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Abstract Background Ischaemic heart disease is one of the leading causes of mortality in developed countries. Despite great advances in treatment and preventive measures in patients with myocardial infarction, cardiovascular risk still persists, with rates of new cardiovascular events being up to 10% in the first 12 months and even 20% in the first 5 years after the first admission. Stablishing standardized follow-up pathways in patients discharged to home and starting secondary prevention measures with special emphasis in targeting dyslipidemia is of main importance. Purpose The ACS Program was born with the aim to reorganize the outpatient Clinic Follow-up of patients with myocardial infarction in our area. With this aim, a structured pathway has been stablished (scheduled appointments with a cardiovascular specialized nurse and doctor and lab tests in the first 3, 6 and 12 months). Methods Descriptive study of all patients admitted to ACS Program since November 2022 to September 2023. Results 170 patients have been admitted to the Program. Mean age is 62 years (SD 10 years). 70% of patients are male. The Average time since the patient is discharged to home until the first visit is 8,4 days (SD 5 days). More than a half of patients undergo a lab test in the first quarter (85%). 54% of patients achieve LDLc levels 55mg/dl in the first quarter. Moreover, 84% of patients achieve cLDL levels below 70mg/dl in the first three months. 30 and 90 day readmission rates are 3.7% and 7.4%, respectively. Mortality rates were low (0.3%, mean follow up 6 months), if we compare with global mortality rates of ichaemic heart disease in our centre (10%) (p0,05). Finally, high intensity statins and ezetimbe prescription have increased since the Program began (80% versus 30%, p 0.05). Conclusions Stablishing an organized follow-up pathway in patients discharged to home after a myocardial infarction permits achieving better cLDL control with low readmission rates and little time to first medical contact
Gual et al. (Sat,) studied this question.