Hari Narayan

Title(s)Associate Clinical Professor, Pediatrics
SchoolVc-health Sciences-schools
Address9500 Gilman Drive #
La Jolla CA 92093
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    Collapse Biography 
    Collapse Education and Training
    University of Pennsylvania, Philadelphia, PAMSCE12/2017Clinical Epidemiology and Biostatistics
    Children's Hospital of Philadelphia, Philadelphia, PAAdvanced Fellowship06/2016Pediatric Noninvasive Cardiac Imaging
    Children's Hospital of Philadelphia, Philadelphia, PAFellowship06/2015Pediatric Cardiology
    Columbia University, New York, NYResidency06/2011Pediatrics
    Weill Cornell Medical College, New York, NYMD05/2008Medicine
    Rutgers University, New Brunswick, NJBA05/2004Genetics

    Collapse Overview 
    Collapse Overview
    Dr. Hari Narayan is a board-certified pediatric cardiologist at Rady Children's Hospital-San Diego and an assistant professor at UC San Diego School of Medicine.
    He specializes in cardiac imaging (echocardiography and cardiac magnetic resonance imaging). As a clinician and researcher, he seeks to improve the care of cancer patients receiving cardiotoxic therapies. Additionally, he is actively involved in teaching residents and fellows in both the inpatient and outpatient setting.
    Dr. Narayan earned his Bachelor of Arts in genetics at Rutgers University and his medical degree at Cornell University Medical College. He completed his pediatric residency training at the Children's Hospital of New York-Presbyterian at Columbia University, followed by a pediatric cardiology fellowship and advanced fellowship training in echocardiography and cardiac magnetic resonance imaging at the Children's Hospital of Philadelphia. During his fellowship, Dr. Narayan was a recipient of a National Institutes of Health T32 training grant award and completed a Masters of Science in Clinical Epidemiology program at the University of Pennsylvania.

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    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    1. Serum Carnitine Concentrations and Cardiac Function in Pediatric, Adolescent and Young Adult Oncology Patients Receiving High-Dose Anthracyclines. J Pediatr Pharmacol Ther. 2024 Oct; 29(5):475-481. Lin C, Narayan HK, Trovillion E, Armenian S, Alejandro L, Kuo DJ. PMID: 39411421; PMCID: PMC11472407.
      View in: PubMed   Mentions:
    2. Feasibility, reproducibility, and accuracy of echocardiographic right ventricular systolic function assessments in childhood cancer survivors at risk for heart failure. Echocardiography. 2024 Aug; 41(8):e15905. Ostler H, Liu L, Tong K, Acuero MT, Gomez-Arostegui J, Degner S, Choo S, Golding F, Hegde S, Kuo DJ, Narayan HK. PMID: 39158961; PMCID: PMC11338588.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    3. Cardiotoxicity of CPX-351 in children and adolescents with relapsed AML: a Children's Oncology Group report. Front Cardiovasc Med. 2024; 11:1347547. Leger KJ, Absalon MJ, Demissei BG, Smith AM, Gerbing RB, Alonzo TA, Narayan HK, Hirsch BA, Pollard JA, Razzouk BI, Getz KD, Aplenc R, Kolb EA, Ky B, Cooper TM. PMID: 38947228; PMCID: PMC11211570.
      View in: PubMed   Mentions:
    4. Progress Toward Cardiac Risk Reduction With the Evolution of Pediatric Hodgkin Lymphoma Therapy. JAMA Netw Open. 2024 Jan 02; 7(1):e2350999. Leger KJ, Narayan HK. PMID: 38241051.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Feasibility of a Health Coach Intervention to Reduce Sitting Time and Improve Physical Functioning Among Breast Cancer Survivors: Pilot Intervention Study. JMIR Cancer. 2023 Dec 19; 9:e49934. Tam RM, Zablocki RW, Liu C, Narayan HK, Natarajan L, LaCroix AZ, Dillon L, Sakoulas E, Hartman SJ. PMID: 38113082; PMCID: PMC10762618.
      View in: PubMed   Mentions:
    6. Rationale and design of the Children's Oncology Group study AAML1831 integrated cardiac substudies in pediatric acute myeloid leukemia therapy. Front Cardiovasc Med. 2023; 10:1286241. Leger KJ, Robison N, Narayan HK, Smith AM, Tsega T, Chung J, Daniels A, Chen Z, Englefield V, Demissei BG, Lefebvre B, Morrow G, Dizon I, Gerbing RB, Pabari R, Getz KD, Aplenc R, Pollard JA, Chow EJ, Tang WHW, Border WL, Sachdeva R, Alonzo TA, Kolb EA, Cooper TM, Ky B. PMID: 38107263; PMCID: PMC10722184.
