World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update
Secondary Prevention
Blueprint
Guideline
Disease management
DOI:
10.5334/gh.1278
Publication Date:
2024-01-22T12:17:41Z
AUTHORS (19)
ABSTRACT
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.
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