Publications by authors named "R Tamler"

Introduction: Interprofessional consultations ("eConsults") can reduce healthcare utilization. However, the impact of eConsults on healthcare utilization remains poorly characterized among patients with headache.

Methods: We performed a retrospective, 1:1 matched cohort study comparing patients evaluated for headache via eConsult request or in-person referral at the Mount Sinai Health System in New York.

View Article and Find Full Text PDF

Introduction: Understanding trends and associated factors in internet-based health care communication (IBHC) among cancer survivors is important for meeting patient needs because their reliance on telehealth is growing. We aimed to examine IBHC use among cancer survivors in the US.

Methods: We identified adult cancer survivors aged 18 to 64 (n = 8,029) and 65 or older (n = 11,087) from the National Health Interview Survey in 2011-2018.

View Article and Find Full Text PDF

Background: Large clinical trials established the benefits of sodium-glucose cotransporter 2 inhibitors in patients with diabetes and with heart failure with reduced ejection fraction (HFrEF). The early and significant improvement in clinical outcomes is likely explained by effects beyond a reduction in hyperglycemia.

Objectives: The purpose of this study was to assess the effect of empagliflozin on left ventricular (LV) function and volumes, functional capacity, and quality of life (QoL) in nondiabetic HFrEF patients.

View Article and Find Full Text PDF
Article Synopsis
  • Two common erectile dysfunction drugs, tadalafil and vardenafil, help increase bone density in mice by promoting bone formation and inhibiting bone loss.
  • These drugs work by targeting the enzyme phosphodiesterase 5A (PDE5A), which is found in both bones and certain brain areas, suggesting a complex interaction between bone health and the nervous system.
  • Interestingly, while vardenafil is more effective than tadalafil in humans, the opposite is true in mice, likely due to differences in how these drugs bind to the mouse version of PDE5A.
View Article and Find Full Text PDF

The SGLT2 inhibitor empagliflozin reduced cardiovascular mortality by 38% and heart failure (HF) hospitalizations by 35% in diabetic patients. We have recently demonstrated the efficacy of empagliflozin in ameliorating HF and improving cardiac function in a non-diabetic porcine model of HF mediated via a switch in myocardial metabolism that enhances cardiac energetics. Therefore, we hypothesized that the cardiac benefits of empagliflozin can also be extended to non-diabetic HF patients.

View Article and Find Full Text PDF