      View in: PubMed   Mentions:
    7. Multimodality Imaging for Cardiac Surveillance of Cancer Treatment in Children: Recommendations From the American Society of Echocardiography. J Am Soc Echocardiogr. 2023 Dec; 36(12):1227-1253. Mertens L, Singh G, Armenian S, Chen MH, Dorfman AL, Garg R, Husain N, Joshi V, Leger KJ, Lipshultz SE, Lopez-Mattei J, Narayan HK, Parthiban A, Pignatelli RH, Toro-Salazar O, Wasserman M, Wheatley J. PMID: 38043984.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    8. Second Malignancies and Cardiovascular Disease in Childhood Cancer Survivors: Double Trouble. JACC CardioOncol. 2023 Dec; 5(6):804-806. Narayan HK, Narezkina A, Ehrhardt MJ. PMID: 38205004; PMCID: PMC10774780.
      View in: PubMed   Mentions:
    9. Cardiovascular profile of contemporary treatments of renal cell carcinoma: A single-center prospective study. Int J Cardiol. 2023 06 01; 380:40-46. Lee K, Lindenfeld L, Echevarria M, Hsu J, Wong FL, Narayan HK, Lau C, Cai L, Pal SK, Armenian SH, Rhee JW. PMID: 36958393.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    10. Transcatheter Hepatic Conduit-Azygous Vein Connection Reduces Pulmonary Arteriovenous Malformations in a Cyanotic Fontan Patient. JACC Case Rep. 2023 Mar 15; 10:101760. Ratnayaka K, Wei ZA, Ryan JR, Heyden CM, Narayan HK, Slesnick TC, Lederman RJ, Moore JW, Yoganathan AP, El-Said HG. PMID: 36974056; PMCID: PMC10039384.
      View in: PubMed   Mentions: 1  
    11. Myocardial Regional Shortening from 4D Cardiac CT Angiography for the Detection of Left Ventricular Segmental Wall Motion Abnormality. Radiol Cardiothorac Imaging. 2023 Apr; 5(2):e220134. Chen Z, Contijoch F, Kahn AM, Kligerman S, Narayan HK, Manohar A, McVeigh E. PMID: 37124646; PMCID: PMC10141330.
      View in: PubMed   Mentions:    Fields:    
    12. Clinical Presentation and Outcomes of Kawasaki Disease in Children from Latin America: A Multicenter Observational Study from the REKAMLATINA Network. J Pediatr. 2023 12; 263:113346. Narayan HK, Lizcano A, Lam-Hine T, Ulloa-Gutierrez R, Bainto EV, Garrido-García LM, Estripeaut D, Del Aguila O, Gómez V, Faugier-Fuentes E, Miño-León G, Beltrán S, Cofré F, Chacon-Cruz E, Saltigeral-Simental P, Martínez-Medina L, Dueñas L, Luciani K, Rodríguez-Quiroz FJ, Camacho Moreno G, Viviani T, Alvarez-Olmos MI, Marques HHS, López-Medina E, Pirez MC, Tremoulet AH, Kawasaki Disease REKAMLATINA Network Study Group. PMID: 36775190.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    13. Deep learning automates detection of wall motion abnormalities via measurement of longitudinal strain from ECG-gated CT images. Front Cardiovasc Med. 2022; 9:1009445. Li H, Chen Z, Kahn AM, Kligerman S, Narayan HK, Contijoch FJ. PMID: 36588550; PMCID: PMC9797833.
      View in: PubMed   Mentions:
    14. Cardiovascular toxicities with pediatric tyrosine kinase inhibitor therapy: An analysis of adverse events reported to the Food and Drug Administration. Pediatr Blood Cancer. 2023 02; 70(2):e30059. Narayan HK, Sheline K, Wong V, Kuo D, Choo S, Yoon J, Leger K, Kutty S, Fradley M, Tremoulet A, Ky B, Armenian S, Guha A. PMID: 36385736.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    15. Longitudinal Right Ventricular Systolic Function Changes in Breast Cancer Patients Treated With Cardiotoxic Cancer Therapy. JACC CardioOncol. 2022 Nov; 4(4):552-554. Demissei BG, Vedage NA, Hubbard RA, Smith AM, Chung J, Lefebvre B, Getz KD, Thavendiranathan P, Narayan HK, Ky B. PMID: 36444221; PMCID: PMC9700250.
      View in: PubMed   Mentions: 2  
    16. Detection of left ventricular wall motion abnormalities from volume rendering of 4DCT cardiac angiograms using deep learning. Front Cardiovasc Med. 2022; 9:919751. Chen Z, Contijoch F, Colvert GM, Manohar A, Kahn AM, Narayan HK, McVeigh E. PMID: 35966529; PMCID: PMC9366190.
