JamesWilliamHoekstraMD

Emergency Medicine • Winston Salem, NC

Professor, Emergency Medicine, Bowman Gray School of Medicine of Wake Forest Univ

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Office
Medical Center Blvd
Winston Salem, NC 27157
Phone+1 336-716-2255
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Education & Training

University of Cincinnati Medical Center/College of MedicineResidency, Emergency Medicine, 1984 - 1988
University of Michigan Medical SchoolClass of 1984

Certifications & Licensure

NC State Medical License 2002 - 2024
FL State Medical License 2013 - 2015
OH State Medical License 1985 - 2014
American Board of Emergency Medicine Emergency Medicine

Awards, Honors, & Recognition

Top MD Consumers Checkbook
Fellow (FACEP) American College of Emergency Physicians

Publications & Presentations

PubMed

20 citations
The HEART Pathway Randomized Controlled Trial One-year Outcomes.
Jason P. Stopyra, Robert F. Riley, Brian Hiestand, Gregory B. Russell, James W. Hoekstra, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, Stephanie B. Ellio...> ;Academic Emergency Medicine. 2018 Jul 19
14 citations
Validation of the No Objective Testing Rule and Comparison to the HEART Pathway
Jason P. Stopyra, Chadwick D. Miller, Brian Hiestand, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, Robert F. Riley, Gregory B. Russell, James W. Hoekstra...> ;Academic Emergency Medicine. 2017 Sep 1
21 citations
Use of the HEART Pathway with high sensitivity cardiac troponins: A secondary analysis.
Simon A. Mahler, Jason P. Stopyra, Fred S. Apple, Robert F. Riley, Gregory B. Russell, Brian Hiestand, James W. Hoekstra, Cedric Lefebvre, Bret A. Nicks, David M. Clin...> ;Clinical Biochemistry. 2017 May 1
34 citations
Cost analysis of the History, ECG, Age, Risk factors, and initial Troponin (HEART) Pathway randomized control trial
Robert F. Riley, Chadwick D. Miller, Gregory B. Russell, Erin N. Harper, Brian Hiestand, James W. Hoekstra, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, ...> ;The American Journal of Emergency Medicine. 2017 Jan 1
3 citations
Impact of anticoagulation regimen prior to revascularization in patients with non-ST-segment elevation acute coronary syndromes: The ACUITY trial
Tobias Geisler, Michal Droppa, Meinrad Gawaz, Steven R. Steinhubl, Michel E. Bertrand, A. Michael Lincoff, Angel Cequier, Walter Desmet, Lars Hvilsted Rasmussen, James...> ;Catheterization and Cardiovascular Interventions. 2016 Aug 1
13 citations
Chest Pain Risk Stratification: A Comparison of the 2-Hour Accelerated Diagnostic Protocol (ADAPT) and the HEART Pathway.
Jason P. Stopyra, Chadwick D. Miller, Brian Hiestand, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, Robert F. Riley, Gregory B. Russell, Greg L. Burke, Da...> ;Critical Pathways in Cardiology. 2016 Jun 1
6 citations
Association of Early Stress Testing with Outcomes for Emergency Department Evaluation of Suspected Acute Coronary Syndrome
Benjamin C. Sun, Amber Laurie, Rongwei Fu, Maros Ferencik, Michael D. Shapiro, Christopher J. Lindsell, Deborah B. Diercks, James W. Hoekstra, Judd E. Hollander, J. Do...> ;Critical Pathways in Cardiology. 2016 Jun 1
28 citations
Comparison of the HEART and TIMI Risk Scores for Suspected Acute Coronary Syndrome in the Emergency Department.
Benjamin C. Sun, Amber Laurie, Rongwei Fu, Maros Ferencik, Michael D. Shapiro, Christopher J. Lindsell, Deborah B. Diercks, James W. Hoekstra, Judd E. Hollander, J. Do...> ;Critical Pathways in Cardiology. 2016 Mar 1
30 citations
Adherence to an Accelerated Diagnostic Protocol for Chest Pain: Secondary Analysis of the HEART Pathway Randomized Trial
Simon A. Mahler, Robert F. Riley, Gregory B. Russell, Brian Hiestand, James W. Hoekstra, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, John Bringolf, Step...> ;Academic Emergency Medicine. 2016 Jan 1
24 citations
Performance of the EDACS-accelerated Diagnostic Pathway in a Cohort of US Patients with Acute Chest Pain.
Jason P. Stopyra, Chadwick D. Miller, Brian Hiestand, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, Robert F. Riley, Gregory B. Russell, James W. Hoekstra...> ;Critical Pathways in Cardiology. 2015 Dec 1
273 citations
The HEART Pathway Randomized Trial: Identifying Emergency Department Patients With Acute Chest Pain for Early Discharge
Simon A. Mahler, Robert F. Riley, Brian Hiestand, Gregory B. Russell, James W. Hoekstra, Cedric Lefebvre, Bret A. Nicks, David M. Cline, Kim Askew, Stephanie B. Elliot...> ;Circulation. Cardiovascular Quality and Outcomes. 2015 Mar 1
2 citations
Lessons in flying: crew resource management as a quality improvement method for acute coronary syndromes care.
Phillip Levy, Janeen N. Dancy, Stephanie A. Stowell, James W. Hoekstra, Crystal L. Arthur, Charles H. Wilson, John M. Bednar, Todd Dorman, Brian Hiestand> ;Critical Pathways in Cardiology. 2014 Mar 1
