Marilou I. Ching MD, MPH, FACP
Marilou I. Ching
MD, MPH, FACP
Clinical Professor of Neurology, Program Director, Vascular Neurology Fellowship Program
Jacobs School of Medicine & Biomedical Sciences
Specialty/Research Focus
Cerebrovascular (Stroke); Internal Medicine; Neurology; Neuroscience; Stroke
Contact Information
Patient Care
Patient Care
This faculty member is affiliated with UBMD, practicing physicians who are also professors in the Jacobs School.
View this physician on UBMDProfessional Summary:
I am a neurologist who specializes in the care of patients with stroke and other neurovascular disorders. I am board-certified in internal medicine, neurology and vascular neurology. I care for inpatients at Buffalo General Medical Center, the busiest stroke service in New York State, and for outpatients after their discharge from the hospital. I serve as the neurology medical director at the Gates Vascular Institute, a state-of-the-art facility adjoining Buffalo General Medical Center that specializes in the care of vascular disorders. As a member of several committees, I help develop admission and treatment guidelines for the medical center. Of note, we continue to improve our door-to-tissue plasminogen activator time for those patients who are eligible for this treatment for acute stroke. Our stroke center has been recognized as a Comprehensive Stroke Center by the Joint Commission and received a “Get With The Guidelines Gold Plus” award from the American Heart Association.
I am very involved in stroke research and serve as principal investigator on several cutting-edge National Institutes of Health (NIH) and industry-funded clinical trials. My research and publications in this domain include clinical investigation into the diagnosis, treatment and prevention of cerebrovascular disease.
In addition to my clinical and research role, I am very involved with the education of medical students, residents and fellows on the neurovascular service. I serve as the program director for the Vascular Neurology Fellowship Program approved by the Accreditation Council for Graduate Medical Education (ACGME) which trains one to two fellows each year. I give several didactic lectures every year to various audiences at different levels of training.
Education and Training:
- Fellowship, Vascular Neurology, Cleveland Clinic Foundation (2007)
- Residency, Combined Residency in Internal Medicine and Neurology, University at Buffalo School of Medicine and Biomedical Sciences (2005)
- Fellowship, Research Fellow, Food and Drug Administration Fellow in Clinical Pharmacology (1996)
- MPH, Master of Public Health, Columbia University (1994)
- MD, Far Eastern University - Dr. Nicanor Medical Foundation (1985)
- BS, Ateneo de Manila University (1981)
Employment:
- Clinical Professor, Neurology, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences (2023-present)
- Medical Director, Department of Neurology, Gates Vascular Institute and Buffalo General Medical Center (2010-present)
- Associate Professor, Neurology, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2015-present)
- Fellow, American College of Physicians (2012-present)
- Program Director, Vascular Neurology Fellowship Program, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2009-present)
- Assistant Professor, Neurology, University at Buffalo Jacobs School of Medicine & Biomedical Sciences (2007–2015)
Awards and Honors:
- Louis A. and Ruth Siegel Award for Excellence in Teaching (2013)
- Outstanding Accreditation Award (2012)
- Michael E. Cohen Resident’s Research Day Award for Outstanding Resident Research Presentation (2005)
- American Academy of Neurology Resident Scholarship Award (2005)
- Michael E. Cohen Resident’s Research Day Award for Outstanding Resident Presentation (2004)
- Best Resident (1997)
Research Expertise:
- Cerebrovascular disease
- Stroke
Research Centers:
- Jacobs Neurological Institute
Grants and Sponsored Research:
- –September 2021
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Multicenter, Phase 3 Study to Evaluate the Efficacy and Safety of Intravenous BIIB093 (Glibenclamide) for Severe Cerebral Edema following Large Hemispheric Infarction CHARM Study: GlibenClamide for large Hemispheric infarction Analyzing mRS and Mortality
Biogen
Role: Principal Investigator - –September 2021
Stroke AF
Medtronic
Role: Principal Investigator - –September 2021
AtRial Cardiopathy and Antithrombotic Drugs In prevention After cryptogenic stroke (ARCADIA)
NIH StrokeNet
Role: Co-Investigator - –September 2021
ARCADIA CSI (Cognitive function and Silent Infarcts)
NIH
Role: Co-Investigator - –September 2021
Anticoagulation in Intracerebral Hemorrhage (ICH) Survivors for Stroke Prevention and Recovery (ASPIRE)
NIH
Role: Co-Investigator - –September 2021
StATins Use in intRacereberal hemorrhage patieNts (SATURN)
NIH
Role: Co-Investigator - –September 2021
Sleep for Stroke Management and Recovery Trial - SLEEP SMART
StrokeNet
Role: Co-Investigator - September 2021
Secondary Prevention of Small Subcortical Strokes
National Institutes of Health
Role: Principal Investigator - DIAS4: A randomized, double blind, parallel-group placebo- controlled phase III study to evaluate the efficacy and safety of desmoteplase in subjects with acute ischemic stroke
Lundbeck A/S
Role: Principal Investigator - IRIS: Insulin Resistance after Ischemic Stroke
National Institute of Neurological Disorders and Stroke (NINDS)
Role: Principal Investigator - POINT: Platelet Oriented Inhibition in New TIA and minor ischemic stroke Trial.
National Institute of Neurological Disorders and Stroke (NINDS)
Role: Principal Investigator - SHINE: Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial.
National Institutes of Health
Role: Principal Investigator - A Randomized, Double-Blind, Multinational Study to Prevent Major Vascular Events with Ticagrelor Compared to Aspirin (ASA) in Patients with Acute Ischemic Stroke or TIA [SOCRATES –Acute Stroke Or Transient IsChemic Attack TReated with Aspirin or Ticagrelor and Patient OutcomES]
Astra Zeneca
Role: Principal Investigator - Modified Matrix Study of Vanlev® with Hydrochlorothiazide in Mild-to-Moderate Hypertension
Bristol-Myers Squibb Pharmaceutical Research Institute
Role: Co-Investigator - A prospective, double-blind, randomized, parallel efficacy study of a losartan treatment regimen versus placebo in the treatment of patients with isolated systolic hypertension.
Merck & Co., Inc
Role: Co-Investigator - Desmoteplase in Acute Ischemic Stroke: Phase III
Paion and Forest Research Institute.
Role: Principal Investigator - CLOSURE 1 Trial: A Prospective, Multicenter, Randomized, Controlled Trial to Evaluate the Safety and Efficacy of the Starflex septl Closure System Versus Best Medical Therapy In Patients with a Stroke and/or Transient Ischemic Attack Due to Presumed Paradoxical Embolism Through a Patient Foramen Ovale
NMT Medical, Inc.
