RAYMOND D. BAHR, MD, FACP, FACC
CURRICULUM VITAE

RAYMOND D. BAHR, MD, FACP FACC

Dr. Bahr is the Medical Director of the Paul Dudley White Coronary Care System at St. Agnes HealthCare, Baltimore, Maryland.

After receiving his degree, Dr. Bahr served on the boards of directors of the Maryland Society of Cardiology, the American College of Physicians and the Baltimore Critical Care Society. He served as chairman of the Emergency Cardiac Care Committee of the American Heart Association, Maryland Affiliate.

He retains memberships in the Maryland Society of Internal Medicine, the American College of Physicians, the American College of Cardiology, and the Maryland Society of Cardiology, of which he is past president.

He serves as an instructor at the Johns Hopkins University, School of Medicine in Baltimore, Maryland.

In 1981 at St. Agnes Hospital, Dr. Bahr established the Chest Pain Emergency Department (CPED), the first early cardiac care center in the world. The primary purpose of this CPED is prompt, effective treatment of patients presenting with heart attack/sudden death. The CPED is coupled with an aggressive education program that teaches the community the early warning signs of a heart attack. This education program extends to middle and high school students via health and science curricula.

Since its inception, the CPED has gone through a second generation of early heart attack care by becoming a Cardiac Intervention Area (CIA) with a fast track for early thrombolytic therapy for myocardial infarction patients. It has combined this with a community program to overcome patient denial.

Presently the CPED is in its third generation of Early Heart Attack Care (EHAC) which encourages early hospital entry for patients with prodromal angina and teaches people in the community to be early cardiac care givers who help victims by getting them to the hospital while symptoms are still minimal but denial is maximal.

The EHAC concept has spread widely to more than 700 hospitals in the USA and the world. EHAC seeks to unite hospitals in their war against heart attack deaths and to reduce heart attack from its position as number one killer of adult Americans, a position it has held since the turn of the century. This strategy is in place.. working.. and growing fast.

Personal:

Born August 18, 1935

Baltimore, Maryland

Married, 4 children

1957 BS, Pharmacy

University of Maryland

School of Pharmacy

Baltimore, Maryland

1962 Doctor of Medicine

University of Maryland

School of Medicine

Baltimore, Maryland

1962-1963 Rotating Internship

St. Agnes Hospital

Baltimore, Maryland

1963-1966 Medical Resident - Oncology

United States Public Health Service Hospital

Baltimore, Maryland

1966-1967 Medical Resident

The City Hospitals

Baltimore, Maryland

1967-1968 Executive Chief Medical Resident

St. Agnes Hospital

Baltimore, Maryland

1963-1966 Clinical Association

National Cancer Institute

(1st year) Roswell Park Memorial Institute

Buffalo, New York

(2nd year) United States Public Health Service

(3rd year) Baltimore, Maryland

1957 Pharmacist

1962 Maryland

1968- Present Attending Staff

St. Agnes Hospital

Baltimore, Maryland

1968-Present Medical Director

Coronary Care System

St. Agnes Hospital

Baltimore, Maryland

1988 Instructor in Medicine

Johns Hopkins University

School of Medicine

Member, Med Chi Howard County Medical Society

Past Chairperson, Emergency Cardiac Care Committee

American Heart Association

Maryland Affiliate, 1982, 1983.

Member, Maryland Society of Internal Medicine

Member, Maryland Society of Cardiology

Past President

Past Treasurer

Board Certified in Internal Medicine, 1971

Fellow, American College of Physicians, 1972

Fellow, American College of Cardiology, 1995

1978 Founders' Award for Service

American Heart Association

Maryland Affiliate

1982 Special Award for Outstanding Volunteer Service

American Heart Association

Maryland Affiliate

1983 Special Award for Outstanding Volunteer Service

American Heart Association

Maryland Affiliate

1985 Department of Medicine Award

St. Agnes Hospital

Baltimore, Maryland

1994 25 Year Physician Award

St. Agnes Hospital

1994 Heart Award

Shawnee Mission Hospital

Kansas City

1994 Chest Pain Emergency Room Award

St. Agnes Hospital

1995 Conley Award

1996 Award Nominee

American Heart Association

Maryland Affiliate

1996 The Dougherty Award

St. Agnes Hospital

Baltimore, Maryland

1986-1987 Johns Hopkins Hospital TPA Study

1990 ISIS 3 (International Study of Infarct Survival)

1991-1993 GUSTO I - Principal Investigator at

St. Agnes Hospital (Ranked first place

worldwide for number of patients enrolled)

1994-1995 GUSTO II - Principal Investigator at St. Agnes Hospital

Ranked second place, USA, for number of patients enrolled.

