Prevenzione cardiovascolare secondaria dopo sindrome coronarica acuta nella pratica clinica.

Translated title of the contribution: [Secondary cardiovascular prevention after acute coronary syndrome in clinical practice].

Furio Colivicchi, Angelo Di Roma, Massimo Uguccioni, Emilio Scotti, Fabrizio Ammirati, Marcello Arcas, Aniello Avallone, Orazio Bonaccorso, Giuseppe Germanò, Claudio Letizia, Dario Manfellotto, Giovanni Minardi, Christian Pristipino, Francesco D'Amore, Claudio Di Veroli, Aldo Fierro, Ruggero Pastorellio, Quinto Tozzi, Marco Tubaro, Massimo SantiniFrancesco Angelico, Paolo Azzolini, Antonio Bellasi, Paola Brocco, Leonardo Calò, Elena Cerquetani, Luciano De Biase, Mauro Di Napoli, Alfonso Galati, Maurizio Gallieni, Anna Patrizia Jesi, Antonella Lombardo, Vincenzo Loricchio, Fabio Menghini, Roberto Mezzanotte, Roberto Minutolos, David Mocini, Giuseppe Patti, Roberto Patrizi, Giuseppe Pajes, Giovanni Pulignano, Renato Pietro Ricci, Roberto Ricci, Gennaro Sardella, Stefano Strano, David Terracina, Marco Testa, Fabrizio Tomai, Roberto Volpes, Maurizio Volterrani

Research output: Contribution to journalArticlepeer-review


Secondary prevention after acute coronary syndromes should be aimed at reducing the risk of further adverse cardiovascular events, thereby improving quality of life, and lengthening survival. Despite compelling evidence from large randomized controlled trials, secondary prevention is not fully implemented in most cases after hospitalization for acute coronary syndrome. The Lazio Region (Italy) has about 5.3 million inhabitants (9% of the entire Italian population). Every year about 11 000 patients are admitted for acute coronary syndrome in hospitals of the Lazio Region. Most of these patients receive state-of-the art acute medical and interventional care during hospitalization. However, observational data suggest that after discharge acute coronary syndrome patients are neither properly followed nor receive all evidence-based treatments. This consensus document has been developed by 11 Scientific Societies of Cardiovascular and Internal Medicine in order develop a sustainable and effective clinical approach for secondary cardiovascular prevention after acute coronary syndrome in the local scenario of the Lazio Region. An evidence-based simplified decalogue for secondary cardiovascular prevention is proposed as the cornerstone of clinical intervention, taking into account regional laws and relative shortage of resources. The following appropriate interventions should be consistently applied: smoking cessation, blood pressure control (blood pressure <130/80 mmHg), optimal lipid management (LDL cholesterol <80 mmHg), weight and diabetes management, promotion of physical activity and rehabilitation, correct use of antiplatelet agents, beta-blockers, renin-angiotensin-aldosterone system blockers.

Translated title of the contribution[Secondary cardiovascular prevention after acute coronary syndrome in clinical practice].
Original languageItalian
JournalGiornale Italiano di Cardiologia
Issue number5 Suppl 4
Publication statusPublished - May 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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