      View in: PubMed   Mentions: 2  
    17. Fitbit Use and Activity Levels From Intervention to 2 Years After: Secondary Analysis of a Randomized Controlled Trial. JMIR Mhealth Uhealth. 2022 06 30; 10(6):e37086. Hartman SJ, Chen R, Tam RM, Narayan HK, Natarajan L, Liu L. PMID: 35771607; PMCID: PMC9284361.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    18. Minimizing cardiac toxicity in children with acute myeloid leukemia. Hematology Am Soc Hematol Educ Program. 2021 12 10; 2021(1):368-375. Narayan HK, Getz KD, Leger KJ. PMID: 34889355; PMCID: PMC8791101.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    19. Molecular mechanisms of anthracycline cardiovascular toxicity. Clin Sci (Lond). 2021 05 28; 135(10):1311-1332. Narezkina A, Narayan HK, Zemljic-Harpf AE. PMID: 34047339; PMCID: PMC10866014.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansAnimalsCells
    20. Left ventricular segmental strain and the prediction of cancer therapy-related cardiac dysfunction. Eur Heart J Cardiovasc Imaging. 2021 03 22; 22(4):418-426. Demissei BG, Fan Y, Qian Y, Cheng HG, Smith AM, Shimamoto K, Vedage N, Narayan HK, Scherrer-Crosbie M, Davatzikos C, Ky B. PMID: 33206976; PMCID: PMC7984733.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    21. Early Changes in Physical Activity and Quality of Life With Thoracic Radiation Therapy in Breast Cancer, Lung Cancer, and Lymphoma. Int J Radiat Oncol Biol Phys. 2021 03 15; 109(4):946-952. Krishnan S, Narayan HK, Freedman G, Plastaras JP, Maity A, Demissei B, Smith AM, Berman AT, Cengel K, Levin W, Swisher-McClure S, Feigenberg S, Ky B. PMID: 33223046; PMCID: PMC11249041.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    22. Atlas-based measures of left ventricular shape may improve characterization of adverse remodeling in anthracycline-exposed childhood cancer survivors: a cross-sectional imaging study. Cardiooncology. 2020; 6:13. Narayan HK, Xu R, Forsch N, Govil S, Iukuridze D, Lindenfeld L, Adler E, Hegde S, Tremoulet A, Ky B, Armenian S, Omens J, McCulloch AD. PMID: 32782827; PMCID: PMC7414730.
      View in: PubMed   Mentions: 1  
    23. Comprehensive Assessment of Changes in Left Ventricular Diastolic Function With Contemporary Breast Cancer Therapy. JACC Cardiovasc Imaging. 2020 01; 13(1 Pt 2):198-210. Upshaw JN, Finkelman B, Hubbard RA, Smith AM, Narayan HK, Arndt L, Domchek S, DeMichele A, Fox K, Shah P, Clark A, Bradbury A, Matro J, Adusumalli S, Carver JR, Ky B. PMID: 31542526; PMCID: PMC7236624.
      View in: PubMed   Mentions: 35     Fields:    Translation:Humans
    24. Dexrazoxane preferentially mitigates doxorubicin cardiotoxicity in female children with sarcoma. Open Heart. 2019; 6(1):e001025. Narayan HK, Putt ME, Kosaraju N, Paz A, Bhatt S, Plappert T, Mercer-Rosa L, Armenian SH, Desai AV, Womer RB, Ky B. PMID: 31297226; PMCID: PMC6593195.
      View in: PubMed   Mentions: 6     Fields:    
    25. Detailed phenotyping reveals distinct trajectories of cardiovascular function and symptoms with exposure to modern breast cancer therapy. Cancer. 2019 08 15; 125(16):2762-2771. Demissei BG, Finkelman BS, Hubbard RA, Zhang L, Smith AM, Sheline K, McDonald C, Narayan HK, Narayan V, Waxman AJ, Domchek SM, DeMichele A, Shah P, Clark AS, Bradbury AR, Carver JR, Upshaw J, Armenian SH, Liu P, Ky B. PMID: 31042319; PMCID: PMC6722325.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    26. Cardiovascular Function Phenotypes in Response to Cardiotoxic Breast Cancer Therapy. J Am Coll Cardiol. 2019 01 22; 73(2):248-249. Demissei BG, Finkelman BS, Hubbard RA, Smith AM, Narayan HK, Narayan V, Shah P, Waxman AJ, Domchek SM, Ky B. PMID: 30654897; PMCID: PMC6722322.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    27. Abnormalities in 3-Dimensional Left Ventricular Mechanics With Anthracycline Chemotherapy Are Associated With Systolic and Diastolic Dysfunction. JACC Cardiovasc Imaging. 2018 08; 11(8):1059-1068. Zhang KW, Finkelman BS, Gulati G, Narayan HK, Upshaw J, Narayan V, Plappert T, Englefield V, Smith AM, Zhang C, Hundley WG, Ky B. PMID: 29550306; PMCID: PMC6417916.
