Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper.
Introduction Long-term follow-up after an acute coronary syndrome (ACS) presents a crucial challenge due to the high residual cardiovascular risk and the potential for major bleeding events. Although several treatment strategies are available, this article focuses on patients who have undergone perc...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2022-06-01
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| Series: | Archives of Medical Science |
| Subjects: | |
| Online Access: | https://www.archivesofmedicalscience.com/Post-discharge-and-long-term-follow-up-after-an-acute-coronary-syndrome-International,150321,0,2.html |
| _version_ | 1797435310800371712 |
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| author | Pierre Sabouret Gilles Lemesle Anne Bellemain-Appaix Pierre Aubry Pier-Paolo Bocchino Erik Rafflenbeul Loïc Belle Jim Nolan Marco Bernardi Giuseppe Biondi-Zoccai Michael P. Savage Maciej Banach Guillaume Cayla |
| author_facet | Pierre Sabouret Gilles Lemesle Anne Bellemain-Appaix Pierre Aubry Pier-Paolo Bocchino Erik Rafflenbeul Loïc Belle Jim Nolan Marco Bernardi Giuseppe Biondi-Zoccai Michael P. Savage Maciej Banach Guillaume Cayla |
| author_sort | Pierre Sabouret |
| collection | DOAJ |
| description | Introduction
Long-term follow-up after an acute coronary syndrome (ACS) presents a crucial challenge due to the high residual cardiovascular risk and the potential for major bleeding events. Although several treatment strategies are available, this article focuses on patients who have undergone percutaneous coronary intervention (PCI) for ACS, which represent a frequent clinical situation. This position paper aims to support physicians in daily practice to improve the management of ACS patients.
Material and methods
A group of recognized international and French experts in the field, provides an overview of current evidence-based recommendations − supplemented by expert opinion where such evidence is lacking − and a practical guide for the management of patients with ACS after hospital discharge.
Results
The International Collaborative Group underlines the need of a shared collaborative approach, and a care plan individualized to the patient’s risk profile for both ischemia and bleeding. Each follow-up appointment should be viewed as an opportunity to optimize the personalized approach, to reduce adverse clinical outcomes and improve quality of life.
As risks – both ischaemic and haemorrhagic – evolve over time, the risk–benefit balance should be assessed in an ongoing dynamic process to ensure that patients are given the most suitable treatment at each time point.
Conclusions
This Expert Opinion aims to help clinicians with a practical guide underlying the proven strategies and the remaining gaps of evidence to optimize the management of coronary patients. |
| first_indexed | 2024-03-09T10:46:19Z |
| format | Article |
| id | doaj.art-4c325929824c4291a493cd2cd8da2fe2 |
| institution | Directory Open Access Journal |
| issn | 1734-1922 1896-9151 |
| language | English |
| last_indexed | 2024-03-09T10:46:19Z |
| publishDate | 2022-06-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Archives of Medical Science |
| spelling | doaj.art-4c325929824c4291a493cd2cd8da2fe22023-12-01T10:02:33ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512022-06-0118483985410.5114/aoms/150321150321Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper.Pierre Sabouret0https://orcid.org/0000-0002-0243-3673Gilles Lemesle1Anne Bellemain-Appaix2Pierre Aubry3Pier-Paolo Bocchino4Erik Rafflenbeul5Loïc Belle6Jim Nolan7Marco Bernardi8Giuseppe Biondi-Zoccai9https://orcid.org/0000-0001-6103-8510Michael P. Savage10Maciej Banach11https://orcid.org/0000-0001-6690-6874Guillaume Cayla12https://orcid.org/0000-0002-3958-2568Heart Institute, 47-83 Boulevard de l’Hôpital, ACTION Study Group-CHU Pitié-Salpétrière Paris, FranceUSIC et Centre Hémodynamique, Institut Cœur Poumon, Centre Hospitalier Régional et Universitaire de Lille, Lille, FranceUSIC, Department of Cardiology, Centre Hospitalier d’Antibes, PACA, FranceDepartment of Cardiology, CHU Bichat, Paris, FranceDivision of Cardiology, Department of Medical Science, University of Turin, Città della Salute e Della Scienza, Turin, ItalyDepartment of Cardiology, Schön Klinik Hamburg, Hamburg, GermanyDepartment of Cardiology, CH Annecy-Genevois, Epagny-Metz-Tessy, Haute Savoie, FranceDepartment of Cardiology, University Hospital of North Staffordshire, UKDepartment of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Latina, ItalySidney Kimmel Medical College at Thomas Jefferson University, Thomas Jefferson University Hospital, Philadelphia PA, USADepartment of Preventive Cardiology and Lipidology, Medical University of Lodz (MUL), Lodz, PolandDepartment of Cardiology, CHU Nimes, Nimes, Gard, FranceIntroduction Long-term follow-up after an acute coronary syndrome (ACS) presents a crucial challenge due to the high residual cardiovascular risk and the potential for major bleeding events. Although several treatment strategies are available, this article focuses on patients who have undergone percutaneous coronary intervention (PCI) for ACS, which represent a frequent clinical situation. This position paper aims to support physicians in daily practice to improve the management of ACS patients. Material and methods A group of recognized international and French experts in the field, provides an overview of current evidence-based recommendations − supplemented by expert opinion where such evidence is lacking − and a practical guide for the management of patients with ACS after hospital discharge. Results The International Collaborative Group underlines the need of a shared collaborative approach, and a care plan individualized to the patient’s risk profile for both ischemia and bleeding. Each follow-up appointment should be viewed as an opportunity to optimize the personalized approach, to reduce adverse clinical outcomes and improve quality of life. As risks – both ischaemic and haemorrhagic – evolve over time, the risk–benefit balance should be assessed in an ongoing dynamic process to ensure that patients are given the most suitable treatment at each time point. Conclusions This Expert Opinion aims to help clinicians with a practical guide underlying the proven strategies and the remaining gaps of evidence to optimize the management of coronary patients.https://www.archivesofmedicalscience.com/Post-discharge-and-long-term-follow-up-after-an-acute-coronary-syndrome-International,150321,0,2.htmlacute coronary syndromefollow-upexpert position paperlong-term carepercutaneous coronary intervention |
| spellingShingle | Pierre Sabouret Gilles Lemesle Anne Bellemain-Appaix Pierre Aubry Pier-Paolo Bocchino Erik Rafflenbeul Loïc Belle Jim Nolan Marco Bernardi Giuseppe Biondi-Zoccai Michael P. Savage Maciej Banach Guillaume Cayla Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. Archives of Medical Science acute coronary syndrome follow-up expert position paper long-term care percutaneous coronary intervention |
| title | Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. |
| title_full | Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. |
| title_fullStr | Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. |
| title_full_unstemmed | Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. |
| title_short | Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper. |
| title_sort | post discharge and long term follow up after an acute coronary syndrome international collaborative group of cncf position paper |
| topic | acute coronary syndrome follow-up expert position paper long-term care percutaneous coronary intervention |
| url | https://www.archivesofmedicalscience.com/Post-discharge-and-long-term-follow-up-after-an-acute-coronary-syndrome-International,150321,0,2.html |
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