How to optimize the adherence to a guideline-directed medical therapy in the secondary prevention of cardiovascular diseases: a clinical consensus statement from the European Association of Preventive Cardiology

被引：66

作者：

Pedretti, Roberto F. E. ^{[1
]}

Hansen, Dominique ^{[2
,3
]}

Ambrosetti, Marco ^{[4
]}

Back, Maria ^{[5
,6
]}

Berger, Thomas ^{[7
]}

Ferreira, Mariana Cordeiro ^{[8
]}

Cornelissen, Veronique ^{[9
]}

Davos, Constantinos H. ^{[10
]}

Doehner, Wolfram ^{[11
,12
,13
,14
]}

Zarzosa, Carmen de Pablo Y. ^{[15
]}

Frederix, Ines ^{[16
,17
,18
]}

Greco, Andrea ^{[19
]}

Kurpas, Donata ^{[20
]}

Michal, Matthias ^{[21
,22
]}

Osto, Elena ^{[23
,24
]}

Pedersen, Susanne ^{[25
,26
]}

Salvador, Rita Esmeralda

Simonenko, Maria ^{[27
]}

Steca, Patrizia ^{[28
]}

Thompson, David R. ^{[29
]}

Wilhelm, Matthias ^{[30
]}

Abreu, Ana ^{[31
,32
,33
]}

机构：

[1] IRCCS MultiMed, Cardiovasc Dept, Milan, Italy

[2] Hasselt Univ, REVAL BIOMED, Hasselt, Belgium

[3] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium

[4] Santa Marta Hosp, Cardiovasc Rehabil Unit, ASST Crema, Rivolta Dadda, Italy

[5] Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Mol & Clin Med, Gothenburg, Sweden

[6] Linkoping Univ, Dept Hlth Med & Caring Sci, Linkoping, Sweden

[7] St John God Hosp Linz, Cardiomed Linz, Linz, Austria

[8] Ctr Univ Hosp Lisboa Norte, Ctr Reabilitacao Cardiovasc, Lisbon, Portugal

[9] Katholieke Univ Leuven, Dept Rehabil Sci, Leuven, Belgium

[10] Acad Athens, Biomed Res Fdn, Cardiovasc Res Lab, Athens, Greece

[11] Charite Univ Med Berlin, BIH Ctr Regenerat Therapies BCRT, Berlin Inst Hlth, Berlin, Germany

[12] Charite Univ Med Berlin & German, Dept Cardiol, Virchow Klinikum, Berlin, Germany

[13] Ctr Cardiovasc Res DZHK, Partner Site Berlin, Berlin, Germany

[14] Charite Univ Med Berlin, Ctr Stroke Res Berlin, Berlin, Germany

[15] Univ Hosp Ramon Y Cajal, Dept Cardiol, Madrid, Spain

[16] Hasselt Univ, Jessa Hosp Hasselt Belgium, Heart Ctr Hasselt, Hasselt, Belgium

[17] Univ Antwerp, Fac Med & Life Sci, Diepenbeek Belgium, Antwerp, Belgium

[18] Antwerp Univ Hosp, Fac Med & Hlth Sci Antwerp Belgium, Edegem, Belgium

[19] Univ Bergamo, Dept Human & Social Sci, Bergamo, Italy

[20] Wroclaw Med Univ, Dept Family Med, Wroclaw, Poland

[21] Univ Med Ctr Mainz, Dept Psychosomat Med & Psychotherapy, Mainz, Germany

[22] German Ctr Cardiovasc Res DZHK, Partner Site Rhine Main, Mainz, Germany

[23] Univ & Univ Hosp Zurich, Heart Ctr, Inst Clin Chem, Zurich, Switzerland

[24] Univ & Univ Hosp Zurich, Heart Ctr, Dept Cardiol, Zurich, Switzerland

[25] Univ Southern Denmark, Dept Psychol, Odense, Denmark

[26] Odense Univ Hosp, Dept Cardiol, Odense, Denmark

[27] Almazov Natl Med Res Ctr, Cardiopulm Exercise Test Res Dept, Heart Transplantat Outpatient Dept, St Petersburg, Russia

[28] Univ Milano Bicocca, Dept Psychol, Milan, Italy

[29] Queens Univ Belfast, Sch Nursing & Midwifery, Belfast, Antrim, North Ireland

[30] Univ Bern, Bern Univ Hosp, Dept Cardiol, Bern, Switzerland

[31] Univ Lisbon, Dept Cardiol Hosp Santa Maria, Inst Prevent Med, Ctr Hosp Univ Lisboa Norte, Lisbon, Portugal

[32] Univ Lisbon, Inst Environm Hlth, Fac Med, Ctr Cardiovasc Invest Univ Lisbon CCUL, Lisbon, Portugal

[33] Univ Lisbon, Acad Ctr Med, CAML, Lisbon, Portugal

来源：

EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY | 2023年 / 30卷 / 02期

关键词：

Cardiovascular disease; Cardiovascular risk; Secondary prevention; Adherence; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; HEART-FAILURE PATIENTS; CARDIAC REHABILITATION; RISK-FACTORS; HEALTH LITERACY; LIFE-STYLE; SCIENTIFIC STATEMENT; SEX-DIFFERENCES; POSITION PAPER; CORONARY;

D O I：

10.1093/eurjpc/zwac204

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A key factor to successful secondary prevention of cardiovascular disease (CVD) is optimal patient adherence to treatment. However, unsatisfactory rates of adherence to treatment for CVD risk factors and CVD have been observed consistently over the last few decades. Hence, achieving optimal adherence to lifestyle measures and guideline-directed medical therapy in secondary prevention and rehabilitation is a great challenge to many healthcare professionals. Therefore, in this European Association of Preventive Cardiology clinical consensus document, a modern reappraisal of the adherence to optimal treatment is provided, together with simple, practical, and feasible suggestions to achieve this goal in the clinical setting, focusing on evidence-based concepts.

引用

页码：149 / 166

页数：18

共 199 条

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