      View in: PubMed   Mentions: 31     Fields:    Translation:Humans
    28. A Comparison of Anterograde Versus Retrograde Approaches for Neonatal Balloon Aortic Valvuloplasty. Pediatr Cardiol. 2018 Mar; 39(3):450-458. Mozumdar N, Burke E, Schweizer M, Gillespie MJ, Dori Y, Narayan HK, Rome JJ, Glatz AC. PMID: 29134238.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    29. Arginine-Nitric Oxide Metabolites and Cardiac Dysfunction in Patients With Breast Cancer. J Am Coll Cardiol. 2017 Jul 11; 70(2):152-162. Finkelman BS, Putt M, Wang T, Wang L, Narayan H, Domchek S, DeMichele A, Fox K, Matro J, Shah P, Clark A, Bradbury A, Narayan V, Carver JR, Tang WHW, Ky B. PMID: 28683962; PMCID: PMC5665653.
      View in: PubMed   Mentions: 49     Fields:    Translation:Humans
    30. Prospective Evaluation of Sunitinib-Induced Cardiotoxicity in Patients with Metastatic Renal Cell Carcinoma. Clin Cancer Res. 2017 Jul 15; 23(14):3601-3609. Narayan V, Keefe S, Haas N, Wang L, Puzanov I, Putt M, Catino A, Fang J, Agarwal N, Hyman D, Smith AM, Finkelman BS, Narayan HK, Ewer S, ElAmm C, Lenihan D, Ky B. PMID: 28196874; PMCID: PMC5516884.
      View in: PubMed   Mentions: 32     Fields:    Translation:Humans
    31. Detailed Echocardiographic Phenotyping in Breast Cancer Patients: Associations With Ejection Fraction Decline, Recovery, and Heart Failure Symptoms Over 3 Years of Follow-Up. Circulation. 2017 Apr 11; 135(15):1397-1412. Narayan HK, Finkelman B, French B, Plappert T, Hyman D, Smith AM, Margulies KB, Ky B. PMID: 28104715; PMCID: PMC5388560.
      View in: PubMed   Mentions: 80     Fields:    Translation:Humans
    32. Cardiac mechanics and dysfunction with anthracyclines in the community: results from the PREDICT study. Open Heart. 2017; 4(1):e000524. Narayan HK, Wei W, Feng Z, Lenihan D, Plappert T, Englefield V, Fisch M, Ky B. PMID: 28123764; PMCID: PMC5255565.
      View in: PubMed   Mentions: 6     Fields:    
    33. Noninvasive Measures of Ventricular-Arterial Coupling and Circumferential Strain Predict Cancer Therapeutics-Related Cardiac Dysfunction. JACC Cardiovasc Imaging. 2016 10; 9(10):1131-1141. Narayan HK, French B, Khan AM, Plappert T, Hyman D, Bajulaiye A, Domchek S, DeMichele A, Clark A, Matro J, Bradbury A, Fox K, Carver JR, Ky B. PMID: 27085442; PMCID: PMC5055405.
      View in: PubMed   Mentions: 54     Fields:    Translation:Humans
    34. Assessment of Cardiac Rate and Rhythm in Fetuses with Arrhythmia via Maternal Abdominal Fetal Electrocardiography. AJP Rep. 2015 Oct; 5(2):e176-82. Narayan HK, Vignola EF, Fifer WP, Williams IA. PMID: 26495180; PMCID: PMC4603866.
      View in: PubMed   Mentions: 3  
    35. Bifurcating stents in the pulmonary arteries: A novel technique to relieve bilateral branch pulmonary artery obstruction. Catheter Cardiovasc Interv. 2015 Oct; 86(4):714-8. Narayan HK, Glatz AC, Rome JJ. PMID: 26256829; PMCID: PMC4575816.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    36. Electrocardiographic intervals in foetuses with CHD. Cardiol Young. 2016 Jan; 26(1):84-9. Yilmaz B, Narayan HK, Wilpers A, Wiess C, Fifer WP, Williams IA. PMID: 25599806; PMCID: PMC4687898.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansCTClinical Trials
    37. Hypoplastic left heart syndrome with restrictive atrial septum and advanced heart block documented with a novel fetal electrocardiographic monitor. Ultrasound Obstet Gynecol. 2011 Oct; 38(4):472-4. Narayan HK, Fifer W, Carroll S, Kern J, Silver E, Williams IA. PMID: 21374749; PMCID: PMC3612972.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
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