J. Eduardo Rame

faculty photo
Associate Professor of Medicine at the Hospital of the University of Pennsylvania
Attending, Cardiac Catherization Laboratory, Hospital of the University of Pennsylvania
Attending, Heart Failure, Mechanical Assist, and Cardiac Transplantation Program, Hospital of the University of Pennsylvania
Attending, Pulmonary Hypertension Program, Hospital of the University of Pennsylvania
Medical Director, Mechanical Circulatory Support Program, Hospital of the University of Pennsylvania
Member, Cardiovascular Institute, University of Pennsylvania
Department: Medicine

Contact information
Penn Medicine
Heart Failure, Mechanical Assist and Cardiac Transplant Center
Hospital of the University of Pennsylvania
2 East, Perelman Center for Advanced Medicine
3400 Civic Center Boulevard
Philadelphia, PA 19104
Office: 215-615-7949
Fax: 215-349-5603
Education:
B.S., M.S. (Molecular Biophysics and Biochemistry)
Yale College, 1990.
M.Phil (Statistics/Health Services Research)
Oxford University , 1996.
M.D. (Medicine)
Harvard Medical School , 1997.
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Description of Itmat Expertise

Metabolic Signature of Chronic Heart Failure

Cardiac Metabolism

Ventricular Assist Device Support

Right Ventricular Dysfunction in Chronic Mechanically Assisted Heart Failure

Description of Research Expertise

My role as an advanced heart failure clinician-scientist and director of the mechanical assist device program at Penn is to provide expertise in the area of myocardial failure in the more advanced stage of this syndrome. More recently I have been working on the emerging interface of metabolism and heart failure. The current focus of my research is the investigation of myocardial and systemic metabolism in the syndrome of chronic heart failure. Specifically, myocardial and systemic insulin resistance is being increasingly targeted as a mechanism of disease progression in chronic heart failure and the objectives as a translational researcher within my group have been to: 1. Understand the role of lipid and adipocytokine biology (leptin, adiponectin, resistin) in the emerging metabolic phenotype of heart failure; 2. Identify specific targets for improving myocardial energetics and whole-body metabolism in cardiomyopathic failure; and 3. Test the safety and efficacy through carefully designed pilot studies of “reversing” specific metabolic pathways which have been dysregulated in human heart failure. My collaborative network for this research currently includes the laboratories of Dr. Tim McGraw, Dr. Richard Shannon, Dr. Ken Margulies and Dr. Tom Cappola within my own group at Penn as well as the laboratory of Dr. Christian Schulze and Professor Ira Goldberg at Columbia University.

Selected Publications

Reza Nosheen, Chowns Jessica L, Merrill Shana L, Marzolf Amy, Zado Erica S, Palmer Matthew B, Deshpande Charuhas, Pryma Daniel A, Rame J Eduardo, Marchlinski Francis E, Owens Anjali Tiku: Frameshifts in Code and in Care: The Importance of Timely Genetic Evaluation. Circulation. Genomic and precision medicine 11(5): e002215, May 2018.

Menachem Jonathan N, Birati Edo Y, Zamani Payman, Owens Anjali T, Atluri Pavan, Bermudez Christian A, Drajpuch David, Fuller Stephanie, Kim Yuli Y, Mascio Christopher E, Palanivel Vikram, Rame J Eduardo, Wald Joyce, Acker Michael A, Mazurek Jeremy A: Pulmonary hypertension: Barrier or just a bump in the road in transplanting adults with congenital heart disease. Congenital heart disease Mar 2018.

Birati Edo Y, Hanff Thomas C, Maldonado Dawn, Grandin E Wilson, Kennel Peter J, Mazurek Jeremy A, Vorovich Esther, Seigerman Matthew, Howard Jessica L L, Acker Michael A, Naka Yoshifumi, Wald Joyce, Goldberg Lee R, Jessup Mariell, Atluri Pavan, Margulies Kenneth B, Schulze P Christian, Rame J Eduardo: Predicting Long Term Outcome in Patients Treated With Continuous Flow Left Ventricular Assist Device: The Penn-Columbia Risk Score. Journal of the American Heart Association 7(6), Mar 2018.

