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William Santamore, PhD

Professor, Medicine

Telephone:  215-707-4239

Fax:  215-707-0170

Office: Old Medical School 233

Email: william.santamore@temple.edu

Department of Medicine, Section of Cardiology

Cardiovascular Research Center

Manhattan College             BS       Electrical Engineering

Drexel University                 MS       Biomedical Engineering

Temple University              PhD      Pysiology

 

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Our current medical system is designed to address acute episodic care.  Chronic disease management, which requires consistent application and frequent monitoring of patient status, is problematic and inconsistent. According to the Institute of Medicine, a disconnect exists between the availability of comprehensive chronic disease management programs and their effective utilization – a real chasm. Especially in underserved populations, lack of surveillance and risk assessment allows these conditions to persist until an actual event occurs (heart attack, new angina or sudden death, stroke). Our objective is to develop and test new innovative approaches to address the goals of Healthy People 2010 and close this chasm in a proactive fashion.  Thus, we have developed a Telemedicine System, which facilitates chronic medical management.  We are currently testing this Telemedicine system in three chronic medical management situations (chronic heart failure, cardiovascular disease risk reduction, and gestational diabetes mellitus) and at two different locations (underserved inner city and rural populations). In each study, patients are randomized to standard of care or telemedicine group. We hypothesize 1) - that in chronic heart failure patients that the Telemedicine system will decrease the number of days for re-hospitalization, 2) - that in underserved patient populations with treatable cardiovascular risk factors (hypertension, hyperlipidemia) the Telemedicine system will reduce CVD risk status and reduce the progression toward epidemic CVD in this population, and 3) – that in patients with gestational diabetes mellitus, the Telemedicine system will reduce the rate of macrosomia (high birth weight).

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Recent Medically Related Publications, Obtained from PubMed (Click on PubMed ID to view abstract)

18953207. Santamore WP, Homko CJ, Understanding how the patient interacts with Internet intervention is key to advancing telemedicine. J Cardiovasc Nurs 23:6(472-3)2008 Nov-Dec

18596496. Homko CJ, Santamore WP, Zamora L, Shirk G, Gaughan J, Cross R, Kashem A, Petersen S, Bove AA, Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. J Cardiovasc Nurs 23:4(332-7)2008 Jul-Aug

18570561. Santamore WP, Homko CJ, Kashem A, McConnell TR, Menapace FJ, Bove AA, Accuracy of blood pressure measurements transmitted through a telemedicine system in underserved populations. Telemed J E Health 14:4(333-8)2008 May

18356476. Santamore WP, Bove AA, Why are arteries the size they are? J Appl Physiol 104:5(1259)2008 May

18325458. Kashem A, Droogan MT, Santamore WP, Wald JW, Bove AA, Managing heart failure care using an internet-based telemedicine system. J Card Fail 14:2(121-6)2008 Mar

18002801. Santamore WP, Homko CJ, Kashem A, McConnell TR, Bove AA, Using a telemedicine system to decrease cardiovascular disease risk in an underserved population: design, use, and interim results. Conf Proc IEEE Eng Med Biol Soc 2007:(3701-4)2007

17905267. Santamore WP, Gefen N, Avramovich A, Berger P, Kashem A, Barnea O, Right atrial effects on right ventricular ejection fraction derived from thermodilution measurements. J Cardiothorac Vasc Anesth 21:5(644-9)2007 Oct

17570062. Sheffer L, Santamore WP, Barnea O, Cardiovascular simulation toolbox. Cardiovasc Eng 7:2(81-8)2007 Jun

17561800. Homko CJ, Santamore WP, Whiteman V, Bower M, Berger P, Geifman-Holtzman O, Bove AA, Use of an internet-based telemedicine system to manage underserved women with gestational diabetes mellitus. Diabetes Technol Ther 9:3(297-306)2007 Jun

17543243. Kashem A, Cross RC, Santamore WP, Bove AA, Management of heart failure patients using telemedicine communication systems. Curr Cardiol Rep 8:3(171-9)2006 May

17270928. Santamore WP, Homko C, Marble J, Wald J, Bove AA, Improving heart failure care by using a telemedicine system. Conf Proc IEEE Eng Med Biol Soc 4:(3076-9)2004

16942416. Kashem A, Droogan MT, Santamore WP, Wald JW, Marble JF, Cross RC, Bove AA, Web-based Internet telemedicine management of patients with heart failure. Telemed J E Health 12:4(439-47)2006 Aug

16478414. Masucci MM, Homko C, Santamore WP, Berger P, McConnell TR, Shirk G, Menapace F, Bove AA, Cardiovascular disease prevention for underserved patients using the Internet: bridging the digital divide. Telemed J E Health 12:1(58-65)2006 Feb

12957615. Kashem A, Kashem S, Santamore WP, Crabbe DL, Margulies KB, Melvin DB, Goldman BI, Early and late results of left ventricular reshaping by passive cardiac-support device in canine heart failure. J Heart Lung Transplant 22:9(1046-53)2003 Sep

12930271. Kashem A, Santamore WP, Hassan S, Melvin DB, Crabbe DL, Margulies KB, Goldman BI, Llort F, Krieger C, Lesniak J, CardioClasp changes left ventricular shape acutely in enlarged canine heart. J Card Surg 18 Suppl 2:(S49-60)2003 Jul-Aug

12878939. He KL, Shimizu J, Yi GH, Gu A, Kashem MA, Crabbe DL, Popilskis S, Wu EX, Santamore WP, Melvin D, Wang J, Left ventricular systolic performance in failing heart improved acutely by left ventricular reshaping. J Thorac Cardiovasc Surg 126:1(56-65)2003 Jul

12579110. Kashem A, Hassan S, Crabbe DL, Melvin DB, Santamore WP, Left ventricular reshaping: effects on the pressure-volume relationship. J Thorac Cardiovasc Surg 125:2(391-9)2003 Feb

12058999. Kashem A, Santamore WP, Hassan S, Crabbe DL, Marculies KB, Melvin DB, CardioClasp: a new passive device to reshape cardiac enlargement. ASAIO J 48:3(253-9)2002 May-Jun

11730206. Kashem A, Santamore WP, Hassan S, Chiang B, Slatert AD, Can latissimus dorsi muscle stimulation benefit heart during training period after vascular delay? ASAIO J 47:6(655-61)2001 Nov-Dec

11426760. Kashem A, Santamore WP, Chiang B, Unger L, Ali AT, Slater AD, Vascular delay and intermittent stimulation: keys to successful latissimus dorsi muscle stimulation. Ann Thorac Surg 71:6(1866-73)2001 Jun

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Philip Berger

Technician

T:  215-707-0166

F:  215-707-5737

Email address: philip.berger@temple.edu

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