Exercise for adults with congenital heart disease poses many unique challenges. In this presentation from August 12, 2021, Sherrin Gallagher, ACNP, AACC, reviews the importance of exercise and current guidelines for adults with congenital heart disease.
Clinicians within the Cardiology Division at Massachusetts General Hospital are making revolutionary contributions to the field, and fellows are at the center of these advances.
Paul Dudley White, the Father of Cardiology in the United States
In 1913 Paul Dudley White, fresh from an internship in pediatrics and a year of residency in internal medicine, was sent to England to work with Thomas Lewis. Lewis was widely recognized as a leading investigator in the field of cardiac physiology. His pioneer experiments with the electrocardiograph, invented 10 years earlier by William Einthoven, explored its potential as a diagnostic tool. During his tenure as chief of the Cardiac Unit at Massachusetts General Hospital, the first unit of its kind in the United States, Dr. White published over 400 papers that covered the entire range of cardiology. He helped establish the American Heart Association in 1924 and served as executive director of the National Advisory Heart Council to oversee creation of the National Institutes of Health (NIH).
Dr. White was succeeded as chief of cardiology by Dr. Edward F. Bland. Dr. Bland, a senior member of the unit, led a group of staff members who were known for their clinical expertise. They introduced the new diagnostic modality, cardiac catheterization, in 1949, and together with cardiac surgeon J. Gordon Scannell, placed the institution at the forefront of treating valvular and congenital heart disease.
A Leader in Fundamental Investigation and Teaching
In 1964 Dr. Bland was succeeded as chief by Dr. Edgar Haber, who established Massachusetts General Hospital as the leader in fundamental investigation. His research in protein chemistry at the NIH was an essential component of the work for which Christian Anfinsen, Bland’s mentor, was awarded the Nobel Prize. Dr. Haber studied immunoglobulins and recognized the early the power of monoclonal reagents, which he also applied to the clinical arena. He pioneered the use of anti-Digoxin antibodies as diagnostic and therapeutic tools, and antibodies to myofibrillar components for nuclear scans.
In 1991 Dr. Valentin D. Fuster was appointed the fourth chief of cardiology. He was accomplished in both clinical and research cardiology and introduced an academic practice plan to Mass General. Dr. Fuster opened the cardiac access unit, which strengthened patient care by emphasizing bedside teaching for fellows.
Developing Standards of Care
Dr. Arthur E. Weyman became the fifth chief of cardiology in 1994, and previously served for fourteen years as the director of the echocardiography laboratory at Mass General. Dr. Weyman’s work has helped create the current acceptance of echocardiography as the preferred technique for noninvasive diagnosis of heart disease, and his textbook, Principles and Practice of Echocardiography, is a standard in the field.
Discovering What’s Next
Dr. Mark C. Fishman became the sixth chief of cardiology in 1998. Dr. Fishman had trained in medicine and cardiology at Mass General, and in genetics and developmental biology at the NIH and Harvard Genetics Department. In 1990 Dr. Fishman founded and became the first director of the Mass General Cardiovascular Research Center, which brought laboratory scientists from around the world to Mass General. He also introduced the genetic organism, the zebrafish, to study the heart and vessel development. The Cardiovascular Research Center is now a prominent fundamental science institute and an integral part of research within Mass General’s Cardiology Division.
Dr. G. William Dec assumed the role of chief of cardiology in 2003. He is a nationally recognized expert in cardiomyopathies and previously directed the Heart Failure and Transplantation Program at the Mass General Corrigan Minehan Heart Center. He has helped focus clinical and research efforts on mechanical circulatory support, gene therapy and cellular transplantation for the failing heart. Under his leadership, clinical and investigative programs continue to grow.
Clinicians within the Cardiology Division at Mass General are making revolutionary contributions to the field, and fellows are at the center of these advances. Our physicians strive to help fellows enjoy the program and participate in the distinguished learning that that characterizes cardiology at Mass General.
- Jul | 20 | 2021
In this presentation from July 20, 2021, Dr. Doreen DeFaria Yeh reviews the specific medical issues that develop among children and adults born with a complex congenital heart condition called tetralogy of Fallot.
- Press Release
- Jul | 8 | 2021
Las puntuaciones de riesgo genético podrían mejorar la identificación clínica de los pacientes con mayor riesgo de infarto
Un equipo descubrió recientemente que la aplicación de la PRS puede identificar a los pacientes de riesgo que actualmente no se identifican mediante las evaluaciones clínicas estándar.
- Jun | 18 | 2021
Not even a global pandemic, with all its difficult diversions and delays, could stop the nurses of Ellison 9 from staying on track with a project timeline they had set before the COVID-19 outbreak.
- May | 28 | 2021
Follow the Dr. Paul Dudley White Charles River Bike Path from the Museum of Science to the Galen Street Bridge in Watertown for a scenic 17-mile loop along both shores of the Charles River.
- Press Release
- May | 25 | 2021
The use of accelerometers enables researchers to provide the most objective evidence to date of the link between physical activity and atrial fibrillation.