The CardioMetabolic Health Alliance: Working Toward a New Care Model for the Metabolic Syndrome.

Laurence S Sperling, Jeffrey I Mechanick, Ian J Neeland, Cynthia J Herrick, Jean-Pierre Després, Chiadi E Ndumele, Krishnaswami Vijayaraghavan, Yehuda Handelsman, Gary A Puckrein, Maria Rosario G Araneta, Quie K Blum, Karen K Collins, Stephen Cook, Nikhil V Dhurandhar, Dave L Dixon, Brent M Egan, Daphne P Ferdinand, Lawrence M Herman, Scott E Hessen, Terry A Jacobson, Russell R Pate, Robert E Ratner, Eliot A Brinton, Alan D Forker, Laura L Ritzenthaler, Scott M Grundy

Journal: Journal of the American College of Cardiology 2015;66(9):1050-67

PMID: 26314534

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Abstract

The Cardiometabolic Think Tank was convened on June 20, 2014, in Washington, DC, as a "call to action" activity focused on defining new patient care models and approaches to address contemporary issues of cardiometabolic risk and disease. Individual experts representing >20 professional organizations participated in this roundtable discussion. The Think Tank consensus was that the metabolic syndrome (MetS) is a complex pathophysiological state comprised of a cluster of clinically measured and typically unmeasured risk factors, is progressive in its course, and is associated with serious and extensive comorbidity, but tends to be clinically under-recognized. The ideal patient care model for MetS must accurately identify those at risk before MetS develops and must recognize subtypes and stages of MetS to more effectively direct prevention and therapies. This new MetS care model introduces both affirmed and emerging concepts that will require consensus development, validation, and optimization in the future.

Address: Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: [email protected].; Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York.; Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas.; Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, Missouri.; Québec Heart and Lung Institute, Université Laval, Québec, Canada.; Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.; Scottsdale Cardiovascular Center, Scottsdale, Arizona.; Metabolic Institute of America, Tarzana, California.; National Minority Quality Forum, Washington, DC.; Department of Family and Preventive Medicine, University of California-San Diego, San Diego, California.; Inova Heart and Vascular Institute, Fairfax, Virginia.; Private Practice, Bemus Point, New York.; Institute for Healthy Childhood Weight, American Academy of Pediatrics, Chicago, Illinois, and Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York.; Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas.; Department of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University School of Pharmacy, Richmond, Virginia.; Department of Medicine, University of South Carolina School of Medicine, Greenville, South Carolina.; Healthy Heart Community Prevention Project, Inc., New Orleans, Louisiana.; Department of Physician Assistant Studies, New York Institute of Technology, Old Westbury, New York.; Cardiology Consultants of Philadelphia and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.; Office of Health Promotion and Disease Prevention, Emory University School of Medicine, Atlanta, Georgia.; Department of Exercise Science, University of South Carolina, Columbia, South Carolina.; American Diabetes Association, Alexandria, Virginia.; Utah Foundation for Biomedical Research and Utah Lipid Center, Salt Lake City, Utah.; Department of Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.; American College of Cardiology, Washington, DC.; Department of Clinical Nutrition, University of Texas Southwestern Medical Center, Dallas, Texas.

DOI: 10.1016/j.jacc.2015.06.1328