This is a competing renewal K24 application for Viola Vaccarino, MD, PhD. The primary objective is to continue and expand an already successful research and mentoring program in patient-oriented research in the area of behavioral cardiology and mind-body relationships in cardiovascular disease (CVD). The success of this program was due in large part to the previous K24 support. The applicant was able to assemble substantial funding and collaboration opportunities, and attract many junior investigators who have worked productively under her mentorship;several have established an independent academic career. In order continue and build upon this work the PI seeks five additional years of protected time. The applicant's research involves the study of social, behavioral, and psychological determinants of cardiovascular risk, and the underlying mechanisms linking these factors to CVD. Her recent investigations supported by the K24 have produced significant contributions on the role of depression on the outcome of men and women with CVD, the role of inflammation, metabolic syndrome and autonomic function as they relate to depression, and role of genetic influences. Her most recent work has pioneered the concept of a central role played by genetic background in the relationship between depression and CVD or CVD risk factors. The applicant needs protected time to continue this pi^omising area of investigation and obtain new research grants. A main objective of the Pi's career development is maintaining and strengthening her mentoring program. The path to become a successful academic investigator is difficult and insecure. Patient-oriented researchers, especially those with clinical responsibilities, face special challenge. A critical goal ofthe Pi's program is to facilitate the route to academic advancement for promising new patient-oriented investigators. The applicant has become an essential member of many training programs at Emory and is a highly sought- after mentor. She seeks to secure protected time for the next five years so that she can continue her mentoring activities and expand them to attract a larger number of beginning investigators. Ultimately, Dr. Vaccarino's career goal is to contribute significantly to the advancement of the science and the clinical applications in the area of bio-behavioral relationships in CVD, through outstanding research and the training ofthe next generation of investigators.

Public Health Relevance

In this renewal application for a K24 Mid-Career Investigator Award, the PI seeks protected time to continue and expand a successful research and training program on mind-body relationships in cardiovascular disease. Specific areas of interest are the social, behavioral, and psychological determinants of cardiovascular risk, and the underlying mechanisms. A key goal is to facilitate the path to academic advancement for promising new patient-oriented investigators through training and mentoring.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24HL077506-09
Application #
8284342
Study Section
Special Emphasis Panel (ZHL1-CSR-R (M1))
Program Officer
Stoney, Catherine
Project Start
2004-08-25
Project End
2014-05-31
Budget Start
2012-06-01
Budget End
2013-05-31
Support Year
9
Fiscal Year
2012
Total Cost
$183,128
Indirect Cost
$13,565
Name
Emory University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Sullivan, Samaah; Kelli, Heval M; Hammadah, Muhammad et al. (2018) Neighborhood poverty and hemodynamic, neuroendocrine, and immune response to acute stress among patients with coronary artery disease. Psychoneuroendocrinology 100:145-155
Huang, Yunfeng; Hui, Qin; Walker, Douglas I et al. (2018) Untargeted metabolomics reveals multiple metabolites influencing smoking-related DNA methylation. Epigenomics 10:379-393
Hammadah, Muhammad; Sullivan, Samaah; Pearce, Brad et al. (2018) Inflammatory response to mental stress and mental stress induced myocardial ischemia. Brain Behav Immun 68:90-97
Vaccarino, Viola; Sullivan, Samaah; Hammadah, Muhammad et al. (2018) Mental Stress-Induced-Myocardial Ischemia in Young Patients With Recent Myocardial Infarction: Sex Differences and Mechanisms. Circulation 137:794-805
Pimple, Pratik; Hammadah, Muhammad; Wilmot, Kobina et al. (2018) Chest Pain and Mental Stress-Induced Myocardial Ischemia: Sex Differences. Am J Med 131:540-547.e1
Sullivan, Samaah; Hammadah, Muhammad; Al Mheid, Ibhar et al. (2018) Sex Differences in Hemodynamic and Microvascular Mechanisms of Myocardial Ischemia Induced by Mental Stress. Arterioscler Thromb Vasc Biol 38:473-480
Bremner, J Douglas; Campanella, Carolina; Khan, Zehra et al. (2018) Brain Correlates of Mental Stress-Induced Myocardial Ischemia. Psychosom Med 80:515-525
Hammadah, Muhammad; Al Mheid, Ibhar; Wilmot, Kobina et al. (2018) Association Between High-Sensitivity Cardiac Troponin Levels and Myocardial Ischemia During Mental Stress and Conventional Stress. JACC Cardiovasc Imaging 11:603-611
Bremner, James Douglas; Mishra, Sanskriti; Campanella, Carolina et al. (2017) A Pilot Study of the Effects of Mindfulness-Based Stress Reduction on Post-traumatic Stress Disorder Symptoms and Brain Response to Traumatic Reminders of Combat in Operation Enduring Freedom/Operation Iraqi Freedom Combat Veterans with Post-traumatic Str Front Psychiatry 8:157
Hammadah, Muhammad; Al Mheid, Ibhar; Wilmot, Kobina et al. (2017) The Mental Stress Ischemia Prognosis Study: Objectives, Study Design, and Prevalence of Inducible Ischemia. Psychosom Med 79:311-317

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