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December 3, 2025European Journal of Preventive Cardiology4 citations

ESC Quality Indicators for Post-myocardial infarction Care: Transition and Chronic Coronary Syndrome Phases. Developed in collaboration with the European Association of Preventive Cardiology of the ESC

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MWMatthias WilhelmKKK KoskinasDPDemosthenes B. Panagiotakos

Key Points

  • Quality Indicators standardize post-myocardial infarction care to enhance patient outcomes.
  • Eighteen Quality Indicators identified across seven areas, including pharmacological management and rehabilitation.
  • The ESC methodology employed systematic review and a Delphi approach to develop the QIs for chronic coronary syndromes.
  • These findings support the 2024 ESC guidelines, indicating a strong consensus on critical care components.

Abstract

Abstract Aims We aimed to develop the European Society of Cardiology (ESC) quality indicators (QIs) for myocardial infarction (MI), from one year after hospital discharge, corresponding to transition to the chronic coronary syndromes phase. Methods and Results We collaborated with the European Association of Preventive Cardiology (EAPC) and developed QIs for the long-term management of patients following MI. We applied the ESC methodology for QI development by: (i) determining key domains of post-MI care; (ii) developing candidate QIs by performing a systematic review of the literature, and (iii) selecting the final set of QIs using a modified Delphi approach. In total, 18 QIs were identified across seven domains of care including (1) structural framework, (2) risk assessment and follow-up, (3) pharmacological management, (4) rehabilitation, behavioral and preventive interventions, (5) coronary revascularization, (6) clinical outcomes and (7) patient-reported outcomes. Conclusion We present the ESC QIs from one year after hospitalization for MI, to standardize and address gaps in care for this high-risk group. These QIs are supported by evidence from contemporary literature, endorsed by expert consensus and aligned with the 2024 ESC guidelines on the management of chronic coronary syndromes.

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Cite This Study

Wilhelm et al. (2025) studied this question.

synapsesocial.com/papers/694025912d562116f28fe944https://doi.org/10.1093/eurjpc/zwaf761
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Assessment of the ESC quality indicators in patients with acute myocardial infarction: a systematic review2021 · 15 citations
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  3. 3European Society of Cardiology methodology for the development of quality indicators for the quantification of cardiovascular care and outcomes2020 · 95 citations
  4. 42020 Update of the quality indicators for acute myocardial infarction: a position paper of the Association for Acute Cardiovascular Care: the study group for quality indicators from the ACVC and the NSTE-ACS guideline group2020 · 92 citations
  5. 5QUALITY OF CARE FOR PATIENTS WITH ACUTE MYOCARDIAL INFARCTION: RESULTS OF THE FIRST 3 MONTHS OF THE QUALITY IN CARDIOLOGY (QIC) PROJECT2024