Interventional Cardiology (coronary stents, balloon angioplasty, safety and outcome research in the cardiac catheterization lab)
Education and Experience
AB: Princeton University (with honors) 1974; MD: Harvard Medical School, 1978; Intern and Resident: University of Michigan, 1978-1980; Cardiology Fellowship Brigham and Women’s Hospital/Harvard Medical School, 1980-1983; Fullbright/Alexander vonHumboldt Fellowship, University of Heidelberg, Germany: 1983-1984; Cardiologist, Brigham and Women’s Hospital/Harvard Medical School 1984-1985; Associate Clinical Professor of Medicine, Thomas Jefferson University, 1985-1992; Clinical Professor of Medicine, Thomas Jefferson University, 1992-2019: Clinical Professor of Medicine, University of North Carolina, 2019-present.
Clinical and Research Interests
Dr. Doorey’s clinical interests include general and interventional cardiology. The latter includes cardiac catheterization with a focus on the radial approach, coronary balloon angioplasty and stent placement, pericardiocentesis and left ventricular support devices. Dr. Doorey’s research focuses on improving safety during cardiology procedures by emphasizing fundamental aspects of team communications and team dynamics.
I have loved my career in the dynamic field of cardiology, especially interventional cardiology. With the advances of the last few decades we can now quickly abort even large heart attacks quickly in the cath lab, and often have people discharged within a day or two after such an event. What we do is not so complicated, as it is basically ‘plumbing’ in the heart, and it’s gratifying when we can explain things in simple terms that patients can easily understand. My long experience as an aircraft pilot has given me lots of insight into the safety culture that underlies the remarkable safety of commercial aviation, and we are trying to bring some of these principles to the cath lab to make our workplace safer.
Doorey AJ, Turi ZG, Lazzara EH, Mendoza EG, Garratt KN, Weintraub WS. Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization laboratory. Catheter Cardiovasc Interv. 2019 Apr 25. doi: 10.1002/ccd.28298.
Fanari Z, Mohammed AA, Bathina JD, Hodges DT, Doorey K, Gagliano N, Garratt KN, Weintraub WS, Doorey AJ Inadequacy of Pulse Oximetry in the Catheterization Laboratory. An Exploratory Study Monitoring Respiratory Status Using Arterial Blood Gases during Cardiac Catheterization with Conscious Sedation. Cardiovasc Revasc Med. 2019 Jun;20(6):461-467.
Doorey AJ, Weintraub WS, Schwartz JS. Should Procedures or Patients Be Safe? Bias in Recommendations for Periprocedural Discontinuation of Anticoagulation. Mayo Clin Proc. 2018 Sep;93(9):1173-1176
Fanari Z, Grove M, Rajamanickam A, Doorey AJ. Cardiac output determination using a widely available direct continuous oxygen consumption measuring device: a practical way to get back to the gold standard. Cardiovasc Revascularization Med. 2016;17(4):256-261.
Yang CS, Marshall ES, Fanari Z, Kostal M, West J, Kolm P, Weintraub W, Doorey AJ. Discrepancies between direct catheter and echocardiography-based values in aortic stenosis. Catheter Cardiovasc Interv. 2016;87(3):488-497. doi:10.1002/ccd.26033.
Fanari Z, Abraham N, Kolm P, et al. Doorey J, Herman A, Hoban A, Reddy V, Hammami S, MD, Leonovich J, Rahman E, Weintraub W, Doorey A. Aggressive Measures to Decrease “Door to Balloon” Time and Incidence of Unnecessary Cardiac Catheterization: Potential Risks and Role of Quality Improvement. Mayo Clin Proc. 2015;90(12):1614-1622. doi:10.1016/j.mayocp.2015.08.021.
Kansara P, Jackson K, Dressler R, Weiner H, Kerzner R, Weintraub WS, Doorey A. Potential of Missing Life-Threatening Arrhythmias After Limiting the Use of Cardiac Telemetry. JAMA Intern Med. 2015; 175:1416-8
Dressler R, Dryer MM, Coletti C,Mahoney D, Doorey AJ. Altering overuse of cardiac telemetry in non–intensive care unit settings by hardwiring the use of American Heart Association guidelines. JAMA Intern Med.2014;174:1852-4