Documento ANMCO/GICR-IACPR/GISE: L'organizzazione dell'assistenza nella fase post-acuta delle sindromi coronariche

Translated title of the contribution: ANMCO/GICR-IACPR/GISE document: The organization of care in the post-acute coronary syndrome

Cesare Greco, Francesco M. Bovenzi, Sergio Berti, Maurizio Abrignani, Francesco Bedogni, Roberto Ceravolo, Furio Colivicchi, Leonardo De Luca, Pompilio Faggiano, Francesco Fattirolli, Giuseppe Favretto, Pantaleo Giannuzzi, Gian Francesco Mureddu, Giuseppe Musumeci, Zoran Olivari, Carmine Riccio, Roberta Rossini, Pier Luigi Temporelli

Research output: Contribution to journalArticlepeer-review

Abstract

Post-discharge management of patients with acute coronary syndrome (ACS) requires a comprehensive outpatient network and specific competence regarding risk factor control, optimal pharmacological therapy and adequate follow-up strategies. This combination should allow a significant outcome improvement with reduced rates of fatal and nonfatal events and hospital readmissions. On October 25-26, 2013, a consensus conference on clinical management after ACS was held in Naples, Italy, under the auspices of two Italian scientific societies, the Italian Association for Cardiac Prevention and Rehabilitation (GICR-IACPR) and the Italian Association of Hospital Cardiologists (ANMCO). The present document constitutes a joint proposal for the management and follow-up of patients discharged alive after ACS. The paper is divided into four sections: in Section 1 on "Epidemiology and prognostic stratification", the clinical and instrumental variables for the identification of patients at higher risk of adverse events (death, heart failure or reinfarction) in the months following an ACS are described on the basis of currently available data; in Section 2 on "Post-discharge care management", different pathways for follow-up and treatment are proposed, according to the baseline clinical presentation: a cardiac rehabilitation inpatient program is suggested for high-risk patients, an intensive secondary prevention outpatient program for those at high thrombotic risk, and a clinical follow-up for low-risk profile patients. Sections 3 and 4 on "Drug therapy targets" and "Strategies to improve adherence and promote lifestyle changes" emphasize the need for structured programs of pharmacological implementation and long-term maintenance of recommended therapy and healthy lifestyle.

Translated title of the contributionANMCO/GICR-IACPR/GISE document: The organization of care in the post-acute coronary syndrome
Original languageItalian
JournalGiornale Italiano di Cardiologia
Volume15
Issue number1 SUPPL. 1
DOIs
Publication statusPublished - 2014

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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