World Heart Federation Roadmap for Secondary Prevention of Cardiovascular Disease: 2023 Update
Health Behavior
610
cvd
03 medical and health sciences
0302 clinical medicine
Risk Factors
616
Secondary Prevention
Diseases of the circulatory (Cardiovascular) system
Humans
/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being; name=SDG 3 - Good Health and Well-being
fixed combination therapy
Cardiovascular Diseases/epidemiology
influenza vaccination
name=SDG 3 - Good Health and Well-being
Diet
cardiac rehabilitation
Cardiovascular Diseases
RC666-701
Whf Roadmap
/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Public aspects of medicine
RA1-1270
secondary prevention
polypill
DOI:
10.5334/gh.1278
Publication Date:
2024-01-22T12:17:41Z
AUTHORS (19)
ABSTRACT
Secondary prevention lifestyle and pharmacological treatment of atherosclerotic cardiovascular disease (ASCVD) reduce a high proportion of recurrent events and mortality. However, significant gaps exist between guideline recommendations and usual clinical practice.Describe the state of the art, the roadblocks, and successful strategies to overcome them in ASCVD secondary prevention management.A writing group reviewed guidelines and research papers and received inputs from an international committee composed of cardiovascular prevention and health systems experts about the article's structure, content, and draft. Finally, an external expert group reviewed the paper.Smoking cessation, physical activity, diet and weight management, antiplatelets, statins, beta-blockers, renin-angiotensin-aldosterone system inhibitors, and cardiac rehabilitation reduce events and mortality. Potential roadblocks may occur at the individual, healthcare provider, and health system levels and include lack of access to healthcare and medicines, clinical inertia, lack of primary care infrastructure or built environments that support preventive cardiovascular health behaviours. Possible solutions include improving health literacy, self-management strategies, national policies to improve lifestyle and access to secondary prevention medication (including fix-dose combination therapy), implementing rehabilitation programs, and incorporating digital health interventions. Digital tools are being examined in a range of settings from enhancing self-management, risk factor control, and cardiac rehab.Effective strategies for secondary prevention management exist, but there are barriers to their implementation. WHF roadmaps can facilitate the development of a strategic plan to identify and implement local and national level approaches for improving secondary prevention.
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