Role: Co-Principal Investigator - WARCEF Trial: Warfarin vs. Aspirin in Reduced Cardiac Ejection Fraction,
National Institutes of Health.
Role: Co-Principal Investigator - PRoFESS: Prevention Regimen for Effectively Avoiding Secondary Strokes: A Double-Blind, Active and Placebo Controlled Study of Aggrenox vs. Clopidogrel With and Without Micardis
Boehringer Ingelheim
Role: Co-Principal Investigator - IMS III: Interventional Management of Stroke Trial: A Phase III, Randomized, Multi-center, open label, 900 subject clinical trial that will examine whether a Combined intravenous and intra-arterial approach to recanalization is superior to standard IV rt-PA (Activase) alone when initiated within three hours of Acute ischemic stroke
NIH/HINDS
Role: Co-Principal Investigator - Effects of Omapatrilat or Enalapril on Conduit Vessel Hemodynamics in Subjects with Systolic Hypertension
Bristol-Myers Squibb Pharmaceutical Research Institute
Role: Co-Investigator - Hypertension Optimal Treatment
Astra/Merck Inc.
Role: Co-Investigator - Losartan Intervention for Endpoint Reduction in Hypertension: A Triple-Blind, Parallel Study to Investigate the Effect of Losartan Versus Atenolol o the Reduction of Morbidity and Mortality in Hypertnesive Patients with Left Ventricular Hypertrophy
Merck and Company
Role: Co-Investigator - Effects of Omapatrilat or Enalapril on Conduit Vessel Hemodynamics in Subjects with Systolic Hypertension
Bristol-Myers Squibb Pharmaceutical Research Institute
Role: Co-Investigator - A Phase IIIb, double blind, multicenter study to evaluate the efficacy and safety of alteplase in patients with mild stroke: rapidly improving symptoms and minor neurological deficits (PRISMS)
National Institute of Neurological Disorders and Stroke (NINDS)
Role: Co-Investigator - NAVIGATE ESUS - Multicenter, randomized, double-blind, double-dummy, active-comparator, event-driven, superiority phase III study of secondary prevention of stroke and prevention of systemic embolism in patients with a recent Embolic Stroke of Undetermined Source (ESUS), comparing rivaroxaban 15 mg once daily with aspirin 100 mg
Role: Co-Investigator - Evaluation of the Efficacy and Safety of Candesartan Cilexetil in the Treatment of Patients with Hypertension: A Multicenter, Randomized, Double Blind, Placebo-Controlled Dose Response Study
Astra Merck Inc.
Role: Co-Investigator - A Multicenter, Double-Blind, Placebo-Controlled, Parallel Study to Determine the LDL-C Lowering Efficacy of Pravastatin Administered Once Daily Over the Dosage Range of 40 mg Through 60 mg
Bristol-Myers Squibb Pharmaceutical Research Institute
Role: Co-Investigator - Preliminary Characteristics of the OPERA (Omapatrilat in Persons with Enhanced Risk of Atherosclerotic Events) Mortality and Morbidity Protocol.
Bristol-Myers Squibb Pharmaceutical Research Institute
Role: Co-Investigator - COSS: Carotid Occlusion Surgery Study National Institute of Neurological Disorders and Stroke
NINDS
Role: Principal Investigator - Comprehensive Rimonabant Evaluation Study of Cardiovascular Endpoints and Outcomes
Sanofi Aventis.
Role: Co-Investigator - SWISS: Siblings with Ischemic Stroke Study
National Institutes of Health.
Role: Co-Investigator - Warfarin vs. Aspirin in Reduced Cardiac Ejection Fraction
National Institutes of Health
Role: Co-Investigator - A Phase III Randomized Multicenter Clinical Trial of High-Dose Human Albumin Therapy for Neuroprotection in Acute Ischemic Stroke
The National Institute of Neurological Disorders and Stroke (NINDS)
Role: Co-Investigator - GORE Reduce Study: Gore Helix Septal Occluder and Antiplatelet Medical Management for Reduction of Recurrent Stroke or Imaging-Confirmed TIA in Patients with Patent Foramen
W.L. Gore and Associates, Inc.
Role: Co-Investigator
Journal Articles:
- Kamel H et al. (2024) Apixaban to Prevent Recurrence After Cryptogenic Stroke in Patients With Atrial Cardiopathy: The ARCADIA Randomized Clinical Trial. JAMA (Jul), 20;331(7)(2024): 573-581.
- Richard Bernstein et al. (2023) Atrial Fibrillation In Patients With Stroke Attributed to Large- or Small-Vessel Disease: 3-Year Results From the STROKE AF Randomized Clinical Trial. JAMA Neurolo (Dec), 1;80(12: 1277-1283.
- Schwamm LH, Kamel H, Granger CB, Piccini JP, Katz JM, Sethi PP, Sidorov EV, Kasner SE, Silverman SB, Merriam TT, Franco N, Ziegler PD, Bernstein RA; STROKE AF Investigators. (2023) Predictors of Atrial Fibrillation in Patients With Stroke Attributed to Large- or Small-Vessel Disease: A Prespecified Secondary Analysis of the STROKE AF Randomized Clinical Trial. JAMA Neurol (Feb), 1(2023 Jan 1;80(1):99-103): 99-103.
- Meschia JF, Walton RL, Farrugia LP, Ross OA, Elm JJ, Farrant M, Meurer WJ, Lindblad AS, Barsan W, Ching M, Gentile N, Ross M, Nahab F, Easton JD, Kim AS, Zurita KG, Cucchiara B, Johnston SC. (2020) Efficacy of Clopidogrel for Prevention of Stroke Based on CYP2C19 Allele Status in the POINT Trial. Stroke (Jul), 51(7): 2058-2065.
- Mowla A, Kamal H, Lail NS, Vaughn C, Shirani P, Mehla S, Rajabzadeh-Oghaz H, Deline C, Ching M, Crumlish A, Sawyer RN. (2017) Intravenous Thrombolysis for Acute Ischemic Stroke in Patients with Thrombocytopenia. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association (Jul), 26(7): 1414-1418.
- Mowla A, Doyle J, Lail NS, Rajabzadeh-Oghaz H, Deline C, Shirani P, Ching M, Crumlish A, Steck DA, Janicke D, Levy EI, Sawyer RN. (2017) Delays in door-to-needle time for acute ischemic stroke in the emergency department: A comprehensive stroke center experience. Journal of the neurological sciences (May), 376: 102-105.
- Sternberg Z, Chichelli T, Sternberg D, Sawyer R, Ching M, Janicke D, Ambrus JL, Yu J, Munschauer F. (2016) Relationship between Inflammation and Aspirin and Clopidogrel Antiplatelet Responses in Acute Ischemic Stroke. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association (Feb), 25(2): 327-34.
