title: [Secondary cardiovascular prevention after acute coronary syndrome in clinical practice].
abstract: Secondary prevention after acute coronary syndromes should be aimed at reducing the risk of further adverse cardiovascular events, thereby improving quality of life, and lengthening survival. Despite compelling evidence from large randomized controlled trials, secondary prevention is not fully implemented in most cases after hospitalization for acute coronary syndrome. The Lazio Region (Italy) has about 5.3 million inhabitants (9% of the entire Italian population). Every year about 11 000 patients are admitted for acute coronary syndrome in hospitals of the Lazio Region. Most of these patients receive state-of-the art acute medical and interventional care during hospitalization. However, observational data suggest that after discharge acute coronary syndrome patients are neither properly followed nor receive all evidence-based treatments. This consensus document has been developed by 11 Scientific Societies of Cardiovascular and Internal Medicine in order develop a sustainable and effective clinical approach for secondary cardiovascular prevention after acute coronary syndrome in the local scenario of the Lazio Region. An evidence-based simplified decalogue for secondary cardiovascular prevention is proposed as the cornerstone of clinical intervention, taking into account regional laws and relative shortage of resources. The following appropriate interventions should be consistently applied: smoking cessation, blood pressure control (blood pressure < 130/80 mmHg), optimal lipid management (LDL cholesterol < 80 mmHg), weight and diabetes management, promotion of physical activity and rehabilitation, correct use of antiplatelet agents, beta-blockers, renin-angiotensin-aldosterone system blockers.
authors.affiliation: ANMCO (Associazione Nazionale Medici Cardiologi Ospedalieri) Sezione Lazio. f.colivicchi@sanfilipponeri.roma.it
authors.forename: Furio
authors.initials: F
authors.lastname: Colivicchi
authors.forename: Angelo
authors.initials: A
authors.lastname: Di Roma
authors.forename: Massimo
authors.initials: M
authors.lastname: Uguccioni
authors.forename: Emilio
authors.initials: E
authors.lastname: Scotti
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Ammirati
authors.forename: Marcello
authors.initials: M
authors.lastname: Arcas
authors.forename: Aniello
authors.initials: A
authors.lastname: Avallone
authors.forename: Orazio
authors.initials: O
authors.lastname: Bonaccorso
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Germanò
authors.forename: Claudio
authors.initials: C
authors.lastname: Letizia
authors.forename: Dario
authors.initials: D
authors.lastname: Manfellotto
authors.forename: Giovanni
authors.initials: G
authors.lastname: Minardi
authors.forename: Christian
authors.initials: C
authors.lastname: Pristipino
authors.forename: Francesco
authors.initials: F
authors.lastname: D'Amore
authors.forename: Claudio
authors.initials: C
authors.lastname: Di Veroli
authors.forename: Aldo
authors.initials: A
authors.lastname: Fierro
authors.forename: Ruggero
authors.initials: R
authors.lastname: Pastorellio
authors.forename: Quinto
authors.initials: Q
authors.lastname: Tozzi
authors.forename: Marco
authors.initials: M
authors.lastname: Tubaro
authors.forename: Massimo
authors.initials: M
authors.lastname: Santini
authors.forename: Francesco
authors.initials: F
authors.lastname: Angelico
authors.forename: Paolo
authors.initials: P
authors.lastname: Azzolini
authors.forename: Antonio
authors.initials: A
authors.lastname: Bellasi
authors.forename: Paola
authors.initials: P
authors.lastname: Brocco
authors.forename: Leonardo
authors.initials: L
authors.lastname: Calò
authors.forename: Elena
authors.initials: E
authors.lastname: Cerquetani
authors.forename: Luciano
authors.initials: L
authors.lastname: De Biase
authors.forename: Mauro
authors.initials: M
authors.lastname: Di Napoli
authors.forename: Alfonso
authors.initials: A
authors.lastname: Galati
authors.forename: Maurizio
authors.initials: M
authors.lastname: Gallieni
authors.forename: Anna Patrizia
authors.initials: AP
authors.lastname: Jesi
authors.forename: Antonella
authors.initials: A
authors.lastname: Lombardo
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Loricchio
authors.forename: Fabio
authors.initials: F
authors.lastname: Menghini
authors.forename: Roberto
authors.initials: R
authors.lastname: Mezzanotte
authors.forename: Roberto
authors.initials: R
authors.lastname: Minutolos
authors.forename: David
authors.initials: D
authors.lastname: Mocini
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Patti
authors.forename: Roberto
authors.initials: R
authors.lastname: Patrizi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pajes
authors.forename: Giovanni
authors.initials: G
authors.lastname: Pulignano
authors.forename: Renato Pietro
authors.initials: RP
authors.lastname: Ricci
authors.forename: Roberto
authors.initials: R
authors.lastname: Ricci
authors.forename: Gennaro
authors.initials: G
authors.lastname: Sardella
authors.forename: Stefano
authors.initials: S
authors.lastname: Strano
authors.forename: David
authors.initials: D
authors.lastname: Terracina
authors.forename: Marco
authors.initials: M
authors.lastname: Testa
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Tomai
authors.forename: Roberto
authors.initials: R
authors.lastname: Volpes
authors.forename: Maurizio
authors.initials: M
authors.lastname: Volterrani
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications* / Q000453:epidemiology / Q000534:rehabilitation; D000428:Alcohol Drinking; D000465:Algorithms; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D003645:Death, Sudden / Q000209:etiology / Q000517:prevention & control; D003920:Diabetes Mellitus / Q000628:therapy; D050171:Dyslipidemias / Q000517:prevention & control; D005247:Feeding Behavior; D006801:Humans; D006973:Hypertension / Q000517:prevention & control; D007558:Italy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D055502:Secondary Prevention
chemical_list: D010975:Platelet Aggregation Inhibitors