Stephanie Coulter, médica, FACC, FASE

A Dra. Stephanie Coulter é uma defensora de longa data da medicina preventiva e da saúde da mulher e lidera pesquisas inovadoras no desenvolvimento de ferramentas de diagnóstico, tratamentos e estratégias de prevenção para melhorar os resultados cardiovasculares. Ela é diretora médica fundadora do Women's Center for Heart & Vascular Health, diretora médica assistente do Texas Heart Institute (THI) e diretora do programa THI Cardiovascular Disease Fellowship no Baylor St. Luke's Medical Center.

A Dra. Coulter ocupa diversos cargos de liderança no Baylor St. Luke's Medical Center (BSLMC), incluindo o de Chefe de Gabinete, e dirige o departamento de Cardiologia Não Invasiva do Baylor St. Luke's Medical Center (BSLMC). Ela tem um cargo acadêmico no Baylor College of Medicine, na seção de Cardiologia do Departamento de Medicina, e é membro ativo de diversas sociedades profissionais, incluindo a American Heart Association e a American Society of Echocardiography.

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A Dra. Stephanie Coulter formou-se na Texas A&M e obteve seu diploma de medicina na Faculdade de Medicina do Centro de Ciências da Saúde da Universidade do Texas, em Houston. Ela concluiu sua residência médica no Beth Israel Deaconess Medical Center (BIDMC) da Faculdade de Medicina de Harvard, em Boston, e uma especialização em cardiologia geral no Massachusetts General Hospital da Faculdade de Medicina de Harvard. Em seguida, fez uma especialização avançada em ecocardiografia no Massachusetts General Hospital e concluiu uma especialização em epidemiologia clínica e ensaios clínicos no Brigham and Women's Hospital de Harvard. Ela é membro de diversas sociedades profissionais, incluindo a AMA (Associação Médica Americana), o Colégio Americano de Médicos, o Colégio Americano de Cardiologia e a Associação Americana do Coração.

Desde o lançamento do Centro da Mulher em 2010, a Dra. Coulter tem se interessado em investigar os papéis que a biologia, a psicologia e o estilo de vida desempenham em colocar uma mulher em risco de doença cardíaca. Para entender melhor as disparidades raciais, étnicas e culturais no desenvolvimento de doenças cardiovasculares no condado de Harris, um registro de banco de dados foi estabelecido em correlação com seu programa de triagem comunitária Houston HeartReach, desenvolvido e testado pela primeira vez em 2011. O Centro da Mulher cresceu substancialmente e anunciou uma nova colaboração em pesquisa e treinamento em janeiro de 2017 para realizar pesquisas altamente focadas em doenças que afetam desproporcionalmente o coração das mulheres, incluindo insuficiência cardíaca diastólica e febre aftosa, e simultaneamente treinar a próxima geração de profissionais e pesquisadores. Este programa incomparável de pesquisa e treinamento unirá os principais médicos-pesquisadores do Texas Medical Center, incluindo colegas da Escola de Saúde Pública da UT, do Baylor College of Medicine e do Centro de Ciências da Saúde da Universidade do Texas, na Houston Medical School.

Acima de tudo, a Dra. Coulter acredita que nossa comunidade é o ambiente que define nossas vidas e leva essa crença para seu trabalho diário no THI . Ela educa mulheres e médicos de atenção primária sobre fatores de risco e oferece intervenções para prevenir doenças ou diminuir os riscos. Seu boletim informativo, “Conversa Direta com Stephanie”, aborda tópicos atuais relacionados a mulheres e doenças cardíacas e busca separar os fatos da ficção. A Dra. Coulter é palestrante frequente em diversos grupos femininos e comunitários e já apareceu em vários veículos de comunicação. Ela é casada, tem duas filhas adoráveis ​​e é uma membro muito ativa da comunidade.