- Mowla A, Singh K, Mehla S, Ahmed MK, Shirani P, Kamal H, Krishna C, Sawyer RN, Ching M, Siddiqui AH, Levy EI, Snyder KV, Crumlish A, Hopkins LN. (2015) Is acute reperfusion therapy safe in acute ischemic stroke patients who harbor unruptured intracranial aneurysm?. International journal of stroke : official journal of the International Stroke Society (Oct), 10 Suppl A100: 113-8.
- AbdelRazek MA, Mowla A, Hojnacki D, Zimmer W, Elsadek R, Abdelhamid N, Elsadek L, Farooq S, Kamal H, Crumlish A, Shirani P, Ching M, Sawyer R. (2015) Prior Asymptomatic Parenchymal Hemorrhage Does Not Increase the Risk for Intracranial Hemorrhage after Intravenous Thrombolysis. Cerebrovascular diseases (Basel, Switzerland) (Jan), 40(5-6): 201-4.
- Sternberg Z, Ching M, Sawyer RN, Chichelli T, Li F, Janicke D, Radovic V, Mehta B, Farooq O, Munschauer FE. (2013) Clopidogrel responsiveness in stroke patients on a chronic aspirin regimen. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association (Aug), 22(6): 725-32.
- Baker JG, Williams AJ, Ionita CC, Lee-Kwen P, Ching M, Miletich RS. (2012) Cerebral small vessel disease: cognition, mood, daily functioning, and imaging findings from a small pilot sample. Dementia and geriatric cognitive disorders extra (Jan), 2: 169-79. doi:10.1159/000333482
- Patel D, Bailey SM, Furlan AJ, Ching M, Zachaib J, Di Biase L, Mohanty P, Horton RP, Burkhardt JD, Sanchez JE, Zagrodzky JD, Gallinghouse GJ, Schweikert R, Saliba W, Natale A. (2010) Long-term functional and neurocognitive recovery in patients who had an acute cerebrovascular event secondary to catheter ablation for atrial fibrillation. Journal of cardiovascular electrophysiology (Apr), 21(4): 412-7.
- Bong Hee Sung, Marilou Ching, Joseph Izzo, Jr., Paresh Dandona, Michael F. Wilson. (1900) Insulin-Mediated Venodilation is Impaired in Patients with High Cholesterol. Hypertension (Jan), 31(1998): 1266-1271.
- Johnston SC, Amarenco P, Albers GW, Denison H, Easton JD, Evans SR, Held P, Jonasson J, Minematsu K, Molina CA, Wang Y, Wong KS; SOCRATES Steering Committee and Investigators. (1900) Ticagrelor versus Aspirin in Acute Stroke or Transient Ischemic Attack. N Engl J Med (Jan), 375(1)(2016): 35-43.
- Ching M, Sung BH, Forrest A, Wilson MF, Izzo JL Jr. (1900) Vasoreactivity in Pre and Postmenopausal Women: Evaluation by Pharmacodynamic Modelling. J of Clin Pharmacol (Jan), 38(1998): 151-159.
- Elkind MS1, Luna JM, McClure LA, Zhang Y, Coffey CS, Roldan A, Del Brutto OH, Pretell EJ, Pettigrew LC, Meyer BC, Tapia J, White C, Benavente OR; LIMITS Investigators. (1900) C-reactive protein as a prognostic marker after lacunar stroke: levels of inflammatory markers in the treatment of stroke study. Stroke (Jan), 45(3)(2014): 707-16.
- Amit Kandel, MBBS; Marilou Ching, MD, MPH; Osman Farooq, MD; Rohit Gokhale, MBBS; Carina Alfaro-Franco, MD, MS, FACC; Ping Li, MD. (1900) Takotsubo Cardiomyopathy in a Patient with Chronic Inflammatory Demyelinating Polyneuropathy. N A J Med Sci (Jan), 8(2)(2015): 100-104.
- Johnston SC, Easton JD, Farrant M, Barsan W, Conwit RA, Elm JJ, Kim AS, Lindblad AS, Palesch YY; Clinical Research Collaboration, Neurological Emergencies Treatment Trials Network, and the POINT Investigators. (1900) Clopidogrel and Aspirin in Acute Ischemic Stroke and High-Risk TIA. N Engl J Med (Jan), 379(3)(2018): 215-225.
- Allen K, Golden L, Izzo JL, Jr., Ching M, Forrest A, Niles C, Niswander P, Barlow J. (1900) Normalization of Hypertensive Responses During Ambulatory Surgical Stress by Perioperative Music. Psychosomatic Medicine (Jan), 63(2001): 487-492.
- COSS Investigators. (1900) Extracranial-Intracranial Bypass Surgery for Stroke Prevention in Hemodynamic Cerebral IschemiaL the Carotid Occlusion Surgery Study Randomized Trial. JAMA (Jan), 306(18)(2011): 412-417.
- Epstein KA, Viscoli CM, Spence JD, Young LH, Inzucchi SE, Gorman M, Gerstenhaber B, Guarino PD, Dixit A, Furie KL, Kernan WN; IRIS Trial Investigators. (1900) Smoking cessation and outcome after ischemic stroke or TIA. Neurology (Jan), 89(16)(2017): 1723-1729.
- Marilou Ching, MD. MPH, FACP. (1900) Anticoagulation for Atrial Fibrillation: Current Strategies. UH Neurological Institute Journal (Jan), 6(1)(2013)
- Easton JD, Aunes M, Albers GW, Amarenco P, Bokelund-Singh S, Denison H, Evans SR, Held P, Jahreskog M, Jonasson J, Minematsu K, Molina CA, Wang Y, Wong KSL, Johnston SC; SOCRATES Steering Committee and Investigators. (1900) Risk for Major Bleeding in Patients Receiving Ticagrelor Compared With Aspirin After Transient Ischemic Attack or Acute Ischemic Stroke in the SOCRATES Study (Acute Stroke or Transient Ischemic Attack Treated With Aspirin or Ticagrelor and Patient Outcomes). Circulation (Jan), 136(10)(2017): 907-916.
- Karen C Johnston , Askiel Bruno , Qi Pauls , Christiana E Hall, Kevin M Barrett , William Barsan , Amy Fansler , Katrina Van de Bruinhorst , Scott Janis , Valerie L Durkalski-Mauldin , Neurological Emergencies Treatment Trials Network and the SHINE Trial Investigators. (1900) Intensive vs Standard Treatment of Hyperglycemia and Functional Outcome in Patients With Acute Ischemic Stroke: The SHINE Randomized Clinical Trial. JAMA (Jan), 322(4)(2019): 326-335.
