
AN EXTENSION OF TAMPA CARDIOVASCULAR ASSOCIATES
Complex risk.
A clearer plan.
Comprehensive Cardiovascular
Optimization Program
Cardiometabolic & cardiovascular risk reduction
Physician-led care for adults whose heart risk is tied to blood sugar, weight, cholesterol, and blood pressure, brought together in one coordinated plan.
Only 6.8% of U.S. adults have optimal cardiometabolic health.
Journal of the American College of Cardiology, 2022
The heart, blood sugar, weight, kidneys, and liver work together. When one is out of balance, it can affect the others and raise your risk over time.
Dotted words explain themselves: hover over them or tap.
Select a system to update the explanation. Use Tab to reach each system, Enter or Space to select, or the arrow keys to move between systems. Highlighted arrows show relationships and shared risks.
Select a system to see the connections
A closer look at the bigger picture. Reduced motion is on.
About this illustration and its sources
An independent educational illustration, not an official World Health Organization (WHO) or American Heart Association (AHA) diagram. The five topics help explain connected health; they are not the AHA's cardiovascular-kidney-metabolic stages. Illustrations are simplified and not to scale. Arrows show relationships and shared risks, not a diagnosis or a sequence every person will experience.
- WHO: Noncommunicable diseases — metabolic risk factors
- AHA: Cardiovascular–kidney–metabolic health advisory (2023)
- AHA: CKM clinical guideline announcement (2026)
- AHA: Fatty liver disease and cardiovascular risk (2022)
- AHA: Kidney disease and diabetes
- AHA: What is diabetes?
Sources checked October 2026. General education only; your physician can help interpret your own risks.
WHAT THE RESEARCH SHOWS
More years.
And better ones.
Large studies point in the same direction: when blood pressure, cholesterol, blood sugar, and weight are kept in a healthy range, people tend to live longer. They also spend more of those years free of heart disease, stroke, and diabetes.
LONGER LIFE
14.5 yearsLonger life for women who reached age 50 without five common risk factors, compared with women who had all five. For men: 11.8 years.
New England Journal of Medicine, 2025 · 2 million adults in 39 countriesMORE HEALTHY YEARS
10.7 yearsMore years free of heart disease, diabetes, and cancer for women with four or five healthy habits at age 50, compared with women who had none. For men: 7.6 years.
BMJ, 2020 · 111,000 adults followed for up to 34 yearsBETTER FUNCTION
Lower risk of losing the ability to walk and move easily, with a weight-loss and exercise program, in adults with type 2 diabetes and extra weight.
New England Journal of Medicine, 2012 · randomized trialCLINICAL PERSPECTIVE
These findings come from large population studies and randomized trials, not from a single clinic. They are why the program treats cardiometabolic health as one system, measures it carefully, and follows it over time. Results vary from person to person, and your cardiologist will explain what the evidence means for you.
Review the evidenceFour principles.
One coordinated plan.
Your doctor builds your plan around these four areas, shaped to your needs.
01Risk modification
Blood pressure, cholesterol, blood sugar, and kidney and liver markers, reviewed together, with treatment guided by your overall risk.
- Cholesterol, ApoB, triglycerides, and Lp(a)
- Blood pressure, including home readings
- Medication review, nutrition, and tobacco
02Physical activity
An individualized plan adapted to your heart, fitness, and limitations, so you can move with confidence.
- Aerobic activity suited to your starting point
- Strength, balance, and mobility
- Coordination with cardiac rehab when needed
03Weight loss
Sustainable weight management that improves blood sugar, blood pressure, and cholesterol together.
- Nutrition and behavioral support
- GLP-1–based medication when clinically appropriate
- Follow-up on progress and tolerability
04Mental health
Stress, mood, and sleep affect the heart, so they are part of every plan.
- Stress, mood, and sleep
- Emotional barriers to activity and care
- Referral to mental-health professionals when appropriate
ANNUAL MEMBERSHIP
$1,000 / year
One annual payment. Cash-pay; bloodwork may be billed to your insurance.
Request enrollmentWhat membership includes
- Echocardiogram
- Carotid ultrasound
- Exercise stress test
- Abdominal aortic aneurysm screening
- Your Personal Cardiometabolic Plan
- A yearly Heart Report
- Secure messaging and video visits through healow
Assessments are performed when clinically appropriate.
Private by design.
Protected records, secure messaging, and one coordinator who knows your preferences. Family or an assistant is involved only with your permission.


Asad Sawar, MD
Victor Feliz, MD
Hadi Mahmaljy, MD
Alaa Boulad, MD