Challenges in secondary prevention after acute myocardial infarction: A call for action

被引:105
|
作者
Piepoli, Massimo F. [1 ]
Corra, Ugo [2 ]
Dendale, Paul [3 ]
Frederix, Ines [4 ]
Prescott, Eva [5 ]
Schmid, Jean Paul [6 ]
Cupples, Margaret [7 ]
Deaton, Christi [8 ]
Doherty, Patrick [9 ]
Giannuzzi, Pantaleo [2 ]
Graham, Ian [10 ]
Hansen, Tina Birgitte [11 ]
Jennings, Catriona [12 ]
Landmesser, Ulf [13 ]
Marques-Vidal, Pedro [14 ]
Vrints, Christiaan [15 ]
Walker, David [16 ]
Bueno, Hector [17 ]
Fitzsimons, Donna [18 ]
Pelliccia, Antonio [19 ]
机构
[1] Guglielmo da Saliceto Polichirurg Hosp AUSL Piace, Dept Cardiac, Piacenza, Italy
[2] Sci Inst Veruno, Cardiol Rehabil Div, Veruno, NO, Italy
[3] Jessa Hosp, Dept Cardiol, Hasselt, Belgium
[4] Univ Hasselt, Heart Ctr Hasselt, Hasselt, Belgium
[5] Univ Copenhagen, Dept Cardiol, Copenhagen, Denmark
[6] Spital Tiefenau, Dept Cardiol, Bern, Switzerland
[7] Queens Univ Belfast, Dept Gen Practice & Primary Care, Belfast, Antrim, North Ireland
[8] Cambridge Univ Hosp NHS Fdn Trust, Florence Nightingale Fdn, Cambridge, England
[9] Univ York, Cardiovasc Hlth Dept, York, N Yorkshire, England
[10] Univ Dublin Trinity Coll, Dublin, Ireland
[11] Zealand Univ Hosp, Roskilde, Denmark
[12] Imperial Coll London, Dept Cardiovasc Med, London, England
[13] Charite Univ Med Berlin, Dept Cardiol, Berlin, Germany
[14] Univ Lausanne Hosp, Dept Internal Med, Lausanne, Switzerland
[15] Univ Antwerp, Dept Cardiol, Antwerp, Belgium
[16] East Sussex Healthcare NHS Trust, Dept Cardiol, Hastings, England
[17] Univ Complutense Madrid, Dept Cardiol, Madrid, Spain
[18] Univ Ulster, Belfast Trust Northern Ireland, Coleraine, Londonderry, North Ireland
[19] Comitato Olimpico Nazl Italiano, Inst Sport Med & Sci, Rome, Italy
关键词
Cardiovascular prevention; myocardial infarction; cardiac rehabilitation; risk factors; pharmacological therapy; exercise training; healthcare systems; RANDOMIZED CONTROLLED-TRIAL; CORONARY-HEART-DISEASE; HIGH CARDIOVASCULAR RISK; CARDIAC REHABILITATION; HOSPITAL DISCHARGE; CLINICAL-PRACTICE; STATIN THERAPY; MORTALITY; ADHERENCE; GUIDELINES;
D O I
10.1177/2047487316663873
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Worldwide, each year more than 7 million people experience myocardial infarction, in which one-year mortality rates are now in the range of 10%, but vary with patient characteristics. The consequences are even more dramatic: among patients who survive, 20% suffer a second cardiovascular event in the first year and approximately 50% of major coronary events occur in those with a previous hospital discharge diagnosis of ischaemic heart disease. The people behind these numbers spur this call for action. Prevention after myocardial infarction is crucial to reduce risk and suffering. Evidence-based interventions include optimal medical treatment with anti-platelets and statins, achievement of blood pressure, lipid and blood glucose targets, and appropriate lifestyle changes. The European Society of Cardiology and its constituent bodies are determined to embrace this challenge by developing a consensus document in which the existing gaps for secondary prevention strategies are reviewed. Effective interventions in relation to the patients, healthcare providers and healthcare systems are proposed and discussed. Finally, innovative strategies in hospital as well as in outpatient and long-term settings are endorsed.
引用
收藏
页码:1994 / 2006
页数:13
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