- BH Sung, M Ching, JL Izzo, Jr., P Dandona, MF Wilson. (1900) Estrogen Improves Abnormal Norepinephrine-induced Vasoconstriction in Postmenopausal Women. Journal of Hypertension (Jan), 17(4)(1999): 523-528.
- The SPS3 Investigators. (1900) Effects of Clopidogrel Added to Aspirin in Patients with Recent Lacunar Stroke. N Engl J Med (Jan), 367(2012): 817-25.
- Søndergaard L, Kasner SE, Rhodes JF, Andersen G, Iversen HK, Nielsen-Kudsk JE, Settergren M, Sjöstrand C, Roine RO, Hildick-Smith D, Spence JD, Thomassen L; Gore REDUCE Clinical Study Investigators. (1900) Patent Foramen Ovale Closure or Antiplatelet Therapy for Cryptogenic Stroke. N Engl J Med (Jan), 377(11)(2017): 1033-1042.
Abstracts:
- R Magun, M Ching, R Sawyer, Jr., A Mowla. (2022) “Man-in-the-Barrel” Syndrome with Delayed Diffusion-Weighted MRI findings. Cerebroavsc Dis, (Apr) 1-176 Poster
- MI Ching, A Forrest, S. Feuerstein, R. Mozersky, JL Izzo, Jr. (2022) Assessment of Current Treatment Trends in the Management of High Risk Hypertension. Am J of Hypertension, (Apr) Poster
- A Mowla, A Arora, N Lail, A Crumlish, M Ching, C.Deline, R Sawyer. (2022) Safety of Intravenous Thrombolysis in Acute ischemic Stroke Patients Older than 80 Years of Age within the 3-4.5 hour Period after Symptom Onset. Cerebroavsc Dis, (Apr) 1-176 Poster
- Haris Kamal, Ashkan Mowla, Peyman Shirani, Navdeep Lail, Babar Cheema, Aurangzeb Memon, Christoper Deline, Annemarie Crumlish, Kananbir Singh, Marilou Ching, Robert Sawyer. (2022) Strokes Occuring in the Hospital,Quality of Care and Outcome in a Tertiary Academic Medical Center. Neurology, (Apr) P6.045 Poster
- A Mowla, J Doyle, N Lail, M Ching, A Crumlish, R Sawyer, E Levy. (2022) Delays in Door to Needle Time for Acute Ischemnic Stroke in the Emergency Department-A Comprehensive Stroke Center Experience. Cerebroavsc Dis, (Apr) 1-176 Poster
- M Ching, K UBri, S Thanki, A Sanfilippo. (2021) Large Vessel Stroke and Aortic Thrombus in COVID-19 Positive Young Patient. Eur Stroke J, (Sep) 449, (EPV057#514) Poster
- M Chiing, E Komlodi Pasztore, C Zhang, S Thanki, A Sanfilippo. (2021) Weight is a Predictor of Mortality in Patient with Active Cancer Who Develop Embolic Stroke. Eur Stroke J, (Sep) 406, (EPV0316#513) Poster
- S Thanki, A Sanfilippo, K Kalsi, C Zhang, M Ching. (2021) Body Mass Index, creatinine and Triglycerides are Independent Predictors of Occurrence of Stroke in Patients Adherent with Direct Oral Anticoagulant for Non-Valvular Atrial Fibrillation. Eur Stroke J, (Sep) 441, (EPV00415#755) Poster
- Marilou Ching, Edina Komlodi-Pasztor. (2020) Stroke in Cancer Patients. Neurology, (Apr)
- Marilou Ching, Edina Komlodi-Pasztor. (2019) Stroke in Cancer Patients. Neuro-oncology, (Nov) vi183 Poster
- M Ching, C Zhang, YR Koh, H Shah, A Kandel. (2019) Body Mass Indes, Triglyrides and Creatinine are Independent Predictors of Stroke in Patients Adherent with Novel Oral Anticoagulant for Non-Valvular Atrial Fibrillation. Eur Stroke J 2021, (Sep) 162, (AS25-030) Poster
- Charles Zhang, Ye Rin Koh, Thomas Leahy, Harshit Shah, Haris Kamal, Marilou Ching. (2019) Triglycerides, Creatinine and Body Mass Index are Independent Predictors of Occurrence of Stroke in Patients Adherent with Direct Oral Anticoagulant. Neurology, (May) P1.3-002
- M.Khaleeq Ahmed, Haris Kamal, Charles Zhang, Annemarie Crumlish, Ye Rin Koh and Marilou Ching. (2018) History of Diabetes, Drug Abuse and Smoking Predict Recurrence of Ischemic Stroke in the Young. Stroke, (Jan) ATP209, (Abstract TP209) Poster
- Marilou I Ching, Charles Zhang, Caila Vaughn, Navdeep Lail, Thomas Leahy, Amit Kandel, Christopher Deline, Robert Sawyer and Carina Alfaro Franco. (2018) Left Atrial Volume Index and PR Interval Are Independent Predictors of Atrial Fibrillation in Embolic Stroke Patients With Insertable Cardiac Monitor. Stroke, (Jan) AWP199 Poster
- Marilou Ching, Charles Zhang, Caila Vaughn. (2018) Left Atrial Volume Index and PR Interval are Independent Predictors of Atrial Fibrillation in Embolic Stroke Patients with Insertable Cardiac Monitor. Stroke, (Jan) 1.WP199 Poster
- M Ching, N Lail, D Tirunagri, R Magun, A Kandel, C Deline, A Mowla, R Sawyer, C Alfaro-Franco. (2017) Predictors of Paroxysmal Atrial Fibrillation in Embolic Stroke Patients with Insertable Cardiac Monitor: A Comprehensive Stroke Center Experience. (Apr) 1-176 Poster
- Man-in-the-barrel’ syndrome with Delayed Diffusion-weighted MRI Findings. (2017) Rick Magun, Marilou Ching, Robert Sawyer, Ashkan Mowla. Neurology, (Apr) P3.072 Poster
- Sandhya Mehla, Harshit Shah, Navdeep Lail, Caila Vaughn, Saurabh Joshi, Christopher Deline, Robert Sawyer, Marilou Ching and Ashkan Mowla. (2017) Time Trend Analysis of Intravenous Thrombolytic Delivery across the Academic Year: an Academic Tertiary Medical Center Experience. Neurology, (Apr) P4.278
- Sandhya Mehla, Navdeep Lail, Harshit Shah, Caila Vaughn, Annemarie Crumlsih, Christopher Deline, Marilou Ching, Robert Sawyer, Ashkan Mowla. (2017) Patient is Taking Antiplatelet at HOme-Does This Increase Risk of Post Intravenous Thrombolysis Intracranial Hemnorrhage?. Neurology, (Apr) P4.268 Poster
- A Mowla, N Lail, C Vaughn, H Kamal, M Ching, A Crumlish, R Sawyer, C Deline. (2017) Safety of Intravenous Thrombolysis in Acute ischemic Stroke Patients taking Oral Anricoagulants. Cerebroavsc Dis, (Apr) 1-176 Poster
- Maria Zambrano Espinoza, Caila Vaughn, Annemarie Crumlish, Christopher Deline, Marilou Ching, Robert Sawyer and Ashkan Mowla. (2017) Does Body Mass Index Impact the Outcome of Stroke Patients Who Received Intravenous Thrombolysis. Neurology, (Apr) P3.080 Poster
- Aurangzeb Memon, Navdeep Lail, Haris Kamal, Annemarie Crumlish, Marilou Ching, Robert N Sawyer and Ashkan Mowla. (2017) Intravenous Thrombolysis for Acute Ischemic Stroke in Patients Taking Warfarin with Subtherapeutic INR. Stroke, (Feb) AWP74, (Abstract WP74) Poster