1994 Kyle Swisher Symposium

"Acute Prevention in Heart Attack: The

Shifting Paradigm to Earlier Heart Attack Care. "

Baltimore, Maryland

1994 National Congress of Chest Pain Centers

"Launching Centers of Excellence to Fight

America's Number 1 Health Problem."

with Savannah Regional Heart Center, and

Candler Hospital

Savannah, Georgia

1995 2nd National Congress of Chest Pain Centers

"Acute Myocardial Ischemia "Finding the Right Message"

with the Arizona Heart Institute

Phoenix, Arizona

1981 Opened the first Chest Pain Emergency Room

at St. Agnes Hospital, Baltimore, Maryland

1. Bahr RD. How one Baltimore hospital-St. Agnes- is handling the problem: the chest pain emergency room. Maryland State Med J 1979 28:9 82.
   
   
2. Bahr RD. Community apathy in regard to sudden death due to heart attack. Maryland State Med J 1979 28:9 74-75.
   
   
3. Bahr RD. A message to John Q. Public. Maryland Sate Med J 1979 28:9 76.
   
   
4. Bahr RD. State-of-the-art in community coronary care. Maryland State Med J 1983 32:7 516-520.
   
   
5. Bahr RD. Implantable intelligence or artificial heart. Hospital Practice 1983 18:2 17.
   
   
6. Bahr RD. The best way to contain an infarct is not to have one in the first place. Southern Med J 1984 77:1 65-68.
   
   
7. Bahr RD. Hospital efficiency in early coronary care. Maryland State Med J 1987; 36: 433-434.
   
   
8. Bahr RD. Futuristic Medicine. (Letter) Maryland State Med J 1987 36:2 109.
   
   
9. Guerci AD, Gerstenblith G, Brinker JA, Chandra NC, Gottlieb SO, Bahr RD, et al. A randomized trial of intravenous tissue plasminogen activator for acute myocardial infarction with subsequent randomization to elective coronary angioplasty. NEJM 1987 317:26.
   
   
10. Bahr RD. Coronary Care: The next step. (Letter) The Lancet 1988 II:8624.
    
    
11. Bahr RD. Early cardiac care centers. (Letter) Circulation 1989; 79:463.
    
    
12. Chandra NC, Becker LC, Siu C, Petronis JD, Bahr RD, et al. TPA improves long term post MI LV function. (Abstract) 62nd Scientific Sessions. American Heart Association November, 1989.
    
    
13. Johns Hopkins University Investigators: Griffith LS, Reid PR, Platia EV, Ewart C, Becker D, Tabaznik B, Pollock S, Quartner J, Taylor D, Kelemam M, Gottlieb S, Mower M, Mirowski M, Chandra N, Bahr RD, et al. Effects of encainide, flecainide, imipramine and moricizine on ventricular arrhythmias during the year after acute myocardial infarction: The CAPS. Am J Cardiol 1990 39:5.
    
    
14. Mayur N, Ochaney M, Bahr RD. Thrombolysis in acute myocardial infarction: Pre-TIMI II study of 255 patients followed for 1 to 5 years. (Abstract) Annual Sessions Final Scientific Program Guide, American College of Physicians. April 1990.
    
    
15. Shortall M, Kfoury A, Weiss R, Bahr RD. Thrombolytic therapy: the results of the first cooperative project between medical residents of three hospitals in Baltimore. (Abstract) Annual Session Final Scientific Program Guide, American College of Physicians, May 1990.
    
    
16. Gonzales A, Chwa E, Bahr RD. Acute mitral regurgitation-reversible cause of cardiogenic shock condition. (Abstract) 8th Annual Associates Meeting, Maryland Associates' Meeting of the American College of Physicians May, 1990.
    
    
17. Chwa E, Gonzales A, Bahr RD et al. Acute mitral regurgitation-a reversible cause of cardiogenic shock condition. Maryland Med J June 1990 39:6 583-87.
    
    
18. Bahr RD. Let's teach patients about an obvious heart attack danger signal-chest pain. (Commentary) Am Med News June 1, 1990.
    
    
19. Balagtas R, Herrada J, Bahr RD. Thrombolytic therapy in MI: a retrospective study. Maryland Med J June 1990 39:6 561-564.
    
    
20. Bahr RD. Coronary care studies in a community hospital. (Abstract) Johns Hopkins University, School of Medicine, Department of Medicine Research Retreat, 1990.
    
    
21. Aufderheide TP, Bahr RD, Eisenberg MS, Krentz MJ. Thrombolytic therapy in the emergency department accelerating time to treatment. Monograph. American College of Emergency Physicians 1990.
    
    
22. Kirshenbaum J, Flaherty J, Bahr RD et al. Coronary Thrombolysis with low-dose synergistic combinations of prourokinase and recombinant tissue plasminogen activator. (Abstract) American Heart Association 63rd Scientific Session, November 1990.
    
