What question did this study set out to answer?

To assess the impact of a secondary prevention program with nursing telephone follow-up on patients discharged after acute coronary syndrome who did not enroll in cardiac rehabilitation programs.

June 12, 2026European Journal of Preventive CardiologyOpen Access

How to reach all patients after discharge for acute coronary syndrome? nursing as a key component

Q: What is the clinical evidence from this study?

Study design: Observational. Population: Acute coronary syndrome (n=88). Intervention: Secondary prevention program with telephone follow-up by nursing staff. Primary outcome: Achievement of LDL-C targets at 4-6 weeks.

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Key result

Nurse-led telephone follow-up achieves early LDL-C targets in 54% of ACS patients.

n=88

Why the study?

Does a secondary prevention program with telephone follow-up conducted by nursing staff improve cardiovascular risk factor targets in patients discharged after ACS who are not enrolled in cardiac rehabilitation programs?

Population

88 patients discharged after ACS not enrolled in cardiac rehabilitation programs

Comparison

Secondary prevention program with telephone follow-up conducted by nursing staff

Design

Prospective descriptive single-center observational study

Follow-up

1 year

Authors

RVR S V Rocio Sanchez Vaca BBB C V Calvo Bernal MTM M T Miriam Martin Toro

Discussion

Member takes

Overview

Suboptimal LDL-C control persists despite therapy; challenges guideline implementation and extends need for targeted optimization strategies.

Key Points

To assess the impact of a secondary prevention program with nursing telephone follow-up on patients discharged after acute coronary syndrome who did not enroll in cardiac rehabilitation programs.
Prospective single-center observational study
Follow-up at 4–6 weeks and 1 year post-discharge
Assessment of LDL-C, non-HDL-C, and HbA1c targets, and eligibility for dual antiplatelet therapy.
54% achieved LDL-C targets at 4–6 weeks, stable at 1 year (61.2 ± 30 mg/dL at 4–6 weeks, 61 ± 32 mg/dL at 1 year)
Non-HDL-C control improved from 58% at 4–6 weeks to 70% at 1 year (85 ± 36 mg/dL at 4–6 weeks, 79 ± 41 mg/dL at 1 year)
62% achieved HbA1c control at 4–6 weeks, rising to 68% at 1 year (6.9 ± 1.5% at 4–6 weeks, 6.6 ± 1.1% at 1 year).

Study Design

Type

Observational (n=88)

Multicenter

Structured PICO

Population

88 patients (mean age 78, 38% women) discharged after acute coronary syndrome who were not enrolled in cardiac rehabilitation programs, followed for 1 year.

Exposure

Secondary prevention program with telephone follow-up conducted by nursing staff.

Outcome

Achievement of LDL-C, non-HDL-C, and glycated hemoglobin (HbA1c) targets at 4-6 weeks and 1 year.surrogate

A nursing-led telephone follow-up program for secondary prevention in post-ACS patients not enrolled in cardiac rehabilitation achieved favorable cardiovascular risk factor control.

Limitations

Elderly population with multiple comorbidities, high rate of recurrent events, and substantial polypharmacy

Cite This Study

Vaca et al. (2026) conducted an observational in Acute coronary syndrome (n=88). Secondary prevention program with telephone follow-up by nursing staff was evaluated on Achievement of LDL-C targets at 4-6 weeks. A secondary prevention program with nursing telephone follow-up for ACS patients achieved LDL-C targets in 54% at 4-6 weeks, with an 18.1% event rate over 1 year.

synapsesocial.com/papers/6a2bd11d6550ea4541ffe883 https://doi.org/10.1093/eurjpc/zwag249.018

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June 12, 2026European Journal of Preventive CardiologyOpen Access

How to reach all patients after discharge for acute coronary syndrome? nursing as a key component

View Full Paper

Ask AI

Bookmark

Key result

Nurse-led telephone follow-up achieves early LDL-C targets in 54% of ACS patients.

n=88

Why the study?

Population

88 patients discharged after ACS not enrolled in cardiac rehabilitation programs

Comparison

Secondary prevention program with telephone follow-up conducted by nursing staff

Design

Prospective descriptive single-center observational study

Follow-up

1 year

Authors

RVR S V Rocio Sanchez Vaca BBB C V Calvo Bernal MTM M T Miriam Martin Toro

Discussion

Member takes

Overview

Suboptimal LDL-C control persists despite therapy; challenges guideline implementation and extends need for targeted optimization strategies.

Key Points

To assess the impact of a secondary prevention program with nursing telephone follow-up on patients discharged after acute coronary syndrome who did not enroll in cardiac rehabilitation programs.
Prospective single-center observational study
Follow-up at 4–6 weeks and 1 year post-discharge
Assessment of LDL-C, non-HDL-C, and HbA1c targets, and eligibility for dual antiplatelet therapy.
54% achieved LDL-C targets at 4–6 weeks, stable at 1 year (61.2 ± 30 mg/dL at 4–6 weeks, 61 ± 32 mg/dL at 1 year)
Non-HDL-C control improved from 58% at 4–6 weeks to 70% at 1 year (85 ± 36 mg/dL at 4–6 weeks, 79 ± 41 mg/dL at 1 year)
62% achieved HbA1c control at 4–6 weeks, rising to 68% at 1 year (6.9 ± 1.5% at 4–6 weeks, 6.6 ± 1.1% at 1 year).

Study Design

Type

Observational (n=88)

Multicenter

Structured PICO

Population

88 patients (mean age 78, 38% women) discharged after acute coronary syndrome who were not enrolled in cardiac rehabilitation programs, followed for 1 year.

Exposure

Secondary prevention program with telephone follow-up conducted by nursing staff.

Outcome

Achievement of LDL-C, non-HDL-C, and glycated hemoglobin (HbA1c) targets at 4-6 weeks and 1 year.surrogate

A nursing-led telephone follow-up program for secondary prevention in post-ACS patients not enrolled in cardiac rehabilitation achieved favorable cardiovascular risk factor control.

Limitations

Elderly population with multiple comorbidities, high rate of recurrent events, and substantial polypharmacy

Cite This Study

synapsesocial.com/papers/6a2bd11d6550ea4541ffe883 https://doi.org/10.1093/eurjpc/zwag249.018

Also Consider

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

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