- Ashkan Mowla, Haris Kamal, Navdeep Lail, Babar Cheema, Bijal Mehta, Aurangzeb Memon, Peyman Shirani, Christopher Deline, Aaron McMurtray, Marilou Ching, Robert Sawyer. (2016) Does the Presence of Pretreatment Hyperdense Middle Cerebral Artery Sign Predict the Outcomes of Intraarterial Thrombectomy Plus Intravenous tPA for Acute Stroke?. Neurology, (Apr) P2.332, (P2.332) Poster
- Nour Abdelhamid, Sandhya Mehla, Salman Farooq, Katelyn Kavak, Annemarie Crumlish and Marilou Ching. (2016) Analytic Study of Neurology Residents’ Clinical Assessment of Potential Stroke Patients Prior to MRI Results. Stroke, (Feb) ATP296, (Abstract TP296) Poster
- Haris Kamal, Kelly Smith, Ashkan Mowla, Peyman Shirani, Robert Sawyer Jr., Andrew Fanous, Marilou Ching. (2015) Ischemic Stroke in Patients with Elevated Body Mass Index while on Novel Anticoagulants: A case series report. Neurology, (Apr) P1.059 Poster
- Ghasan Ahmad, Peyman Shirani, Ashkan Mowla, Mohammad Masud, Adnan Khan, Robert Sawyer, Marilou Ching and Annemarie Crumlish. (2015) Outcome of Acute Ischemic Stroke Caused by Cervicocephalic Arterial Dissection Following Intravenous Thrombolysis and/or Endovascular Treatment. Neurology, (Apr) P5.160 Poster
- Ashkan Mowla, Haris Kamal, Sandhya Mehla, Peyman Shirani, Karanbir Singh, Salman Farooq, Annmarie Crumlish, Marilou Ching and Robert N. Sawyer. (2015) Rate, Clinical features, Safety Profile and Outcome of Intravenous Thrombolysis for Acute Ischemic Stroke in Patients with Negative Brain Imaging. Stroke, (Feb) A155, (Abstract 155) Poster
- Haris Kamal, Ping Li, Kelly Smith, Ghulam Mustafa, Robert Sawyer, Marilou Ching, Bijal Mehta. (2014) Serum Albumin Is Associated with Cerebral Hemorrhage in Post-Intravenous Thrombolytic Therapy for Acute Stroke: A Retrospective Chart Review. Neurology, (Apr) P4.222
- Ching, M. (2013) Anticoagulation for Atrial Fibrillation: Current Strategies. UH Neurological Institute Journal, Cleveland, Ohio (May) Oral
- Amit Kandel, Marilou Ching, Thomas Covey, David Shucard. (2012) Timing of Mobile Cardiac Outpatient Telemetry May Increase Diagnostic Yield of Atrial Fibrillation in Select Patients with Cryptogenic Strokes. Stroke, (Feb) Poster
- Zohara Sternberg, Marilou Ching, Robert Sawyer, Trevor Chichelli. (2011) Comparison of Three “Point of Care” Laboratory Methods to Assess Clopidogrel Responsiveness in Stroke patients on Chronic Aspirin Regimen. Comparison of Three “Point of Care” Laboratory Methods to Assess Clopidogrel Responsiveness in Stroke patients on Chronic Aspirin Regimen, (Mar) Poster
- Ziad Darkhabani, Bijal Mehta, Maxim Mokin, Tareq Kass-Hout, Marilou Ching, Catalina Ionita. (2010) Vitamin D Deficiency and Acute Ischemic Stroke: Correlation Between Vitamin D Levels and Stroke Severity. Stroke, (Apr) e270 Poster
- Ziad Darkhabani, Bijal K. Mehta, Tareq Kass-Hout, Omar Kass-Hout, Maxim V. Mokin, Vladan Radovic, Marilou Ching. (2010) Correlations between Stroke Severity and Different Types of Antihyperglycemic Medication. Neurology, (Mar) e270 Poster
- Marilou I. Ching, Shane Bailey, Andrea Natale, Anthony J. Furlan. (2007) Stroke Following Percutaneous Radiofrequency Ablation for Atrial Fibrillation: The Cleveland Clinic Experience. Neurology, (Mar) A193M Oral
- Marilou I. Ching, Christine Ahrens, Anthony J. Furlan. (2007) Hospital Formulary Unavailability of tPA for Acute Stroke: The Ohio Community Hospital Survey. Stroke, (Feb) 504 Poster
- Marilou I. Ching, Bong Hee Sung, Michael F. Wilson, Sandra A. Block, Daniel I. Rifkin. (2005) Arterial Compliance is Reduced in Sleep Apnea. Am J of Hypertension, (Apr) Poster
- MU Mehta, LJ Lesko, M Ching. (1997) Comparison of Clinical Pharmacology and Biopharmaceutics Studies Submitted in NDAs During 1995 and 1997. American Society of Clinical Pharmacology and Therapeutics, (Apr)
- Siddiqui MS, Sung BH, Gudapati S, Ching M, Capote HA, Wilson MF. (1997) Effects of Heavy Alcohol Consumption on Hemodynamic Response to Mental and Physical Stress. Journal of the American Society of Hypertension, (Apr) Part 2:149A Poster
- Sung BH, Ching M, Gudapati S, Wilson MF. (1997) Subpopulation of Healthy Normotensive Blacks Show Abnormal Insulin-Mediated Vasodilation. Ethnicity and Disease, (Apr) Poster
- Siddiqui MS, Sung BH, Gudapati S, Ching M, Capote HA, Wilson MF. (1997) Comparison of Blood Pressure Response to Mental and Physical Stress Between Heavy vs Mild Social Drinkers. Journal of Federation of American Societies for Experimental Biology (FASEB), (Apr) Poster
- Allen K, Golden L, Ching M, Forrest A, Niles C, Niswander P, Barlow J, Izzo JL, Jr. (1997) Patient Stress and Ambulatory Ophthalmic Surgery: The Moderating Effects of Music. Psychosomatic Medicine, (Feb) 77-108 Poster
- Ching M, Sung BH, Wilson MF, Izzo JL, Jr. (1996) Modeled Venoactive Responses to Norepinephrine and Insulin Are Abnormal in Postmenopausal Women. American Journal of Geriatric Cardiology:, (Apr) 51 Poster
- Ching MI, Sung BH, Wilson MF, Gudapati S, Siddiqui MS, Dandona P, Izzo Jr JL. (1996) Comaparison of Techniques for Assessment of Venous Diameter in Vivo. Journal of the American Society of Hypertension, (Apr) Part II 58A Poster
- Sung BH, Ching MI, Chawla M, Gudapati S, Siddiqui MS, Izzo Jr JL. (1996) Family History of Hypertension Affects Venous Pressure-Volume Relationship. Journal of the American Society of Hypertension:, (Apr) Part II:58A
- Sung BH, Ching M, Wilson MF. (1996) Effects of Age and Gender on Cardiovascular Reactivity to Mental Stress in Hypercholesterolmic Patients. American Journal of Geriatric Cardiology, (Apr) 51 Poster