Jason J. Han MD, Salman Zaheer MD, Rahul Kanade BA, Jennifer Chung MD, Carol W Chen MD, Ann C Gaffey MD, Christyna Justice RN, BSN, Alyse E Ameer BS, J. Eduardo Rame MD, Michael A. Acker MD, Pavan Atluri MD: Left Ventricular Assist Device Implantation Reduces Elevated Pulmonary Vascular Resistance in Patients Bridged to Heart Transplant Circulation Journal Epub ahead of Print, January 2018.

Edo Y. Birati, MD, Thomas C. Hanff, MD,Dawn Maldonado, MD, E. Wilson Grandin, MD, Peter J. Kennel, MD, Jeremy A. Mazurek, MD, Esther Vorovich, MD,Matthew Seigerman, MD, Jessica LL Howard, BS, Michael A. Acker, MD, Yoshifumi Naka, MD, Joyce Wald, DO, Lee R. Goldberg, MD MPH Mariell Jessup, MD, Pavan Atluri, MD, Kenneth B. Margulies, MD, P. Christian Schulze, MD and J. Eduardo Rame, MD MPhil1: Predicting Long Term Outcome in patients treated with Continuous Flow Left Ventricular Assist Device - The Penn - Columbia Risk Score. Journal of the American Heart Association Epub ahead of Print, January 2018.

J.Eduardo Rame and Robert Kormos: Adverse Events and Mitigation Strategies, Mechanical Circulatory Support. Braunwald's Mechanical Circulatory Support. Jim Kirklin and Eugene Braunwald (eds.). Elsevier, 2018.

Gopal Dipika J, Hanff Thomas C, Mazurek Jeremy A, Grandin Wilson E, Howard Jessica, Forde-McLean Rhondalyn, Wald Joyce, King Kathie, Acker Michael A, Goldberg Lee R, Jessup Mariell, Atluri Pavan, Margulies Kenneth B, Rame Eduardo J, Birati Edo Y: Prognostic Implications of Changes in Albumin Following Left Ventricular Assist Device Implantation in Patients With Severe Heart Failure. The American journal of cardiology 120(11): 2003-2007, Dec 2017.

Rene A Garvey, Desai Nimesh, Wald Joyce, Rame Jesus Eduardo, Frogel Jonathan K, Anwaruddin Saif: Transfemoral transcatheter aortic valve replacement with a self-expanding valve for severe aortic regurgitation in a patient with left ventricular assist device. Journal of cardiac surgery 32(11): 741-745, Nov 2017.

Arabía Francisco A, Milano Carmelo A, Mahr Claudius, McGee Edwin C, Mokadam Nahush A, Rame J Eduardo, Moriguchi Jaime D, Ramzy Danny, Naftel David C, Myers Susan L, Kirklin James K: Biventricular Support With Intracorporeal, Continuous Flow, Centrifugal Ventricular Assist Devices. The Annals of thoracic surgery 105(2): 548-555, Nov 2017.

Kiernan Michael S, Grandin E Wilson, Brinkley Marshall, Kapur Navin K, Pham Duc Thinh, Ruthazer Robin, Rame J Eduardo, Atluri Pavan, Birati Edo Y, Oliveira Guilherme H, Pagani Francis D, Kirklin James K, Naftel David, Kormos Robert L, Teuteberg Jeffrey J, DeNofrio David: Early Right Ventricular Assist Device Use in Patients Undergoing Continuous-Flow Left Ventricular Assist Device Implantation: Incidence and Risk Factors From the Interagency Registry for Mechanically Assisted Circulatory Support. Circulation. Heart failure 10(10), Oct 2017.

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Last updated: 06/04/2018
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