title: The CardioMetabolic Health Alliance: Working Toward a New Care Model for the Metabolic Syndrome.
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.
authors: Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia. Electronic address: lsperli@emory.edu.
authors: Laurence S
authors: LS
authors: Sperling
authors: Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, New York.
authors: Jeffrey I
authors: JI
authors: Mechanick
authors: Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, Texas.
authors: Ian J
authors: IJ
authors: Neeland
authors: Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, Missouri.
authors: Cynthia J
authors: CJ
authors: Herrick
authors: Québec Heart and Lung Institute, Université Laval, Québec, Canada.
authors: Jean-Pierre
authors: JP
authors: Després
authors: Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors: Chiadi E
authors: CE
authors: Ndumele
authors: Scottsdale Cardiovascular Center, Scottsdale, Arizona.
authors: Krishnaswami
authors: K
authors: Vijayaraghavan
authors: Metabolic Institute of America, Tarzana, California.
authors: Yehuda
authors: Y
authors: Handelsman
authors: National Minority Quality Forum, Washington, DC.
authors: Gary A
authors: GA
authors: Puckrein
authors: Department of Family and Preventive Medicine, University of California-San Diego, San Diego, California.
authors: Maria Rosario G
authors: MR
authors: Araneta
authors: Inova Heart and Vascular Institute, Fairfax, Virginia.
authors: Quie K
authors: QK
authors: Blum
authors: Private Practice, Bemus Point, New York.
authors: Karen K
authors: KK
authors: Collins
authors: Institute for Healthy Childhood Weight, American Academy of Pediatrics, Chicago, Illinois, and Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York.
authors: Stephen
authors: S
authors: Cook
authors: Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas.
authors: Nikhil V
authors: NV
authors: Dhurandhar
authors: Department of Pharmacotherapy and Outcomes Science, Virginia Commonwealth University School of Pharmacy, Richmond, Virginia.
authors: Dave L
authors: DL
authors: Dixon
authors: Department of Medicine, University of South Carolina School of Medicine, Greenville, South Carolina.
authors: Brent M
authors: BM
authors: Egan
authors: Healthy Heart Community Prevention Project, Inc., New Orleans, Louisiana.
authors: Daphne P
authors: DP
authors: Ferdinand
authors: Department of Physician Assistant Studies, New York Institute of Technology, Old Westbury, New York.
authors: Lawrence M
authors: LM
authors: Herman
authors: Cardiology Consultants of Philadelphia and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
authors: Scott E
authors: SE
authors: Hessen
authors: Office of Health Promotion and Disease Prevention, Emory University School of Medicine, Atlanta, Georgia.
authors: Terry A
authors: TA
authors: Jacobson
authors: Department of Exercise Science, University of South Carolina, Columbia, South Carolina.
authors: Russell R
authors: RR
authors: Pate
authors: American Diabetes Association, Alexandria, Virginia.
authors: Robert E
authors: RE
authors: Ratner
authors: Utah Foundation for Biomedical Research and Utah Lipid Center, Salt Lake City, Utah.
authors: Eliot A
authors: EA
authors: Brinton
authors: Department of Medicine, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
authors: Alan D
authors: AD
authors: Forker
authors: American College of Cardiology, Washington, DC.
authors: Laura L
authors: LL
authors: Ritzenthaler
authors: Department of Clinical Nutrition, University of Texas Southwestern Medical Center, Dallas, Texas.
authors: Scott M
authors: SM
authors: Grundy
mesh_terms: D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000453:epidemiology*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D004219:District of Columbia; D019317:Evidence-Based Medicine; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D024821:Metabolic Syndrome / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D008955:Models, Cardiovascular; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D012955:Societies, Medical; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: cardiometabolic; cardiovascular disease; insulin resistance; obesity