The need to improve cardiac care after acute coronary syndrome

Patients who experience acute coronary syndrome (ACS) are at increased risk of new cardiovascular (CV) events. The main strategies for prevention of recurrence of CV events is the protection from ruptured plaque, thrombus formation, occlusion or downstream embolization in the coronary artery. The pe...

Full description

Bibliographic Details
Main Author: Genovefa Kolovou
Format: Article
Language:English
Published: Elsevier 2019-07-01
Series:Hellenic Journal of Cardiology
Online Access:http://www.sciencedirect.com/science/article/pii/S1109966619303069
Description
Summary:Patients who experience acute coronary syndrome (ACS) are at increased risk of new cardiovascular (CV) events. The main strategies for prevention of recurrence of CV events is the protection from ruptured plaque, thrombus formation, occlusion or downstream embolization in the coronary artery. The percutaneous coronary intervention (PCI) with stenting and anticoagulants, 3-hydroxy-3-methyl-glutaryl-coenzyme A reductase inhibitors (HMGCoAi, commonly called statins) and neurohormonal inhibition, has led to a notable decrease in 1-year mortality events. Today it is well documented that all patients with an ACS should be treated early, intensively and continuously for lowering the LDL-C values to the recommended goals. Regularly interviewing by trained health care personnel and post-discharge follow-up of patients after ACS seems to be more effective concerning adherence to statin for achieving LDL-C treatment goals compared with the standard of care. Keywords: Acute coronary syndrome, Low density lipoprotein cholesterol, Statins, Adherence
ISSN:1109-9666