World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update

• DOI: 10.5334/gh.1278
• Publication Date: 2024-01-22T12:17:41Z
• Authors: Liliana Laranjo; Fernando Lanas; Marie Chan Sun; Deborah Anne Chen; Lisa Hynes; Tasnim F. Imran; Dhruv S. Kazi; Andre Pascal Kengne; Maki Komiyama; Masanari Kuwabara; Jeremy Lim; Pablo Perel; Daniel José Piñeiro; Carlos I. Ponte-N...; Tania Séverin; David R. Thompson; Lale Tokgözoğlu; Lijing L. Yan; Clara K. Chow
• Keywords: Secondary Prevention; Blueprint; Guideline; Disease management

Background: Secondary prevention lifestyle and pharmacological treatment of atherosclerotic cardiovascular disease (ASCVD) reduce a high proportion recurrent events mortality. However, significant gaps exist between guideline recommendations usual clinical practice. Objectives: Describe the state art, roadblocks, successful strategies to overcome them in ASCVD secondary management. Methods: A writing group reviewed guidelines research papers received inputs from an international committee composed health systems experts about article's structure, content, draft. Finally, external expert paper. Results: Smoking cessation, physical activity, diet weight management, antiplatelets, statins, beta-blockers, renin-angiotensin-aldosterone system inhibitors, cardiac rehabilitation Potential roadblocks may occur at individual, healthcare provider, levels include lack access medicines, inertia, primary care infrastructure or built environments that support preventive behaviours. Possible solutions improving literacy, self-management strategies, national policies improve medication (including fix-dose combination therapy), implementing programs, incorporating digital interventions. Digital tools are being examined range settings enhancing self-management, risk factor control, rehab. Conclusions: Effective for management exist, but there barriers their implementation. WHF roadmaps can facilitate development strategic plan identify implement local level approaches prevention.