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Int J Cardiol. 2015 Feb 1;180:114-9. doi: 10.1016/j.ijcard.2014.11.107. Epub 2014 Nov 18.

Challenges in secondary prevention of cardiovascular diseases: a review of the current practice.

Author information

1
Cardiology Unit, Guglielmo da Saliceto Hospital, AUSL Piacenza, Italy.; Fondazione Toscana "G Monasterio" Pisa, Italy. Electronic address: m.piepoli@ausl.pc.it.
2
Department of Cardiology, Fondazione Salvatore Maugeri, IRCCS Scientific Institute of Veruno, Italy.
3
Department of Cardiology, Hospital Santa Marta, Lisbon, Portugal.
4
Dept of General Practice, UKCRC Centre of Excellence for Public Health Research, Queen's University Belfast, Northern Ireland, UK.
5
Cardiovascular Research Laboratory, Biomedical Research Foundation, Academy of Athens, Athens, Greece.
6
Department of Health Sciences, University of York, York, UK.
7
Innsbruck Medical University, Medical Psychology, Innsbruck, Austria.
8
Servicio de Cardiología, Hospital Universitario de León, León, Spain.
9
IHF-Institut für Herzinfarktforschung Ludwigshafen, Bremserstr. 79; D-67063 Ludwigshafen am Rhein, Germany.
10
Cardiac Rehabilitation, Department of Translational Medical Sciences, University of Naples Federico II, Italy.
11
Center of Rehabilitation Research, University of Potsdam, Germany.
12
Department of Cardiology, Unit of Cardiovascular Prevention & Rehabilitation, Bern University Hospital and University of Bern, Switzerland.

Abstract

With the changing demography of populations and increasing prevalence of co-morbidity, frail patients and more complex cardiac conditions, the modern medicine is facing novel challenges leading to rapid innovation where evidence and experiences are lacking. This scenario is also evident in cardiovascular disease prevention, which continuously needs to accommodate its ever changing strategies, settings, and goals. The present paper summarises actual challenges of secondary prevention, and discusses how this intervention should not only be effective but also efficient. By this way the paper tries to bridge the gaps between research and real-world findings and thereby may find ways to improve standard care.

KEYWORDS:

Cardiac rehabilitation; Cardiovascular risk factor; Long term management; Secondary prevention

PMID:
25438230
DOI:
10.1016/j.ijcard.2014.11.107
[Indexed for MEDLINE]
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