    
23. Kirshenbaum J, Bahr RD, Flaherty JT, Gurewich V, Levine HJ, et al. Clot-sensitive coronary thrombolysis with low-dose synergistic combinations of single-chain urokinase-type plasminogen activator and recombinant tissue-type plasminogen activator. (Abstract) Am J Cardiol 1991 68: 1564-1569.
    
    
24. Bahr RD. Hughes Day revisited. (Letter) The Lancet 1990 336:311.
    
    
25. Bahr RD. Early cardiac care would reduce costs. (Letter) Am Med News Feb 11, 1991.
    
    
26. Bahr RD. Trial design in the thrombolytic age. (Letter) The Lancet 1991 337:8741 610-611.
    
    
27. Bahr RD. Chest pain emergency rooms: an idea whose time has come. (Editorial) J Cardiovascular Mgmt 1991 2:5 32-38.
    
    
28. Bahr RD. Access to early cardiac care: chest pain as a risk factor for heart attacks, and the emergence of early cardiac care centers. Maryland Med J 1992 41:2 133-137.
    
    
29. Chwa E, Gonzales A, Bahr RD et al. Papillary muscle rupture: A reversible cause of cardiogenic shock. Maryland Medical J 1992 41:10 893-897.
    
    
30. ISIS-3 (Third International Study of Infarct Survival) Collaborative Group. ISIS-3: a randomised comparison of streptokinase vs. tissue plasminogen activator vs. anistreplase and of aspirin plus heparin vs. aspirin alone among 41299 cases of suspected acute myocardial infarction. Lancet 1992 339: (8796) 780-781.
    
    
31. Bahr RD Prodromal symptoms of a heart attack. (Letter) J Am Coll Cardiol 1992 20:93 751-52.
    
    
32. Bahr RD, Zeigler RG. Early cardiac care-the final risk factor. Pennsylvania J of Health, Physical Education, Recreation and Dance (HPERD) Fall, 1992 27-28.
    
    
33. Bahr RD. Emphasizing chest pain as a symptom of heart attack. (Letter) JAMA 1993 270:20 2435-36.
    
    
34. Bahr RD. Wiping out heart disease before the year 2000: an obtainable goal, a prediction for the future. J Cardiovascular Mgmt 1993 4:3 40-43.
    
    
35. Schulman SP, Goldschmidt-Clermont PJ, Navetta FI, Chandra NC, Guerci AD, Califf RM, Ferguson JJ, Willerson JT, Wolfe CL, Bahr R, et al. Integrelin in unstable angina: a double-blind randomized trial. (Abstract presented at the 66th Scientific Sessions, American Heart Association) Circulation 1993 88:4:2 I-608 (No.3272).
    
    
36. The GUSTO Investigators. An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction. NEJM 1993 329:10 673-684.
    
    
37. Bahr RD. Reducing time to therapy in AMI patients: the new paradigm. (Editorial) Am J Emerg Med 1994 12:4 501-503.
    
    
38. Spiegler EJ, Civelak AC, Bahr RD et al. The use of technetium-99m sestamibi myocardial perfusion imaging in the emergency room evaluation of chest pain. J Am Coll Cardiol 1994 23:1016-1022.
    
    
39. Bahr RD. How pharmacists can help prevent heart attacks. Pharmacy Times 1994 60:11 33-38.
    
    
40. Bahr RD. The changing paradigm of acute heart attack prevention in the emergency department: a futuristic viewpoint? (Editorial) Ann Emerg Med 1995 25:1 95-96.
    
    
41. Bahr RD. The EHAC strategy: citizens chart the course for healthy people in the year 2000. J. Cardiovascular Mgmt May/June 1995 6:3 19-25.
    
    
42. Bahr RD. Introduction: the shifting paradigm to earlier heart attack care. Clinician Gardiner-Caldwell SynerMed, Califon, NJ 1995 13:2 4-6.
    
    
43. Bahr RD, Tonascia J. Acute ischemic heart disease in the ED: Detection and evaluation of the total spectrum. Am J Emerg Med November 1995.
    
    
44. Bahr RD. The dynamics and explanation for the exponential growth of Chest Pain Emergency departments throughout the United States: a cardiologist's spin on solving the heart attack problem. Coronary Artery Disease (In press) 1995.
    
    
45. Graff L, Joseph T, Andelman R, Bahr RD, DeHart D, Espinosa J, Gibler B, Hoekstra J, Mathers-Dunbar L, Ornato JP, Page J, Severance H. Chest pain units in emergency departments- a report for the short term observation services section of the American College of Emergency Physicians. Am J Cardiol 1995 76:14 1036-39.
    
    
46. Bahr RD. Acute outpatient care and comprehensive management of acute myocardial ischemia in chest pain emergency departments. Maryland Medical J 1995 44:9 691-693.