Key result
Post-MI secondary prevention requires combined pharmacological, non-pharmacological, and cardiac rehabilitation strategies.
Why the study?
Although in-hospital and short-term mortality after acute myocardial infarction have declined, long-term mortality remains unacceptably high.
This review summarizes current non-pharmacological and pharmacological strategies, as well as cardiac rehabilitation and quality indicators, for secondary prevention after acute myocardial infarction.
Answers are grounded in this paper and cite their sources.
Emphasizes multimodal post-MI secondary prevention; leaves open optimal implementation and adherence strategies in practice.
Acute myocardial infarction is a manifestation of atherosclerosis which may be fatal. In-hospital and short-term mortality rates after an acute myocardial infarction have declined in the past few decades. However, although long-term mortality has decreased, it remains unacceptably high. This review paper summarises the non-pharmacological interventions (smoking cessation, physical activity, nutrition, and psychosocial intervention) and pharmacological approaches (antiplatelet and lipid-lowering therapy, renin-angiotensin-aldosterone system inhibitors, beta-blockers, and glucose-lowering drugs) to secondary prevention after a myocardial infarction. The provision of secondary prevention services is established through cardiac rehabilitation, which consists of several discussed components. Finally, we discuss the quality indicators for long-term care after an acute myocardial infarction.
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Tuka et al. (2022) conducted a review in Acute myocardial infarction. Secondary prevention interventions was evaluated. Secondary prevention after myocardial infarction requires a combination of non-pharmacological interventions, pharmacological therapies, and comprehensive cardiac rehabilitation.
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