Optimal lifelong roadmap post-ACS. A Clinical Consensus Statement of the European Association of Preventive Cardiology of the ESC

Acute coronary syndromes (ACS) remain a major cause of mortality and morbidity across Europe, with long-term outcomes still suboptimal despite advances in acute care. Current clinical guidelines primarily focus on the immediate post-event phase, providing limited direction on extended follow-up and integrated care strategies. Furthermore, there is considerable heterogeneity across European healthcare systems regarding the implementation of post-ACS services, resulting in disparities in patient outcomes and access to preventive care. The aim of this clinical consensus statement, developed by the European Association of Preventive Cardiology (EAPC) of the European Society of Cardiology (ESC), is to define an optimal, lifelong roadmap for patients following an ACS. It proposes a structured, phased model of care that supports evidence-informed, equitable, and patient-centred management strategies adaptable to national and local contexts. The roadmap targets multiple patient phenotypes, promoting continuity of care, collaboration among healthcare professionals, and integration of technological solutions. The methodology employed involved a multidisciplinary expert group nominated by the EAPC. Through structured literature review, expert consensus, and iterative discussions, the panel defined key components of post-ACS care across different phases of recovery. The final roadmap integrates best available evidence, clinical expertise, and practical considerations to support implementation across diverse healthcare settings.