Scholars@Duke
Gerald Bloomfield

Gerald Bloomfield

Associate Professor of Medicine
Medicine, Cardiology
gerald.bloomfield@duke.edu
Department of Medicine, DUMC Box 3850, Durham, NC 27705
300 West Morgan Street, Durham, NC 27701

Scholarly Works - Preprints

The LV-LA Health Score: A Novel Marker of Integrated Myocardial Structure and Function

Preprint · 2026 Background Myocardial remodeling precedes symptomatic heart failure, which is important to detect early. We assessed feasibility and clinical correlates of a novel integrated assessment of myocardial remodeling in a large rural cohort in the Sout ... Full text Cite

Community Screening for Undiagnosed Left Ventricular Systolic Dysfunction Using Single-Lead ECG-AI: The RURAL Cohort Study

Preprint · 2026 Background Left ventricular systolic dysfunction is treatable when found early, but detection requires echocardiography, which is scarce across the rural US South. Artificial-intelligence electrocardiogram analysis (ECG-AI) can identify re ... Full text Cite

Multicomponent Intervention to Improve Acute Myocardial Infarction Care in Tanzania: Protocol for a Pilot Implementation Trial (Preprint)

Preprint · April 27, 2024 BACKGROUNDAlthough the incidence of acute myocardial infarction (AMI) is rising in sub-Saharan Africa, the uptake of evidence-based care for the diagnosis and treatment of AMI is limited ... Full text Cite

Closing Gaps in Evidence-Based Care for Acute Myocardial Infarction in northern Tanzania: Insights from a Prospective Study

Preprint · 2024 Background The burden of Acute Myocardial Infarction (AMI) is growing in sub-Saharan Africa. In Tanzania, uptake of diagnostic testing and evidence-based therapy for AMI is suboptimal. We aimed to describe current gaps in evidence-based AMI care i ... Full text Cite

Community engagement to inform development of strategies to improve referral for hypertension: Perspectives of patients, providers and local community members in western Kenya

Preprint · 2022 AbstractBackground Hypertension is the leading cause of death and disability. Clinical care for patients with hypertension in Kenya leverages referral networks to provide basic and specialized healthcare services. However, referrals ar ... Full text Cite

Human-Centered Implementation Research: A New Approach to Develop and Evaluate Implementation Strategies for Strengthening Referral Networks for Hypertension in western Kenya

Preprint · 2021 AbstractBackgroundHuman-centered design (HCD) is an increasingly recognized approach for engaging stakeholders and developing contextually appropriate health interventions. As a component of the ongoing STRENGTHS study ( Full text Cite

Chronic Disease Stigma, Skepticism of the Health System, and Socio-economic Fragility: Qualitative Assessment of Factors Impacting Receptiveness to Group Medical Visits and Microfinance for Non-Communicable Disease Care in Rural Kenya

Preprint · 2020 AbstractBackground: Non-communicable diseases (NCDs) are the leading cause of mortality in the world, and innovative approaches to NCD care delivery are being actively developed and evaluated. Combining the group-based expe ... Full text Cite