Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 26;25(Suppl C):C84-C89.
doi: 10.1093/eurheartjsupp/suad039. eCollection 2023 May.

Optimal management of patients after acute coronary syndrome

Germana Panattoni  1 , Luca Monzo  1   2 , Maria Gugliotta  1 , Giulia Proietti  1 , Mario Tatangelo  1 , Ilaria Jacomelli  1 , Giuseppe Zimbardo  1 , Federica Meringolo  1   3 , Elisa Fedele  1 , Leonardo Calò  1
Affiliations

Optimal management of patients after acute coronary syndrome

Germana Panattoni et al. Eur Heart J Suppl. .

Abstract

Patients with clinically established atherosclerotic cardiovascular disease are at a very high risk of recurrent cardiovascular events. An adequate management of risk factors and the implementation of healthy behaviours significantly decrease the risk of unfavourable clinical outcomes and future cardiovascular events, including death. Patients discharged after an acute coronary syndrome should be managed according to their individual risk level in order to ensure the appropriate treatment. Nevertheless, care pathways should also take into consideration the available resources and the logistical/structural aspects. In this setting, cardiac rehabilitation is prosed as a multidisciplinary approach to improving daily function and reducing cardiovascular risk factors. The organization of a network with the involvement of different medical and non-medical figures is essential to ensure successful outcomes and expected cost-effectiveness.

Keywords: Acute coronary syndrome; Atherosclerotic cardiovascular disease; Cardiac rehabilitation; Healthy behaviours; Risk factor; Secondary prediction.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1
Figure 1
Model of care process after acute coronary syndrome.
Figure 2
Figure 2
Discharge pathway model: the traffic light model.
See this image and copyright information in PMC

References

    1. Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M et al. 2021 ESC guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2021;42:3227–3337. - PubMed
    1. Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D et al.Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiol 2019;26:824–835. - PubMed
    1. Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N et al.Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev 2016;2016:CD001800. - PMC - PubMed
    1. Ambrosetti M, Abreu A, Corrà U, Davos CH, Hansen D, Frederix I et al.Secondary prevention through comprehensive cardiovascular rehabilitation: from knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology. Eur J Prev Cardiol 2020. doi: 10.1177/2047487320913379. - DOI - PubMed
    1. Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA et al.AHA/ACCF secondary prevention and risk reduction therapy for patients with coronary and other atherosclerotic vascular disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation. Circulation 2011;124:2458–2473. - PubMed