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[SICI-GISE/SICOA Consensus document: Clinical follow-up of patients after acute coronary syndrome or percutaneous coronary intervention]. / Documento di consenso SICI-GISE/SICOA: La gestione del follow-up del paziente dopo sindrome coronarica acuta e/o angioplastica coronarica.
Guarini, Pasquale; Saia, Francesco; Sidiropulos, Milena; Silverio, Angelo; Dellegrottaglie, Santo; Scatteia, Alessandra; De Stefano, Francesco; Tedeschi, Carlo; Dalla Vecchia, Laura A.; Cappelletti, Alberto M.; Regazzoli, Damiano; Benassi, Alberto; Donatelli, Francesco; America, Raffaella; Nosso, Gabriella; Capranzano, Piera; Oliva, Angelo; Piccolo, Raffaele; Testa, Luca; Attisano, Tiziana; Battistina, Castiglioni; Contarini, Marco; De Marco, Federico; Fineschi, Massimo; Menozzi, Alberto; Musto, Carmine; Stefanini, Giulio; Tarantini, Giuseppe; Caiazza, Francesco; Esposito, Giovanni.
Affiliation
  • Guarini P; U.O. Cardiologia, Clinica Sanatrix, Napoli.
  • Saia F; U.O. Cardiologia, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico S. Orsola, Bologna.
  • Sidiropulos M; U.O. Cardiologia, Clinica Sanatrix, Napoli.
  • Silverio A; Dipartimento di Medicina, Chirurgia ed Odontoiatria, Università degli Studi di Salerno, Baronissi (SA).
  • Dellegrottaglie S; Unità di Imaging Cardiovascolare Avanzato, Clinica Villa dei Fiori, Acerra (NA).
  • Scatteia A; Unità di Imaging Cardiovascolare Avanzato, Clinica Villa dei Fiori, Acerra (NA).
  • De Stefano F; U.O. Cardiologia-UTIC, Clinica Villa dei Fiori, Acerra (NA)
  • Tedeschi C; U.O. Cardiologia, ASL Napoli 1 Centro, Presidio Intermedio Napoli Est, Napoli.
  • Dalla Vecchia LA; IRCCS Istituti Clinici Scientifici Maugeri, Milano
  • Cappelletti AM; Cardiologia, IRCCS Ospedale San Raffaele, Milano.
  • Regazzoli D; IRCCS Istituto Clinico Humanitas, Rozzano-Milano.
  • Benassi A; Hesperia Hospital, Modena.
  • Donatelli F; IRCCS Ospedale Galeazzi-Sant'Ambrogio, Università degli Studi di Milano.
  • America R; U.O. Cardiologia, Ospedale S. Maria della Pietà, Nola (NA).
  • Nosso G; Diabetologia, ASL Salerno.
  • Capranzano P; P.O. Policlinico "Gaspare Rodolico", Catania.
  • Oliva A; IRCCS Istituto Clinico Humanitas, Rozzano-Milano.
  • Piccolo R; Dipartimento di Scienze Biomediche Avanzate, Università di Napoli "Federico II", Napoli.
  • Testa L; Dipartimento di Cardiologia, IRCCS Policlinico San Donato, San Donato Milanese (MI).
  • Attisano T; Dipartimento Cardio-Toraco-Vascolare, AOU San Giovanni di Dio e Ruggi d'Aragona, Salerno.
  • Battistina C; Dipartimento Cardio-Toraco-Vascolare, Cardiologia, Varese 2 ASST Sette Laghi, Varese.
  • Contarini M; U.O.C. Cardiologia P.O. Umberto I, Siracusa.
  • De Marco F; U.O. Cardiologia Interventistica Valvolare e Strutturale, Centro Cardiologico Monzino, Milano.
  • Fineschi M; Cardiologia Interventistica, A.O. Universitaria Senese, Policlinico Le Scotte, Siena.
  • Menozzi A; S.C. Cardiologia, Ospedale Sant'Andrea, ASL5 Liguria, La Spezia.
  • Musto C; U.O.S. Cardiologia Interventistica, Azienda Ospedaliera San Camillo Forlanini, Roma.
  • Stefanini G; IRCCS Istituto Clinico Humanitas, Rozzano-Milano.
  • Tarantini G; Dipartimento di Scienze Cardiologiche, Toraciche e Vascolari, Policlinico Universitario, Padova.
  • Caiazza F; Dipartimento di Cardiologia, Pineta Grande Hospital, Castel Volturno (CE).
  • Esposito G; Dipartimento di Scienze Biomediche Avanzate, Università di Napoli "Federico II", Napoli.
G Ital Cardiol (Rome) ; 24(4 Suppl 2): 5S-15S, 2023 04.
Article in It | MEDLINE | ID: mdl-37158025
In the last decades, advances in percutaneous coronary intervention (PCI) strategies have significantly reduced the risk of procedural complications and in-hospital mortality of patients with acute coronary syndromes (ACS), thus increasing the population of stable post-ACS patients. This novel epidemiological scenario emphasizes the importance of implementing secondary preventive and follow-up strategies. The follow-up of patients after ACS or elective PCI should be based on common pathways and on the close collaboration between hospital cardiologists and primary care physicians. However, the follow-up strategies of these patients are still poorly standardized. This SICI-GISE/SICOA consensus document was conceived as a proposal for the long-term management of post-ACS or post-PCI patients based on their individual residual risk of cardiovascular adverse events. We defined five patient risk classes and five follow-up strategies including medical visits and examinations according to a specific time schedule. We also provided a short guidance for the selection of the appropriate imaging technique for the assessment of left ventricular ejection fraction and of non-invasive anatomical or functional tests for the detection of obstructive coronary artery disease. Physical and pharmacological stress echocardiography was identified as the first-line imaging technique in most of cases, while cardiovascular magnetic resonance should be preferred when an accurate evaluation of left ventricular ejection fraction is needed. The standardization of the follow-up pathways of patients with a history of ACS or elective PCI, shared between hospital doctors and primary care physicians, could result in a more cost-effective use of resources and potentially improve patient's long-term outcome.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Acute Coronary Syndrome / Percutaneous Coronary Intervention Type of study: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: It Journal: G Ital Cardiol (Rome) Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Country of publication: Italy

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Acute Coronary Syndrome / Percutaneous Coronary Intervention Type of study: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Limits: Humans Language: It Journal: G Ital Cardiol (Rome) Journal subject: CARDIOLOGIA Year: 2023 Document type: Article Country of publication: Italy