Why the study?
Post-discharge care after ACS treated with PCI or CABG is a high-risk phase where secondary prevention is essential, highlighting the need to examine home-based care to prevent recurrent cardiac events and improve recovery.
Does home-based care improve recovery and prevent recurrent cardiac events in patients post-acute coronary syndrome?
Does home-based care improve recovery and prevent recurrent cardiac events in patients post-acute coronary syndrome?
Home-based care, incorporating lifestyle modifications and virtual care, is a crucial strategy for secondary prevention and recovery in post-ACS patients.
Answers are grounded in this paper and cite their sources.
Home-based post-ACS pathways may help address access barriers after PCI/CABG; leaves open trials of workbooks before any practice change.
Acute coronary syndrome (ACS) is a significant global cause of death and a leading contributor to morbidity and mortality in India. The ACS is commonly associated with coronary artery disease (CAD) and includes conditions such as unstable angina, non-ST elevation myocardial infarction, and ST-elevation myocardial infarction. Effective management of ACS involves pharmacological therapies, surgical interventions, and lifestyle modifications to enhance recovery and prevent recurrence. Care after hospital discharge is crucial for patients with percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG), requiring support from a healthcare team, medication adherence, and lifestyle modification. This phase poses a higher risk of recurrent cardiac events, making secondary prevention measures such as regular monitoring, medication, and lifestyle changes essential for successful recovery. Therefore, this review focused on the importance of post-ACS home-based care for preventing recurrent cardiac events, enhancing recovery, and improving the quality of life (QoL). The importance of home-based care has recently been emphasized as a key approach to managing heart disease. Home-based care, including physical activity, diet management, virtual care, and patients’ education, is vital for long-term recovery, addressing barriers to facility-based care. Challenges in implementing home-based care include accessibility, economic constraints, and infrastructure limitations, which can be mitigated by adopting insurance coverage, regulatory improvements, and modern technology. To overcome the home-based care challenges, the care pathway and workbook provide crucial guidance for patients transitioning from hospital to home post-PCI and CABG.
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Kerkar et al. (2025) studied this question.
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