- Sung BH, Ching MI, Siddiqui MS, Gudapati S, Bazaz S, Dandona P, Wilson MF. (1996) Heavy Alcohol Consumption Modifies Norepinephrine-Induced Vasoconstriction and Insulin-Mediated Vasodilation. Circulation, (Apr) I-458 Poster
- Sung BH, Ching M, Orlowski W, Bateson M, Wilson MF. (1996) Estrogen Modifies Cardiovascular Reactivity to Mental Stress in Hypercholesterolemic Subjects. Homeostasis, (Apr) Poster
- Sung BH, Ching M, Orlowski W, Bateson M, Wilson MF. (1996) Estrogen Modifies Cardiovascular Reactivity to Mental Stress in Hypercholesterolemic Patients. Annals of Behavioral Medicine, (Mar) 18A-18D Poster
- Sung BH, Ching M, Izzo Jr JL, Dandona P, Orlowski W, Bateson M, Padginton C, Wilson MF. (1995) Hypercholesterolemia impairs insulin-mediated but not nitroprusside-induced venodilation. Circulation, (Oct) I-154 Poster
- Noor S, Ching M, Sung BH, Bateson M, Orlowski W, Wilson MF. (1995) Does gender affect vascular response to norepinephrine? In vivo evaluation of dorsal hand vein. Journal of Federation of American Societies for Experimental Biology (FASEB), (Apr) A902 Poster
- Ching MI, Noor S, Sung BH, Izzo Jr JL, Bateson M, Orlowski W, Wilson MF. (1995) Effects of menopause on dorsal hand vein reactivity to norepinephrine in vivo. Journal of Federation of American Societies for Experimental Biology, (Apr) A902 Poster
- Ching MI, Sung BH, Noor S, Izzo Jr JL, Bateson M, Orlowski W, Wilson MF. (1995) Venous reactivity in postmenopausal women. Journal of the American Society of Hypertension, (Apr) 111A Poster
- Noor S, Sung BH, Ching MI, Bateson M, Orlowski W, Wilson MF. (1995) Effects of gender on venous reactivity to insulin. Journal of the American Society of Hypertension, (Apr) 111A Poster
Professional Memberships:
- European Stroke Organization (2019–present)
- Ontario Medical Association (2015–present)
- College of Physicians and Surgeons of Ontario (2014–present)
- American Heart Association/American Stroke Association (2006–present)
- American Academy of Neurology (2003–present)
- American College of Physician-American Society of Internal Medicine (2002–present)
- American Medical Association (2001–present)
- American College of Clinical Pharmacy (1997–present)
- Council on Geriatric Cardiology (1996–present)
- American Society of Hypertension (1995–present)
- Public Health Association of New York City (1993–present)
- American Hospital Association (1993–present)
Presentations:
- "Unilateral Numbness of the Oral Cavity: A Unique Presentation in a Patient with Thalamic Infarct" European Stroke Organization Conference (2024)
- "A Rare Case of Bilateral Medial Medullary Infarct: Heart-Shaped Brainstem Stroke" European Stroke Organization Conference (2024)
- "Delayed Hypoxic Ischemic Leukoencephalopathy" European Stroke Organization Conference (2024)
- "Predictors of Recurrent Embolic Strokes in Subpopulation Adherent to Direct Oral Anticoagulants" European Stroke Organization Conference (2024)
- "Cardiology Fellows Stroke Lecture" (2024)
- "Evidenced-based Practice and Landmark Clinical Trials in Stroke" (2023)
- "Evidenced-based Practice and Landmark Clinical Trials in Stroke" (2023)
- "A Case of Varicella Zoster Virus CNS Vasculitis and Ischemic Stroke" European Stroke Organization Conference (2023)
- "Cheiro-Oral Syndrome Presenting after Tacrolimus-Induced Hypertension, Started during Renal Transplant" European Stroke Organization Conference (2023)
- "Methotrexate-induced Leukoencephalopathy Presenting as stroke Mimic" European Stroke Organization Conference (2023)
- "Probable Cerebral Amyloid Angiopathy (CAA) Presenting with Convexity and Perimesencephalic Subarachnoid Hemorrhage" European Stroke Organization Conference (2023)
- "Stroke Mimic: Spinal Epidural Abcess with Symptomatic Left Carotid Artery Stenosis with Initial Presentation of Decreased Perfusion in Left Hemisphere Secondary to Hypotension After a Fall" European Stroke Organization Conference (2023)
- "Landmark Clinical Trials in Stroke" (2022)
- "Aortic Thrombus In The Setting of COVID-19" European Stroke Organization Conference (2021)
- "Body Mass Index, Creatinine and Triglycerides are Independent Predictors of Occurrence of Stroke in Patients Adherent with Direct Oral Anticoagulant for Non-Valvular Atrial Fibrillation." European Stroke Organization Conference (2021)
- "Weight is a Predictor of Mortality in Patients with Active Cancer and Stroke." European Stroke Organization Conference (2021)
- "Ischemic and Hemorrhagic Stroke" Lecture for Cardiology Fellows (2021)
- "Stroke and Covid (via Zoom)" Invitation from Far Eastern University (2021)
- "Age, Left Atrial Volume Inex and PR Interval are Independent Predictors of Atrial Fibrillation in Embolic Stroke Patients with Insertable Cardiac Monitors." European Stroke Organization Conference (2020)
- "Stroke in Cancer Patients" Society for Neuro-Oncology Annual Meeting (2019)
- "Triglycerides, Creatinine and Body Mass Index are Independent Predictors of Occurrence of Stroke in patients Adherent with Direct oral Anticogulant." European Stroke Organization Conference (2019)
- "Triglycerides, Creatinine and Body Mass Index are Independent Predictors of Occurrence of Stroke in patients Adherent with Direct oral Anticogulant." American Academy of Neurology (2019)
- "Stroke for the Cardiologist" Lecture for Cardiology Fellows (2018)
- "Stroke for the Cardiologist: Review of Current Stroke Guidelines" Invited Lecture for Cardiology (2018)
- "Left Atrial Volume Index and PR Interval are Independent Predictors of Atiral Fibrillation in Embolic Stroke Patients with Insertable Cardiac Monitor." International Stroke Conference 2018 (2018)
- "Delays in Door to Needle Time for Acute Ischemnic Stroke in the Emergency Department-A Comprehensive Stroke Center Experience." European Stroke Conference 2017 (2017)
- "Man-in-the-Barrel syndrome with delayed diffusion-weighted MRI findings." European Stroke Conference 2017 (2017)
