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I am currently a Professor of Medicine in the Vascular Biology and Hypertension, University of Alabama at Birmingham (UAB) and Medical Director of the UAB Hypertension Program. The primary focus of my laboratory for the last 10 years has been to identify mechanisms of resistant hypertension, and important risk factor for heart failure. These findings are then applied in the development of treatment strategies to enhance management of difficult-to-control hypertension. Important scientific discoveries from my laboratory have included: 1) identification of hyperaldosteronism as a common cause of resistant hypertension; 2) demonstration of the broad benefit of mineralocorticoid receptor antagonism to treat resistant hypertension; 3) establishing that a high degree of salt sensitivity contributes importantly to resistance to antihypertensive therapies; 4) identification of aldosterone excess as an important mediator of severity of obstructive sleep apnea in patients with resistant hypertension; 5) demonstration of ability of aldosterone antagonism to reduce severity of obstructive sleep apnea in patients with resistant hypertension. I am also director of our program’s Hemodynamic and Vascular Laboratory which conducts studies of ambulatory blood pressure monitoring, pulse wave velocity, central aortic pressure, and flow-mediated dilatation of the brachial artery by high-resolution ultrasonography. We have been doing these studies for over 20 years in support of my own investigator-initiated studies and in support of multiple industry and NIH sponsored trials. During this time, I have been faculty mentor on 5 NIH-funded training programs for pre- or post-doctoral students at UAB. Within the last 10 years, I have mentored 11 postdoctoral fellows; of these, 5 currently hold faculty positions at various Universities world-wide and one is medical director for a large pharmaceutical company. |
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