Recent FIT Insights

  • FIT Insights - Elaine Urbina: Reflections from Her Career in Preventative CardiologyMay 15, 2019 | Kevin S. Shah, MD


    As the Director of Preventative Cardiology in the Heart Institute at Cincinnati Children's Hospital Medical Center, Dr. Elaine Urbina has seen the frightening truth of what’s happening to our children. In an interview, she shared her thoughts on the problem of childhood obesity and what could help alleviate it – while also offering encouragement and advice for early career professionals.

  • FIT Insights - Sedentary behavior: what we know so far and how this impacts our patients’ healthMay 1, 2019 | Lina Ya’qoub, MD


    With the advancing technology and lifestyle changes over the past few decades, sedentary life has become increasingly prevalent in the US and worldwide. There is accumulating evidence that sedentary life might be associated with increased risk of cardiovascular disease, diabetes mellitus and all-cause mortality.

  • FIT Insights - Stress Coincides With Worse Cardiovascular Health in Black AmericansApril 15, 2019 | Dapo Iluyomade, MD


    Whether you read medical literature or prefer a casual lifestyle magazine, it is widely accepted that psychosocial stress is inversely associated with overall health. In recent years, evidence has emerged that depression and other psychosocial stressors adversely affect cardiovascular health (CVH).

  • FIT Insights - Heart Attacks with Open Arteries: A Problem Disproportionally Affecting Young WomenApril 1, 2019 | Anais Hausvater, MD


    Myocardial infarction with non-obstructive coronary arteries (MINOCA) is a clinical syndrome in which patients present with the signs and symptoms of a heart attack, but, via angiography, are found to have open arteries. MINOCA is thought to represent about 1-14% of all heart attacks and is more common in young female patients and ethnic minorities.

  • FIT Insights - An Uphill Gradient is No Longer an Uphill Battle: Developments in Aortic Stenosis ManagementMarch 15, 2019 | Dipika Gopal, MD


    As Dr. Eugene Braunwald provocatively stated in his article, “Aortic Stenosis: Then and Now” (Circulation, April 12, 2018), management of aortic stenosis has truly “entered the promise land.” In the last four decades, the diagnosis and management of aortic stenosis has changed dramatically.

  • FIT Insights - Estimating the Impact of Lifestyle Habits on U.S. Life Expectancy: Can We Learn to Turn Off the Faucet Rather than Mopping the Floor?March 1, 2019 | Author: Christopher Cook, MD


    It’s well established that the U.S. spends too much money on health care and that our life expectancy is lower than that of other high-income countries. (Just try graduating from medical school without learning this!) In 2014-2015, the U.S. led the world in health care spending as a percentage of the gross domestic product (17.1%) but only ranked 31st in life expectancy.

  • FIT Insights - Power in Numbers: OB/GYN & Cardiology Join in the Fight for WomenFeb. 15, 2019 | Author: Hena Patel, MD


    Heart disease is the leading cause of death among American women, particularly younger women, yet an estimated 45 percent of women don’t know that. Even more concerning, less than half of primary care providers consider cardiovascular disease (CVD) a significant health concern in women. It follows, then, that women are also less likely than men to receive guideline-based evaluation and therapies.

  • FIT Insights - High Cardiovascular Health Is the Most Cardio-ProtectiveFeb. 1, 2019 | Author: Hillary Johnston-Cox, MD, PhD


    The maintenance of cardiovascular health (CVH) is a pinnacle of preventative cardiology. The significance of ideal CVH was previously highlighted in studies with short term outcomes. Data on temporal trends of ideal CVH over time are limited. The recent study in the JAHA by Enserro et al provides new insight into the implications of ideal CVH scores on subclinical disease and risk of cardiovascular events over time.

  • FIT Insights - My Experience at AHA18Jan. 15, 2019 | Author: Anum Saeed, MD


    The 2018 American Heart Association (AHA) Annual Scientific Sessions in Chicago included unique programming dedicated to Fellows-in-Training (FIT) and Early Career cardiovascular professionals. The AHA FIT programming, led by a subgroup of the FIT Steering Committee under the leadership of Dr. Ileana Piña, provided educational and networking opportunities for FITs attending the three-day conference.

  • FIT Insights - The Profound Impact of Health Literacy on Cardiovascular HealthJan. 1, 2019 | Author: Kevin S. Shah, MD


    Perhaps equally important as the recognition of a disease is the understanding of it and what can be done about it. Cardiovascular disease (CVD) remains the most significant cause of death worldwide (Roth et al.). An individual’s ability to access, process, and understand health information are integral components of their health literacy.

  • FIT Insights - Kawasaki Disease: Clues Exist, Answers AwaitedDec. 15, 2018 | Author: Chandana Shekar, MD


    Heart disease in children is just as unfortunate as that: the little ones become patients. Panic sets in for parents, but they have to calm themselves to listen and follow medical instructions. Kawasaki disease (KD) is one such condition, an acute vasculitis affecting children less than five years of age, with no known etiology.

  • FIT Insights - The Omics: An Enlightening Frontier on the HorizonDec. 1, 2018 | Author: Anum Saeed, MD


    Optimization of preventive measures to curtail cardiovascular diseases (CVD) has been a long-term goal of the scientific and clinical community. Although we have come a long way over the past three decades, novel and more precise ways to identify individuals at high risk for CVD events are being continuously being researched and calibrated.

  • FIT Insights - Who Wore It Better? The Wearable Cardioverter-Defibrillator - From Adults to ChildrenNov. 15, 2018 | Author: Amr F. Barakat, MD


    The wearable cardioverter-defibrillator (WCD), mainly represented by the FDA-approved LifeVest®, is often prescribed for patients at increased risk of sudden cardiac death, when implantable cardioverter-defibrillator (ICD) is not indicated or immediately feasible.

  • FIT Insights - Strikingly High Long-term Mortality in Older Patients with MI: Time to Open Pandora’s BoxNov. 1, 2018 | Author: Akl C. Fahed, MD, MPH


    One of my first patients in cardiology fellowship was a "robust" 90-year-old woman who presented with a Non-ST-elevation myocardial infarction (NSTEMI). Healthy, active and living independently, she told me she is not scared of dying and preferred not to pursue invasive procedures.