- "Predictors of Parosysmal Atrial Fibrillation in Embolic Stroke Patients with insertable cardiac monitor: A Comprehensive Stroke Center Experience." European Stroke Conference 2017 (2017)
- "Safety of Intravenous Thrombolysis in Acute ischemic Stroke Patients Older than 80 Years of Age within the 3-4.5 hour Period after Symptom Onset." European Stroke Conference 2017. (2017)
- "Safety of Intravenous Thrombolysis in Acute ischemic Stroke Patients taking Oral Anricoagulants" European Stroke Conference 2017 (2017)
- "Stroke for the Cardiologist" Invited Lecutre for Cardiology Fellows (2017)
- "The heart Brain Connection" Stroke Symposium (2016)
- "The Heart Brain Connection" Stroke Care Seminar 2016 (2016)
- "Analytic Study of Neurology Residents’ Clinical Assessment of Potential Stroke Patients Prior to MRI Results" 2016 International Stroke Conference (2016)
- ". Ischemic Stroke in Patients with Elevated Body Mass Index while on Novel Anticoagulants: A case series report." 2015 American Academy of Neurology (2015)
- "Rate, Clinical features, Safety profile and Outcome of Intravenous Thrombolysis for Acute Ischemic Stroke in Patients with Negative Brain Imaging." 2015 International Stroke Conference (2015)
- "Is Acute Reperfusion Therapy Safe in Acute Ischemic Stroke Patients Who Harbor Unruptured Intracranial Aneurysm?" 12th Annual Neurocritical Care Society Meeting (2014)
- "Case-based Correlative Neuroanatomy" Stroke Symposium (2014)
- "Case-based Correlative Neuroanatomy" Stroke Care Seminar 2014 (2014)
- "Serum Albumin Is Associated with Cerebral Hemorrhage in Post-Intravenous Thrombolytic Therapy for Acute Stroke –: A Retrospective Chart Review" 2014 American Academy of Neurology (2014)
- "A Practicum in the Management of Acute Stroke" Stroke Symposium (2013)
- "A Practicum in the Management of Acute Stroke" Stroke Care Seminar 2013 (2013)
- "Anticoagulation for Atrial Fibrillation: Current Strategies." 10th Annual Cleveland Neurocritical Care and Stroke Conference (2013)
- "Anticoagulation in Atrial Fibrillation: Current Strategies" 10th Annual Cleveland Neurocritical Care and Stroke Conference (2013)
- "Truths and Myths Surrounding Vascular Risk Factors" 2012 Stroke Care Seminar (2012)
- "Truths and Myths Surrounding Vascular Risk Factors" Stroke Symposium (2012)
- "Timing of Mobile Cardiac Outpatient Telemetry May Increase Diagnostic Yield of Atrial Fibrillation in Select Patients with Cryptogenic Strokes." International Stroke Conference (2012)
- "Patent Foramen Ovale" Third Annual Holes in the Heart Symposium (2011)
- "Third Annual Holes in the Heart Symposium" Continuing medical Education (2011)
- "Comparison of Three “Point of Care” Laboratory Methods to Assess Clopidogrel Responsiveness in Stroke patients on Chronic Aspirin Regimen." 63rd AAN Annual Meeting (2011)
- "Cerebrovascular Disease" Invited Lecture (2011)
- "Cerebrovascular Disease" (2011)
- "Correlations between Stroke Severity and Different Types of Antihyperglycemic Medication." 62nd Annual Meeting of the American Academy of Neurology (2010)
- "Vitamin D Deficiency and Acute Ischemic Stroke: Correlation Between Vitamin D Levels and Stroke Severity." International Stroke Conference (2010)
- "Does a 320-Slice vs 64-Slice CT Scanner Change Ones Management of Acute Stroke?" American Society of Neuroimaging (2010)
- "Evidenced Based Review of Stroke Risk Factors and Management" Grand Rounds at Erie County medical Center (2010)
- "Evidenced Based Review of Stroke Risk Factors and Management." Grand Rounds (2010)
- "Stroke Following Percutaneous Radiofrequency Ablation for Atrial Fibrillation: The Cleveland Clinic Experience" Grand Rounds (2009)
- "Stroke Following Percutaneous Radiofrequency Ablation for Atrial Fibrillation: The Cleveland Clinic Experience." Grand Rounds (2009)
- "Stroke Following Percutaneous Radiofrequency Ablation for Atrial Fibrillation: The Cleveland Clinic Experience" 32nd Annual Neuroscience Resident’s Day (2007)
- "Stroke Following Percutaneous Radiofrequency Ablation for Atrial Fibrillation: The Cleveland Clinic Experience." American Academy of Neurology (2007)
- "Hospital Formulary Unavailability of tPA for Acute Stroke: The Ohio Community Hospital Survey." International Stroke Conference 2007 (2007)
- "Assessment of Arterial Compliance in Obstructive Sleep Apnea" Nineteenth Annual Meeting, Association of Professional Sleep Society, Colorado Convention Center (2005)
- "Arterial Compliance is Reduced in Sleep Apnea" Twentieth Annual Scientific Meeting, American Society of Hypertension (2005)
- "Neurologic Complications of Cardiac Surgery" Neurology Grand Rounds (2005)
- "Long Term Neurologic Outcomes in Acute Thromboembolic Events Associated with Ablation for Atrial Fibrillation." Heart Rhythm Society, AFIB Summit (2004)
- "Assessment of Current Treatment Trends in the Management of High Risk Hypertension" Fifteenth Scientific Meeting of the American Society of Hypertension (2000)
- "Role of Estrogen in Blood Pressure Regulation at Rest and During Stress. Institute for Research and Education on Women and Gender" Second Annual Celebration of Women’s Scholarship Across the Disciplines (1999)
- "Development of a Pharmacodynamic Model for the Assessment of Vasoreactivity in Premenopausal and Postmenopausal Women" American Society of Clinical Pharmacy (1997)
- "Subpopulation of Healthy Normotensive Blacks Show Abnormal Insulin-Mediated Vasodilation." Twelfth International Interdisciplinary Conference on Hypertension in Blacks (1997)
- "Vasoreactivity in Pre and Postmenopausal Women: Evaluation by Pharmacodynamic Modelling." Food and Drug Administration (1997)
- "Vasoreactivity in Pre and Postmenopausal Women: Evaluation by Pharmacodynamic Modelling." Conference at Food and Drug Administration (1997)
