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Management of Residual Risk in Chronic Coronary Syndromes. Clinical Pathways for a Quality-Based Secondary Prevention.
Giubilato, Simona; Lucà, Fabiana; Abrignani, Maurizio Giuseppe; Gatto, Laura; Rao, Carmelo Massimiliano; Ingianni, Nadia; Amico, Francesco; Rossini, Roberta; Caretta, Giorgio; Cornara, Stefano; Di Matteo, Irene; Di Nora, Concetta; Favilli, Silvia; Pilleri, Anna; Pozzi, Andrea; Temporelli, Pier Luigi; Zuin, Marco; Amico, Antonio Francesco; Riccio, Carmine; Grimaldi, Massimo; Colivicchi, Furio; Oliva, Fabrizio; Gulizia, Michele Massimo.
Afiliação
  • Giubilato S; Cardiology Department, Cannizzaro Hospital, 95126 Catania, Italy.
  • Lucà F; Cardiology Department, Grande Ospedale Metropolitano, AO Bianchi Melacrino Morelli, 89129 Reggio Calabria, Italy.
  • Abrignani MG; Operative Unit of Cardiology, P. Borsellino Hospital, 91025 Marsala, Italy.
  • Gatto L; Cardiology Department, San Giovanni Addolorata Hospital, 00184 Rome, Italy.
  • Rao CM; Cardiology Department, Grande Ospedale Metropolitano, AO Bianchi Melacrino Morelli, 89129 Reggio Calabria, Italy.
  • Ingianni N; ASP Trapani Cardiologist Marsala Castelvetrano Districts, 91022 Castelvetrano, Italy.
  • Amico F; Cardiology Department, Cannizzaro Hospital, 95126 Catania, Italy.
  • Rossini R; Cardiology Unit, Ospedale Santa Croce e Carle, 12100 Cuneo, Italy.
  • Caretta G; Sant'Andrea Hospital, ASL 5 Regione Liguria, 19124 La Spezia, Italy.
  • Cornara S; Arrhytmia Unit, Division of Cardiology, Ospedale San Paolo, Azienda Sanitaria Locale 2, 17100 Savona, Italy.
  • Di Matteo I; De Gasperis Cardio Center, Niguarda Hospital, 20162 Milan, Italy.
  • Di Nora C; Department of Cardiothoracic Science, Azienda Sanitaria Universitaria Integrata di Udine, 33100 Udine, Italy.
  • Favilli S; Department of Pediatric Cardiology, Meyer Hospital, 50139 Florence, Italy.
  • Pilleri A; Cardiology Unit, Brotzu Hospital, 09121 Cagliari, Italy.
  • Pozzi A; Cardiology Department, Papa Giovanni XXIII Hospital, 24127 Bergamo, Italy.
  • Temporelli PL; Division of Cardiac Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, 28013 Gattico-Veruno, Italy.
  • Zuin M; Department of Translational Medicine, University of Ferrara, 44121 Ferrara, Italy.
  • Amico AF; Department of Cardiology, West Vicenza Hospital, 136071 Arzignano, Italy.
  • Riccio C; CCU-Cardiology Unit, Ospedale San Giuseppe da Copertino Hospital, Copertino, 73043 Lecce, Italy.
  • Grimaldi M; Cardiovascular Department, Sant'Anna e San Sebastiano Hospital, 81100 Caserta, Italy.
  • Colivicchi F; Department of Cardiology, General Regional Hospital "F. Miulli", 70021 Bari, Italy.
  • Oliva F; Clinical and Rehabilitation Cardiology Unit, San Filippo Neri Hospital, 00135 Rome, Italy.
  • Gulizia MM; De Gasperis Cardio Center, Niguarda Hospital, 20162 Milan, Italy.
J Clin Med ; 12(18)2023 Sep 15.
Article em En | MEDLINE | ID: mdl-37762932
Chronic coronary syndrome (CCS), which encompasses a broad spectrum of clinical presentations of coronary artery disease (CAD), is the leading cause of morbidity and mortality worldwide. Recent guidelines for the management of CCS emphasize the dynamic nature of the CAD process, replacing the term "stable" with "chronic", as this disease is never truly "stable". Despite significant advances in the treatment of CAD, patients with CCS remain at an elevated risk of major cardiovascular events (MACE) due to the so-called residual cardiovascular risk. Several pathogenetic pathways (thrombotic, inflammatory, metabolic, and procedural) may distinctly contribute to the residual risk in individual patients and represent a potential target for newer preventive treatments. Identifying the level and type of residual cardiovascular risk is essential for selecting the most appropriate diagnostic tests and follow-up procedures. In addition, new management strategies and healthcare models could further support available treatments and lead to important prognostic benefits. This review aims to provide an overview of the diagnostic and therapeutic challenges in the management of patients with CCS and to promote more effective multidisciplinary care.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Clin Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Guideline / Prognostic_studies / Risk_factors_studies Idioma: En Revista: J Clin Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália