Healthy Heart Aging Program

The Johns Hopkins Healthy Heart Aging Program is a multidisciplinary geriatric cardiology program dedicated to improving cardiovascular health in older adults through integrated clinical care, innovative research, and pioneering education.

Our program brings together specialists in cardiology, geriatrics, and beyond to deliver cardiovascular care that helps support physical and cognitive function, prevent hospitalizations, and align tests and therapies with what matters most for each patient.

Why choose Johns Hopkins?

Nationally recognized expertise

Our faculty includes leaders in cardiology, geriatrics, prevention, and cardiovascular aging research—uniquely equipped to manage the complexity of older adults with heart disease.

Comprehensive, multidisciplinary care

We integrate geriatric assessments and streamline engagement with cardiovascular subspecialty care, geriatrics, palliative care, cardiac rehabilitation, and social supports to care for a wide range of patients, including those who are frail, homebound, or medically complex.

vascular medicine - diverse team illustration

Innovation that shapes the field

We are collaborating across the Schools of Medicine, Public Health, Nursing, and Engineering on novel tools and workflows to assess and optimize healthy cardiac and whole-body aging and offer access to investigational tests and treatments across the Cardiology Division.

Our Services

Our multidisciplinary clinic provides comprehensive, age-attuned cardiovascular care, including:

Age-Friendly Cardiovascular Care

Holistic cardiovascular evaluation and tailored care to optimize healthy heart aging, including:

Enhanced risk/benefit assessment for cardiovascular medications and procedures
Physical and functional assessments and recommendations
Medication optimization and polypharmacy management
Tailored care plans aligned with patient goals and functional priorities
Caregiver and social needs screening and referrals

Integrated Multidisciplinary Team

Multidisciplinary case conferences for complex patients
Integrated referral pathways to:

Advanced Heart Failure, Electrophysiology, and Interventional Cardiology
Advanced Palliative Cardiology Clinic
Cardiac Rehabilitation
Caregiver and Community Resources
Pharmacy
Geriatric Medicine
Hopkins Care at Home and ambulatory support services

Conditions We Treat

Heart Failure
Coronary artery disease
Atrial fibrillation
Hypertension
Orthostatic Hypotension
Hyperlipidemia

Valvular heart disease
Syncope
Polypharmacy
Multimorbidity complicating management of cardiovascular disease
Physical frailty, cognitive impairment, or functional challenges in the setting of cardiovascular risk factors or disease

Research

The Healthy Heart Aging Program drives high-impact research at the intersection of cardiovascular disease and aging. Our goals include identifying novel preventive targets to improve healthy cardiovascular aging and improving care delivery for high-risk older adults.

- Steinhauer R, Xu JYH, Blumenthal RS, Troy AL. Early atheroma prevention: a cost-effective approach to healthy cardiovascular ageing. Lancet. 2026 Mar 16:S0140-6736(26)00419-8.
- Goren LR, Peng AW, Razavi AC, Blaha MJ, Blumenthal RS, Troy AL. The ABCs of Cardiovascular Disease Prevention: Communicating What We Know in 2026. Am J Prev Card. 2026 Mar 20.
- Troy AL, Anderson TS, Razavi AC, Schott SL, Spitz JA, Blumenthal RS. Personalizing prevention for healthy cardiovascular aging: Geriatric cardiology in the 2024-2025 hypertension and dyslipidemia guidelines. Am J Prev Cardiol. 2026 Jan 3;25:101410.
- Troy AL, Bhatla A, Berkowitz SA, Blumenthal RS, Cudjoe TKM, Goyal P, Le DE, Ndumele CE, Wadhera RK, Gerstenblith G, Damluji AA. Social Determinants of Cardiovascular Aging. JACC Adv. 2025 Nov 12;4(12):102331.
- Troy AL, Rosas Diaz AN, Kaplinskiy V, Pritchard A, Vani R, Ko D, Orkaby AR. Assessment and Management of Atrial Fibrillation in Older Adults with Frailty. Geriatrics (Basel). 2024 Apr 15;9(2):50.

Our Team