In This Section      
 

Elizabeth Ratchford, MD

Ciccarone Center Research

Published By

Elizabeth Ratchford, MD

Elizabeth Ratchford, MD
Ratchford, Elizabeth, MD

Elizabeth Ratchford, MD is the Director at Johns Hopkins Center for Vascular Medicine and is an Assistant Professor of Medicine.

View my Johns Hopkins Medicine profile for more information and to request an appointment

Vascular imaging.

By: Ratchford EV.

Vascular imaging has now become routine in many echocardiography laboratories. With increasing recognition of the systemic nature of atherosclerosis, cardiologists are becoming more involved in imaging outside the heart both for clinical and research purposes.

Exercise for restoring health and preventing vascular disease.

By: Stewart KJ, Ratchford EV, Williams MA.
Individuals with heart disease can benefit greatly from exercise training and other aspects of cardiac rehabilitation and secondary prevention programs. Exercise training plays a critical role as a primary treatment of patients with peripheral arterial disease, with the goal of improving quality of life and functional capacity.

Approach to smoking cessation in the patient with vascular disease.

By: Ratchford EV, Black JH 3rd.
In the patient with vascular disease, cigarette smoking is particularly perilous; the benefits of smoking cessation greatly exceed any risks associated with pharmacologic treatment. Multiple clinical trials have demonstrated the efficacy of pharmacologic therapy for smoking cessation. In parallel with aggressive counseling and pharmacotherapy for smoking cessation, cardiovascular risk reduction is critical.

Update on peripheral arterial disease and claudication rehabilitation.

By: Salameh MJ, Ratchford EV
Peripheral arterial disease is often under diagnosed and under treated due to a general lack of awareness on the part of the patient and the practitioner. The evidence-base is growing for the optimal medical management of the patient with peripheral arterial disease; in parallel, endovascular revascularization options continue to improve. Comprehensive care of the peripheral arterial disease patient focuses on the ultimate goals of improving quality of life and reducing cardiovascular morbidity and mortality.

Carotid bruit for detection of hemodynamically significant carotid stenosis: the Northern Manhattan Study.

By: Ratchford EV, Jin Z, Di Tullio MR, Salameh MJ, Homma S, Gan R, Boden-Albala B, Sacco RL, Rundek T.
In this ethnically diverse cohort, the prevalence of carotid bruits and hemodynamically significant carotid stenosis was low. Sensitivity and positive predictive value were also low, and the 44% false-negative rate suggests that auscultation is not sufficient to exclude carotid stenosis. While the presence of a bruit may still warrant further evaluation with carotid duplex, ultrasonography may be considered in high-risk asymptomatic patients, irrespective of findings on auscultation.