44 citations
Anticoagulation With Otamixaban and Ischemic Events in Non–ST-Segment Elevation Acute Coronary Syndromes: The TAO Randomized Clinical Trial
Philippe Gabriel Steg, Shamir R. Mehta, Charles V. Pollack, Christoph Bode, Marc Cohen, William J. French, James W. Hoekstra, Sunil V. Rao, Witold Rużyłło, Juan M. Rui...> ;JAMA. 2013 Sep 18
39 citations
Stress CMR reduces revascularization, hospital readmission, and recurrent cardiac testing in intermediate-risk patients with acute chest pain.
Chadwick D. Miller, L. Douglas Case, William C. Little, Simon A. Mahler, Gregory L. Burke, Erin N. Harper, Cedric Lefebvre, Brian Hiestand, James W. Hoekstra, Craig A....> ;JACC. Cardiovascular Imaging. 2013 Jul 1
4 citations
Avoidable utilization of the chest pain observation unit: evaluation of very-low-risk patients.
Simon A. Mahler, Gregory L. Burke, David C. Goff, Brian Hiestand, Bret A. Nicks, James W. Hoekstra, L. Douglas Case, Chadwick D. Miller> ;Critical Pathways in Cardiology. 2013 Jun 1
Comparison of an automated algorithm to expert physician interpretation of 80-lead body surface mapping in the evaluation of acute myocardial ischemia and infarction i...
Cedric Lefebvre, Mitchell W. Krucoff, Brian Hiestand, Abhinav Chandra, Charles B. Cairns, Joseph M. Massaro, James W. Hoekstra> ;Journal of Electrocardiology. 2012 Nov 1
1 citations
Self-reported cocaine use, emergency physician testing and outcomes in suspected acute coronary syndromes: a nested matched case–control study
Yang Wang, Christopher J. Lindsell, Charles V. Pollack, Judd E. Hollander, Deborah B. Diercks, J. Douglas Kirk, Venkataraman Anantharaman, W. Brian Gibler, James W. Ho...> ;BMJ Open. 2012 Jan 1
20 citations
Provider-directed imaging stress testing reduces health care expenditures in lower-risk chest pain patients presenting to the emergency department
Chadwick D. Miller, James W. Hoekstra, Cedric Lefebvre, Howard Blumstein, Craig A. Hamilton, Erin N. Harper, Simon A. Mahler, Deborah B. Diercks, Rebecca Neiberg, W. G...> ;Circulation. Cardiovascular Imaging. 2012 Jan 1
1 citations
Take heart: a one-on-one peer-based strategy to improve acute coronary syndrome patient care.
Stephanie A. Stowell, Christopher P. Cannon, James W. Hoekstra, Eric D. Peterson, Sara C. Miller> ;Critical Pathways in Cardiology. 2011 Dec 1
116 citations
Can the HEART Score Safely Reduce Stress Testing and Cardiac Imaging in Patients at Low Risk for Major Adverse Cardiac Events
Simon A. Mahler, Brian Hiestand, David C. Goff, James W. Hoekstra, Chadwick D. Miller> ;Critical Pathways in Cardiology. 2011 Sep 1
57 citations
Stress CMR imaging observation unit in the emergency department reduces 1-year medical care costs in patients with acute chest pain: a randomized study for comparison ...
Chadwick D. Miller, Wenke Hwang, Doug Case, James W. Hoekstra, Cedric Lefebvre, Howard Blumstein, Craig A. Hamilton, Erin N. Harper, W. Gregory Hundley> ;JACC. Cardiovascular Imaging. 2011 Aug 1
19 citations
A report of quality improvement in the care of patients with acute coronary syndromes.
Christopher P. Cannon, James W. Hoekstra, David M. Larson, Rachel Bongiorno Karcher, William A. Mencia, Carolyn A. Berry, Stephanie A. Stowell> ;Critical Pathways in Cardiology. 2011 Mar 1
1 citations
The time dependence of antithrombin initiation in patients with non-ST-segment elevation acute coronary syndromes: subgroup analysis from the ACUITY trial.
Deborah B. Diercks, Charles V. Pollack, Judd E. Hollander, Andra L. Blomkalns, Charles L. Emerman, Ivan C. Rokos, David M. Larson, James W. Hoekstra, Roxana Mehran, Gr...> ;Annals of Emergency Medicine. 2011 Mar 1
17 citations
Six Sigma Process Utilization in Reducing Door-to-Balloon Time at a Single Academic Tertiary Care Center
Elizabeth W. Kelly, Jonathan D. Kelly, Brian Hiestand, Kathy Wells-Kiser, Stephanie Starling, James W. Hoekstra> ;Progress in Cardiovascular Diseases. 2010 Nov 1
56 citations
Impact of a Statewide ST-Segment–Elevation Myocardial Infarction Regionalization Program on Treatment Times for Women, Minorities, and the Elderly
Seth W. Glickman, Christopher B. Granger, Fang Shu Ou, Sean M. O'Brien, Barbara L. Lytle, Charles B. Cairns, Greg Mears, James W. Hoekstra, J. Lee Garvey, Eric D. Pete...> ;Circulation. Cardiovascular Quality and Outcomes. 2010 Sep 1
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Press Mentions

Atrium Health Wake Forest Baptist High Point Medical Center Collaborates with High Point University to Integrate Oral Health Care for Cancer PatientsMay 23rd, 2023
Workforce Issues Compound Financial Troubles for Rural NC HospitalsJune 8th, 2022
Alleghany Health Announces Completion of Phase II Renovations | the Elkin TribuneMarch 29th, 2021
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