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Publications

Journal Article Review Ppublish

PubMed: 41873880 DOI: 10.1093/postmj/qgag022

Secondary prevention and cardiac rehabilitation in patients with chronic coronary syndromes: long-term management and treatment.

Postgrad Med J 102(1213):1008-1017

Authors: Aristi Boulmpou, Maria-Alexandra Ciuca-Pana, Cigdem Ileri, Irfan Ullah, Stefano Cacciatore, Luigi Spadafora, Marco Bernardi, Stefan Busnatu, Giuseppe Biondi Zoccai, Francesco Perone

Affiliations

  • Third Department of Cardiology, Aristotle University of Thessaloniki, Ippokratio General Hospital, 54642 Thessaloniki, Greece.
  • Cardiology Department-Faculty of Medicine, University of Medicine and Pharmacy Carol Davila, 030167 Bucharest, Romania.
  • Department of Cardiology, LIV Hospital Vadi Istanbul, 34396 Istanbul, Turkey.
  • Department of Cardiology, University Hospitals Cleveland Medical Center, 44106 OH, United States.
  • Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
  • Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. Cardiology Department, Santa Maria Goretti Hospital, 04100 Latina, Italy.
  • Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, Italy. Maria Cecilia Hospital, GVM Care & Research, 48033 Cotignola, Italy.
  • Cardiac Rehabilitation Unit, Rehabilitation Clinic "Villa delle Magnolie," 81020 Castel Morrone, Caserta, Italy.

Abstract

Patients with chronic coronary syndromes deserve high attention and tailored management for the effective reduction of the residual cardiovascular risk. Long-term secondary prevention strategies are the key to reaching this goal and mitigating the overall cardiovascular burden. Four pillars should be the cornerstones of the management of patients with chronic coronary syndromes: lifestyle interventions, cardiac rehabilitation, risk factor control and achievement of treatment targets, and guideline-directed medical therapy. These interventions should be personalized to achieve prevention and treatment goals in order to improve prognosis and health-related quality of life. Herein, we present a state-of-the-art review on the comprehensive cardiovascular risk assessment and secondary prevention among patients with chronic coronary syndromes. In addition, we provide practical guidance for the management of this patient population in complex clinical scenarios and specific groups, including those with heart failure, older adults, sex-specific considerations, high bleeding risk, atrial fibrillation, and chronic kidney disease.

MeSH

Quality Of Life, Cardiac Rehabilitation, Rehabilitation, Secondary Prevention, Therapeutics, Heart Disease Risk Factors