Why the study?
Early, structured ambulatory follow-up after hospitalization for acute cardiac events remains a key unmet need in cardiovascular care, requiring pragmatic, condition-specific guidance on the vulnerable transition from hospital to home.
Provides pragmatic, condition-specific clinical consensus guidance on designing structured, individualized, and scalable early ambulatory follow-up pathways for patients transitioning from an acute cardiac care unit to home.
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Supports implementation of structured post-acute cardiac follow-up; extends consensus by specifying components while highlighting gaps for future trials.
Early, structured ambulatory follow-up after hospitalization for acute cardiac events remains a key unmet need in cardiovascular care. This clinical consensus statement of the Association for Acute CardioVascular Care of the ESC provides pragmatic, condition-specific guidance on post discharge management and (early) ambulatory re-evaluation for patients admitted to an acute cardiac care unit. It complements existing disease-oriented guidelines by focusing on the vulnerable transition from hospital to home rather than on acute in-hospital treatment. The document first defines key concepts and outlines general principles regarding timing, content, and organization of the first post-discharge contacts, including risk stratification, medication reconciliation, symptom assessment, evaluation of psychosocial status and comorbidities, patient and family education, and integration of cardiac rehabilitation. In practice, the consensus statement discusses the patient’s path after discharge: how should the follow-up team look like, when should the first and subsequent visits be planned, what should be done at each contact, and how can multidisciplinary teams and hybrid (in-person plus remote) models be implemented according to local resources. Supplementary material highlights major evidence gaps, including the optimal timing and intensity of follow-up, the composition of ambulatory teams, the role of telemonitoring and digital health, and the needs of vulnerable populations. Overall, this consensus aims to support clinicians in designing structured, individualized, and scalable ambulatory pathways after acute cardiac care.
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Roubille et al. (2026) studied Patients discharged after admission to an acute cardiac care unit for acute cardiac events (acute coronary syndromes, heart failure, ventricular arrhythmias, atrial arrhythmias, conductance disorders, myocarditis, pericarditis, or other acute cardiac settings). Early structured ambulatory re-evaluation and follow-up pathway was evaluated. Early structured ambulatory follow-up consensus guidance outlines timing, content, and multidisciplinary team organization for patients discharged from acute cardiac care units.
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