2020 UAB Cardiovascular Institute Annual Report CVI Annual Report 2019-2020 6 | Page 38

WOMEN’S HEART HEALTH CLINIC Also, as women get older and past menopause, their rates of heart disease are the same as those of men. Moreover, while the classic signs of heart attack in males – chest pain radiating into the jaw and arm – are well known, a woman’s symptoms may differ dramatically. These realities led UAB Medicine cardiologist Salpy Pamboukian, MD, to establish the UAB Women’s Heart Health Clinic in 2016. We understand that women have unique risk factors and symptoms and may benefit from cardiac care designed to address their specific needs. The clinic fosters an integrated approach, with multiple cardiac providers who specialize in advanced heart failure, interventional cardiology, and hypertensive disease. Our patients have full access to diagnostic and therapeutic services once the initial consultation is complete. Dr. Pamboukian’s commitment to empowering female patients also led UAB Medicine to partner with WomenHeart: The National Coalition for Women with Heart Disease, an organization dedicated to heart disease education and patient support. Dr. Pamboukian nominated UAB Medicine patients Sherron Simmons and Joy O’Neal to become UAB WomenHeart Champions and secured coalition funding to send the two women to the Mayo Clinic to receive training in heart health advocacy. As UAB WomenHeart Champions, Simmons and O’Neal help educate women in the Birmingham area about heart health. HIGHLIGHTS • Provides an entry point for women with new or established diagnoses of heart disease • Promotes patient advocacy with community outreach HYPERTENSION UAB has a long history of leading-edge hypertension management and treatment. Our board-certified faculty physicians have decades of experience in evaluating and treating complicated hypertension cases. They are nationally recognized experts who specialize in resistant and refractory hypertension, evaluation and treatment of secondary hypertension, and management of patients with comorbidities such as heart failure, chronic kidney disease, diabetes, and sleep apnea. The physicians have extensive experience with a variety of cardiovascular clinical research, including studies of ambulatory blood pressure monitoring, diabetes, heart failure, and lifestyle modifications. We offer cutting-edge hypertension therapies for specific patient populations, as well as implementation of new medical treatments. SELECTED PUBLICATIONS • Sinkey RG, Oparil S. Lower blood pressure thresholds raise the bar in pregnancy. Circ Res 125(2):195- 197, 2019. (Editorial on CIRCRES/2019/314682) • Madsen TE, Howard G, Kleindorfer D, Furie KL, Liu S, Oparil S, Howard V. Sex differences in the hypertension and stroke risk in the REasons for Geographic And Racial Differences in Stroke (REGARDS) study: A longitudinal cohort study. Hypertension. doi: 10.1161/HYPERTENSIONAHA.119.12729 [Epub Ahead of Print 13 Aug 2019] • Siddiqui M, Judd EK, Dudenbostel T, Zhang B, Gupta P, Tomaszewski M, Patel P, Oparil S, Calhoun DA. Masked Uncontrolled Hypertension Is Not Attributable to Medication Nonadherence. Hypertension. 2019 Sep;74(3):652-659. doi: 10.1161/HYPERTENSIONAHA. 119.13258. Epub 2019 Jul 22. 36 UAB Cardiovascular Institute Annual Report JAMES AND JOHN KIRKLIN INSTITUTE FOR RESEARCH IN SURGICAL OUTCOMES The James and John Kirklin Institute for Research in Surgical Outcomes (KIRSO) was established to build a comprehensive multidisciplinary institute focusing on surgical outcomes research, in order to analyze and improve outcomes of surgical therapies and their impact on patients, society (at the local, national, and global levels), and the overall health care system. The outcomes research movement is transforming surgical care and the surgical community. Outcomes researchers help identify the best evidence to guide patient care. They determine the care processes that result in optimal outcomes by critically appraising the results of a procedure and its global impact on patient health and well-being, satisfaction, functional status, lifespan, and the health care system. Outcomes researchers “translate” this research into practice and policy by working with surgeons, payers, and purchasers of health care. According to the Centers for Disease Control and Prevention, heart disease is responsible for one in four deaths among both men and women. And the highest concentration of heart disease deaths for women is in the South – especially in Alabama, Mississippi, and Louisiana. CARDIOVASCULAR RESEARCH UAB COMPREHENSIVE CARDIOVASCULAR CENTER The UAB Comprehensive Cardiovascular Center (CCVC) is a university-wide Interdisciplinary Research Center and is directed by Sumanth Prabhu, MD. Since its inception in 2012, the CCVC has funded or helped fund 15 intramural research grants that promote interdisciplinary CV science. The CCVC provides an important institutional mechanism for promoting basic, translational, and outcomes research, and for drug and biomarker development in partnership with small business and industry. The newest innovations in research and investigative therapies in heart disease remain critical to attracting patients to UAB Hospital and its clinics, and they help distinguish UAB Medicine from its competitors. Areas of research focus include: • Cardiac reparative and regenerative medicine • Cardiovascular risk factors and prevention • Heart failure and transplant • Heart rhythm management • Valvular and congenital heart disease • Vascular and ischemic heart disease (including stroke) RESEARCH AND CLINICAL TRIALS Cardiovascular disease-related research is facilitated by physicians and research scientists involved in all types of research-related activities within Cardiovascular Institute clinical programs. From basic science and translational research to outcomes research and clinical trials, these activities keep us on the forefront of science and discovery in the treatment of cardiovascular disease and provide our patients with access to ongoing clinical research studies at UAB. CARDIOVASCULAR CLINICAL TRIAL UNIT CLINICAL TRIALS The Cardiovascular Clinical Trial Unit (CCTU) administers clinical cardiovascular research in a standardized fashion, thereby ensuring institutional and regulatory compliance, budgeting accuracy, reliable coordinator support, and expedited study startup. Housed in the Division of Cardiovascular Disease, the CCTU currently supports 39 UAB faculty members from 6 departments and manages 12 FTEs, including 7 research nurse coordinators. The CCTU currently oversees more than 140 active cardiology clinical trials and research studies. uabmedicine.org 37