value-based nuclear cardiology is defined as care that is both efficient and effective. Novel testing strategies that defer testing in lower risk patients are examples of the kind of innovation needed in today's healthcare environment. A major focus of current research is the evolution of the importance of ischemia and the prognostic significance of non-obstructive atherosclerotic plaque and coronary microvascular dysfunction. Embracing novel paradigms, such as this, can aid in the development of optimal strategies for coronary disease management. We hope that our article will spurn the field toward greater innovation and focus on transformative imaging leading the way for new generations of novel cardiovascular care.
PMID: 29468466
ISSN: 1532-6551
CID: 2963812
Case Presentation Commentary on "A case of longitudinal care of a patient with cardiac sarcoidosis" [Editorial]
Phillips, Lawrence M
PMID: 29423904
ISSN: 1532-6551
CID: 2948332
10-Year Resource Utilization and Costs for Cardiovascular Care
Shaw, Leslee J; Goyal, Abhinav; Mehta, Christina; Xie, Joe; Phillips, Lawrence; Kelkar, Anita; Knapper, Joseph; Berman, Daniel S; Nasir, Khurram; Veledar, Emir; Blaha, Michael J; Blumenthal, Roger; Min, James K; Fazel, Reza; Wilson, Peter W F; Budoff, Matthew J
BACKGROUND:Cardiovascular disease (CVD) imparts a heavy economic burden on the U.S. health care system. Evidence regarding the long-term costs after comprehensive CVD screening is limited. OBJECTIVES/OBJECTIVE:This study calculated 10-year health care costs for 6,814 asymptomatic participants enrolled in MESA (Multi-Ethnic Study of Atherosclerosis), a registry sponsored by the National Heart, Lung, and Blood Institute, National Institutes of Health. METHODS:Cumulative 10-year costs for CVD medications, office visits, diagnostic procedures, coronary revascularization, and hospitalizations were calculated from detailed follow-up data. Costs were derived by using Medicare nationwide and zip code-specific costs, inflation corrected, discounted at 3% per year, and presented in 2014 U.S. dollars. RESULTS:Risk factor prevalence increased dramatically and, by 10 years, diabetes, hypertension, and dyslipidemia was reported in 19%, 57%, and 53%, respectively. Self-reported symptoms (i.e., chest pain or shortness of breath) were common (approximately 40% of enrollees). At 10 years, approximately one-third of enrollees reported having an echocardiogram or exercise test, whereas 7% underwent invasive coronary angiography. These utilization patterns resulted in 10-year health care costs of $23,142. The largest proportion of costs was associated with CVD medication use (78%). Approximately $2 of every $10 were spent for outpatient visits and diagnostic testing among the elderly, obese, those with a high-sensitivity C-reactive protein level >3 mg/l, or coronary artery calcium score (CACS) ≥400. Costs varied widely from <$7,700 for low-risk (Framingham risk score <6%, 0 CACS, and normal glucose measurements at baseline) to >$35,800 for high-risk (persons with diabetes, Framingham risk score ≥20%, or CACS ≥400) subgroups. Among high-risk enrollees, CVD costs accounted for $74 million of the $155 million consumed by MESA participants. CONCLUSIONS:Longitudinal patterns of health care resource use after screening revealed new evidence on the economic burden of treatment and testing patterns not previously reported. Maintenance of a healthy population has the potential to markedly reduce the economic burden of CVD among asymptomatic individuals.
PMCID:5846485
PMID: 29519347
ISSN: 1558-3597
CID: 2974932
Case Presentation Commentary on "Deciding wisely: A case for an effective use of myocardial perfusion imaging" [Editorial]
Phillips, Lawrence
PMID: 29218643
ISSN: 1532-6551
CID: 2933162
The elusive role of myocardial perfusion imaging in stable ischemic heart disease: Is ISCHEMIA the answer?
Xie, Joe X; Winchester, David E; Phillips, Lawrence M; Hachamovitch, Rory; Berman, Daniel S; Blankstein, Ron; Di Carli, Marcelo F; Miller, Todd D; Al-Mallah, Mouaz H; Shaw, Leslee J
The assessment of ischemia through myocardial perfusion imaging (MPI) is widely accepted as an index step in the diagnostic evaluation of stable ischemic heart disease (SIHD). Numerous observational studies have characterized the prognostic significance of ischemia extent and severity. However, the role of ischemia in directing downstream SIHD care including coronary revascularization has remained elusive as reductions in ischemic burden have not translated to improved clinical outcomes in randomized trials. Importantly, selection bias leading to the inclusion of many low risk patients with minimal ischemia have narrowed the generalizability of prior studies along with other limitations. Accordingly, an ongoing randomized controlled trial entitled ISCHEMIA (International Study of Comparative Health Effectiveness with Medical and Invasive Approaches) will compare an invasive coronary revascularization strategy vs a conservative medical therapy approach among stable patients with moderate to severe ischemia. The results of ISCHEMIA may have a substantial impact on the management of SIHD and better define the role of MPI in current SIHD pathways of care.
PMID: 28752313
ISSN: 1532-6551
CID: 2654382