Secondary Prevention Beyond Hospital Discharge for ACS: Evidence-based Recommendations

Publication date: Available online 10 March 2016 Source:Canadian Journal of Cardiology Author(s): David H. Fitchett, Shaun G. Goodman, Lawrence A. Leiter, Peter Lin, Robert Welsh, James Stone, Jean Grégoire, Philip Mcfarlane, Anatoly Langer In the last three decades, a better understanding of the pathophysiology of cardiovascular disease has resulted in innovations in the treatment and prevention of its clinical manifestations such as death, myocardial infarction or stroke. Following an acute coronary syndrome there are short and long term risks of subsequent cardiovascular events. This leads to opportunities to initiate strategies to reduce complications resulting from myocardial injury (Cardiac protection) and to prevent recurrent acute coronary events (Vascular protection). The results from clinical trials inform best practice and guidelines for patient management. Despite clear and consistent guidelines, an important number of patients are not receiving these treatments. Moreover many others do not receive treatment that follows the strategy proven in the clinical trial and associated with a significant loss of opportunities to improve outcomes. The Canadian Heart Research Centre has therefore assembled a panel of experts to provide a review of available data and distil it to specific evidence based recommendations that can be used by specialists and primary care physicians as a platform for secondary prevention. The therapeutic recommendations are ...
Source: Canadian Journal of Cardiology - Category: Cardiology Source Type: research