- "Altered Reactivity to Norepinephrine and Insulin in Pre and Postmenopausal Women: Evaluation by Pharmacodynamic Modeling." The Canadian Hypertension Society Annual Spring Research Meeting (1997)
- "Effects of Heavy Alcohol Consumption on Hemodynamic Response to Mental and Physical Stress" Twelfth Scientific Meeting of the American Society of Hypertension, (1997)
- "Comparison of Blood Pressure Response to Mental and Physical Stress Between Heavy vs Mild Social Drinkers." Experimental Biology ‘97 (1997)
- "Patient Stress and Ambulatory Ophthalmic Surgery: The Moderating Effects of Music." 1997 Annual Meeting of the American Psychosomatic Society (1997)
- "Insulin Sensitivity and the Maintenance of Normotension in Postmenopausal Women." Vascular Reactivity Conference (1996)
- "Alcohol Consumption Modifies Norepinephrine-Induced Vasoconstriction and Insulin-Mediated Vasodilation." American Heart Association (1996)
- "Effects of Age and Gender on Cardiovascular Reactivity to Mental Stress in Hypercholesterolemic Patients" Council on Geriatric Cardiology (1996)
- "Estrogen Modifies Cardiovascular Reactivity to Mental Stress in Hypercholesterolemic Subjects" The Fourth International Congress of Behavioral Medicine (1996)
- "Modelled Venoactive Responses to Norepinephrine and Insulin are Abnormal in Postmenopausal Women" Council on Geriatric Cardiology (1996)
- "Hypercholesterolemia impairs insulin-mediated but not nitroprusside-induced venodilation" American Heart Association 68th Scientific Sessions (1995)
- "Effects of gender on venous reactivity to insulin." Tenth Scientific Meeting of the American Society of Hypertension (1995)
- "Venous reactivity in postmenopausal women." Tenth Scientific Meeting of the American Society of Hypertension (1995)
- "Effects of menopause on dorsal hand vein reactivity to norepinephrine in vivo." Federation of American Societies for Experimental Biology (FASEB) (1995)
- "Does gender affect vascular response to norepinephrine? In vivo evaluation of dorsal hand vein." Federation of American Societies for Experimental Biology (FASEB) (1994)
Service Activities:
- Requested by American College of Physician to contribute questions (peer reviewed) for board review. (2023–present)
- ; Investigator Review Board Member (2022–present)
- To enusre that contents of the questions are fair, up to date and appropriate both for the internist taking their recertification boards or those taking their boards for the first time; Amercian College of Physician Peer Review Panel (2022–present)
- Developed a dedicated stroke and telemetry unit at Millard Fillmore Gates Hospital. Developed admission guidelines and criteria for the stroke unit. Developed an algorithm for triaging and treatment of cardiac-related arrhythmias in the stroke unit. Mandated that all nurses in the stroke unit be NIH Stroke Scale certified - in collaboration with the Director of Nursing. Developed a tracking system to ensure that Get with the Guidelines was enforced. Millard Fillmore Hospital has been awarded the Stroke Gold Performance Achievement Award, Developed new hospital stroke admission orders. Attended regular meetings with architects and hospital administration regarding design and construction of the Buffalo Niagara Medical Campus’ Gates Vascular Institute, the new home of the Stroke Center, 2011. Developed guidelines for admission of TIA patients to the observation unit. (2021)
- ; Member (2021–present)
- Council on Epidemiology, American Heart Association; Consultant (2017–present)
- Reviewer of Neurology section for American College of Physicians (MKSAP 18); Reviewer (2016–present)
- Edited and wrote a 50-page stroke education brochure designed to help patients and their families understand the pathophysiology of stroke, interventional procedures and treatment options. It incorporates a multidisciplinary team approach and includes sections on rehabilitation, coping, nutrition and risk management. This handbook is revised periodically to meet current guidelines; Clinical Practice (2010–2021)
- Director of Stroke Research Served as Principal Investigator of several state-of-the-art, NIH-funded, international Stroke Trials. Assisted and supervised residents and fellows in their research projects from inception (IRB submission) to publication. Grant funding sufficient to hire post-doctoral research associates. (2009–present)
- Revised Vascular Neurology Curriculum to comply with ACGME requirements. Program accredited by ACGME (2012-2020). (2009–present)
- Vascular Neurology Program Re-accreditation. Revised Vascular Neurology Curriculum to comply with ACGME requirements Revised Vascular Neurology's Program's Letter of Agreement and Goals and Objectives to conform to current ACGME requirements. Revised resident’s Vascular Neurology curriculum in accordance with ACGME guidelines. Developed stroke lecture series for residents and students. Preceptor for fellows, residents and students in inpatient and outpatient setting. Attending Physician on Stroke Service. Participated in residents’ and fellows’ clinical competency advisory meetings.; Program Director (2009–present)
- Supervised medical students and residents in their research projects resulting in publications. (2007–present)
- Preceptor for medical students on their Neurology rotation with Stroke Service at Buffalo General Medical Center Supervisor of residents requiring remediation. (prevented house staff from being terminated) Attending physician with Stroke Service (BGMC and Gates Vascular Institute) Participated in residents and fellows clinical competency advisory meetings Supervised medical students and residents in their research projects resulting in publications. (2007–present)