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Educação

  • graduação:

    Universidade Texas A & M

  • Escola de medicina:

    Centro de Ciências da Saúde da Universidade do Texas em Houston

  • Estágio:

    Centro Médico Beth Israel Deaconess da Escola de Medicina de Harvard (BIDMC)

  • residência

    Centro Médico Beth Israel Deaconess da Escola de Medicina de Harvard (BIDMC)

  • Bolsas de estudo:

    Escola Médica de Harvard Massachusetts Geral
    Hospital (Clínico e Pesquisador em Ecocardiografia)

    Brigham and Women's Hospital, pesquisador clínico em medicina - trombólise no miocárdio
    Grupo de Infarto (TIMI)

Certificações

  • Conselho Americano de Medicina Interna
  • Certificado em Medicina Interna e Doenças Cardiovasculares
  • Certificação Nuclear
  • Conselho Nacional de Ecocardiografia

Honras, prêmios e associações

Publicações

4862227 DV9ZHE2J 1 alternativas à experimentação animal 10 dados desc Relha 341 https://www.texasheart.org/wp-content/plugins/zotpress/
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Raghuram, A., Sprung, K., Relha, S. et al. (2025). Moldando o futuro da saúde “cardio-rim-metabólica”: Insights da conferência sobre síndrome cardiometabólica de 2024 do Texas Heart Institute. Jornal do Instituto do Coração do Texas 52, E248536. https://doi.org/10.14503/THIJ-24-8536.
Noble, O., Sprung, K., Diaz, O. et al. (2024). Dissecção espontânea da carótida interna intrapetrosa direita em um paciente com COVID-19 ativo. Tex Coração Inst J 51, E248403. https://doi.org/10.14503/THIJ-24-8403.
Polizzi, G., Campos, K. e Relha, SA (2024). A regurgitação mitral tem maior significado prognóstico do que a estenose mitral em pacientes submetidos à substituição da válvula aórtica por cateter. J Cardiovasc Med (Hagerstown) 25529-538. https://doi.org/10.2459/JCM.0000000000001629.
Zhang, A., Kalil, R., Marzec, A. et al. (2024). Gestão de doenças cardiovasculares com inibidores do cotransportador de sódio-glicose-2 em pacientes com diabetes tipo 2: uma cartilha de cardiologia. Tex Coração Inst J 51, E238375. https://doi.org/10.14503/THIJ-23-8375.
Segar, MW e Relha, SA (2023). Vias inflamatórias e suas implicações na insuficiência cardíaca com fração de ejeção preservada. Tex Coração Inst J 50, E238223. https://doi.org/10.14503/THIJ-23-8223.
Relha, SA e Campos, K. (2022). Inteligência artificial em ecocardiografia. Tex Coração Inst J 49, E217671. https://doi.org/10.14503/THIJ-21-7671.
Jain, V., Al Rifai, M., Turpin, R. et al. (2022). Avaliação dos fatores subjacentes às disparidades baseadas no sexo no cuidado cardiovascular em adultos com doença cardiovascular aterosclerótica prematura autorrelatada. JAMA Cardiol. https://doi.org/10.1001/jamacardio.2021.5430.
Kherallah, RY, Koneru, S., Krajcer, Z. et al. (2021). Resultados hemodinâmicos após a substituição da válvula aórtica transcateter por válvula em válvula: uma experiência de centro único. Ann Cardiotorac Surg 10630-640. https://doi.org/10.21037/acs-2021-tviv-131.
Angelini, P., Muthupillai, R., Lopez, A. et al. (2021). Atletas jovens: Prevenir a morte súbita adotando uma abordagem de triagem moderna? Uma revisão crítica e a abertura de um debate. Int J Cardiol Heart Vasc 34 100790. https://doi.org/10.1016/j.ijcha.2021.100790.
Kherallah, RY, Harrison, D., Preventza, O. et al. (2021). Substituição transcateter da válvula aórtica após radiação torácica: uma análise de correspondência de propensão. Int J Cardiol 32950-55. https://doi.org/10.1016/j.ijcard.2020.12.054.

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