“Compared to the past, a greater number of patients are discharged alive after treatment of acute coronary syndromes (ACS) or coronary revascularization and are exposed to secondary prevention treatments. Recent national data show that over 30% of patients hospitalized for an acute atherothrombotic event have a further hospitalization in the year following discharge. In this context, adherence to the recommendations of the Guidelines on secondary prevention strategies appears largely insufficient”. This is what Domenico Gabrielli, Director of the Cardiology Unit and of the Cardio-Thoraco-Vascular Department of the San Camillo Forlanini Hospital in Rome, told Adnkronos Health. president of the Per il tuo Cuore Foundation, on the occasion of the 55th national congress of Anmco, the most important cardiology event in Italy, in Rimini from 16 to 18 May.
For Gabrielli “there is still a lot of work to be done on cardiovascular prevention, not just secondary prevention. The results of one of our studies say so”. The expert reels off the data from the Bring-Up Prevention study – presented today at the Rimini Congress – initiated by Fondazione Per il Tuo Cuore and Anmco, conducted from 15 September 2023 to 29 February 2024 “in 189 hospitals, of which 33% South, 47.1% in the North and 19.8% in the Centre, and which involved 4790 patients over 67”.
Bring-Up Prevention is an “observational, prospective and multicentre study – explains Gabrielli – conducted on a large and representative sample of Italian cardiac centers and based on educational programs and the collection of patient data, with the aim of trying to reduce the gap between what is available and recommended and what actually happens in clinical practice”.
The research “shows that 55% of patients at cardiovascular risk are at target for LDL values, the so-called ‘bad cholesterol’ (less than 70 milligrams per deciliter). That’s not all: among the patients involved in the study, 30% are diabetics, 20% active smokers and 20% obese therefore much more must be done for prevention and appropriate lifestyles” he concludes.
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