2026-08-29T14:04:49Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/113022024-09-27T08:00:13Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605
Repisalud
author
Cortés-Beringola, Alejandro
author
Fitzsimons, Donna
author
Pelliccia, Antonio
author
Moreno, Guillermo
author
Martín-Asenjo, Roberto
author
Bueno, Hector
funder
Ministerio de Economía y Competitividad (España)
funder
Fundación ProCNIC
2020-11-05T10:14:28Z
2020-11-05T10:14:28Z
2017-06
Eur J Prev Cardiol. 2017; 24(3_suppl):22-28
10.1177/2047487317704954
2047-4873
European journal of preventive cardiology
28618903
http://hdl.handle.net/20.500.12105/11302
The prognosis of patients after acute coronary syndromes is still suboptimal, mainly due to the risk of recurrent adverse coronary events, which is greatest during the first year, but persists over one's lifetime. Meaningful progress in preventing cardiovascular events has been achieved. However, there remains much room for improvement by embracing innovative therapies and investing in multidisciplinary approaches. Pharmacological interventions focused on optimising antithrombotic and lipid-lowering therapies are both pillars of secondary prevention that have seen recent ground-breaking advances. Moreover, new approaches in diabetic patients with cardiovascular disease and new targets for anti-inflammatory treatment may significantly improve prevention strategies in the future. However, pharmacological treatments are expensive and can have significant side effects. Developing better tools in order to identify high-risk patients and promote more personalised strategies for each patient should be an absolute priority. Furthermore, adherence to medication is still low and represents a real challenge; several strategies to improve low adherence to treatment are currently under discussion. Non-pharmacological interventions are also essential. Improving communication with patients and advanced surveillance for those secondary risk factors that may negatively impact prognosis are crucial. Encouraging multidisciplinary teams that work effectively to optimise all aspects of secondary prevention, including a cardiac rehabilitation programme, is the optimal approach. Current secondary prevention strategies and suggestions for areas of improvement are discussed in this manuscript. However, the question remains: will research in secondary prevention continue to focus on stronger and more expensive drugs, or is it time for us to embrace a more patient-centred clinical and research model?
eng
Planning secondary prevention: Room for improvement.
journal article
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URL
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PlanningSecondaryPreventionRoom_2017.pdf
URL
https://repisalud.isciii.es/bitstreams/a05e4fc5-b5dd-4b61-868f-41b6749bfdbe/download
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PlanningSecondaryPreventionRoom_2017.pdf.txt