Anisiia Doytchinova, MD, is an assistant professor in the Division of Cardiovascular Health and Disease and UC Health cardiologist. She completed her cardiovascular disease fellowship and internal medicine residency at Indiana University. Her medical degree is from Rosalind Franklin University of Medicine and Science. In addition to general cardiology, Dr. Doytchinova’s specialty includes cardiac imaging. She sees patients at UC Health Physicians Office in the Clifton, Midtown and Florence, KY, locations.
Why Did You Choose UC?
"I wanted to work in an academic institution with a diverse and challenging patient pathology and a strong cardiac imaging department. UC has an exceedingly strong imaging group with a focus on multimodality imaging including echocardiography, nuclear medicine, cardiac MRI, and cardiac CT. I felt like there were a lot of good mentors for me here as well, including Dr. Myron Gerson, Dr. Robert O’Donnell and Dr. David Harris.”
Explain a Bit About Your Role at UC.
"In addition to interpreting cardiovascular imaging studies, I see general cardiology patients in the clinic three days a week and periodically attend on the inpatient wards. I also contribute to teaching residents and fellows who are in training and help them develop into independent clinicians. What attracted me to general cardiology is that there are a lot of opportunities for prevention, both primary prevention and secondary prevention. I also like the diversity of seeing patients with a variety of problems including coronary artery disease, abnormal heart rhythms, valve diseases and heart failure. Women’s cardiovascular health is another area in which I am passionate. In the past, coronary artery disease was felt to predominately affect males, however the facts are that heart disease remains the leading cause of death for women in the United States.
"According to statistics from the Centers for Disease Control and Prevention, heart disease is responsible for 1 out of every 4 female deaths, but only 54 percent of women recognize heart disease as their number one killer. Further, women are more likely to present with atypical symptoms such as profound fatigue, sweating, dizziness, or indigestion and dismiss these as insignificant. Unfortunately, sometimes sudden death is the first presentation of heart disease in patients who have previously had no symptoms. That is why it is so important to have one’s risk factors evaluated. I am proud of the progress we have made in cardiovascular health. I see more and more patients, both men and women in my clinic coming to "get checked out for not feeling well” or to simply "get their numbers” with a blood pressure and cholesterol check. I think we have made some very good strides and should continue to get the word out and educate patients to come for care and prevention before, not only after they develop heart problems.”
What Tools Do You Use to Assist Your Patients?
"The American College of Cardiology has an on line cardiac disease risk calculator
that is very helpful for patient care. The calculator allows the physician to enter the patient’s age, cholesterol numbers, blood pressure, medical history and smoking status and it calculates an estimated risk of heart attack, stroke or death over the next 10 years. It also compares the patients’ risk to an optimal risk for their demographic. I think the most useful part is that it also allows the patients to see their risk decrease, sometimes over half, if they stop smoking, take a cholesterol medication or get their blood pressure under control. That way they actually fully understand why they are prescribed a certain medication and have to take it long-term.
"It is not only that their numbers are high today while they feel just fine, it is to lower the risk of some very serious and undesirable things like heart attack, stroke or death over the next 10 years. The calculator is of course only an estimate and it is not perfect. It does not include the impact of important health measures such weight loss in those who are overweight, exercise, or the level of diabetes control. Also, importantly, it does not estimate the risk in patients less than 40 years old. However, I always mention to patients that I just use it as a general framework and that their risk would reduce even further with healthy diet and exercise.”
"I have wanted to become a physician since I was fairly young. I always felt that disease in its many forms incapacitates people on some level and prevents them from being their personal best. Medicine can help people either prevent or at least partially overcome such challenges so they can get back to themselves and the things they love. I think this is the biggest impact we as a medical community have on patients.”
What Do You Do For Fun?
"Medicine can be a demanding job and I think it’s very important to have an outside life because that keeps us all grounded. I like to spend time with my family, my boyfriend and my friends. I also enjoy travelling and trying new cuisines. My dad and I went to Barcelona this past summer and that was really fun. I also like the theater, yoga, working out and watching football.”