How to optimize the adherence to a guideline-directed medical therapy in the secondary prevention of cardiovascular diseases: a clinical consensus statement from the European Association of Preventive Cardiology

Author:

Pedretti Roberto F E1ORCID,Hansen Dominique23ORCID,Ambrosetti Marco4,Back Maria56,Berger Thomas7,Ferreira Mariana Cordeiro8,Cornelissen Véronique9,Davos Constantinos H10,Doehner Wolfram11121314ORCID,de Pablo y Zarzosa Carmen15,Frederix Ines161718ORCID,Greco Andrea19,Kurpas Donata20,Michal Matthias2122,Osto Elena23ORCID,Pedersen Susanne S2425,Salvador Rita Esmeralda26,Simonenko Maria27ORCID,Steca Patrizia28,Thompson David R29,Wilhelm Matthias30,Abreu Ana31

Affiliation:

1. Cardiovascular Department, IRCCS MultiMedica , Sesto San Giovanni, Milano , Italy

2. REVAL/BIOMED, Hasselt University , Hasselt , Belgium

3. Heart Centre Hasselt, Jessa Hospital , Hasselt , Belgium

4. Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital , Rivolta D’Adda , Italy

5. Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg , Goteborg , Sweden

6. Department of Health, Medicine and Caring Sciences, Linköping University , Linkoping , Sweden

7. Cardiomed Linz, St.John of God Hospital Linz , Linz , Austria

8. Psychologist, Centro de Reabilitação Cardiovascular do Centro Universitário Hospitalar Lisboa Norte , Portugal

9. Department of Rehabilitation Sciences, KU Leuven , Leuven , Belgium

10. Cardiovascular Research Laboratory, Biomedical Research Foundation, Academy of Athens , Athens , Greece

11. BIH Center for Regenerative Therapies (BCRT), Berlin Institute of Health at Charité - Universitätsmedizin Berlin , Berlin , Germany

12. Department of Cardiology (Virchow Klinikum), Charité Universitätsmedizin Berlin and German , Berlin , Germany

13. Centre for Cardiovascular Research (DZHK), partner site Berlin , Berlin , Germany

14. Center for Stroke Research Berlin, Charité-Universitätsmedizin Berlin , Berlin , Germany

15. Department of Cardiology, University Hospital Ramón y Cajal , Madrid , Spain

16. Heart Centre Hasselt, Jessa Hospital Hasselt Belgium, Hasselt University , Hasselt , Belgium

17. Faculty of Medicine and Life Sciences Diepenbeek Belgium, University of Antwerp , Antwerp , Belgium

18. Faculty of Medicine and Health Sciences Antwerp Belgium, Antwerp University Hospital , Edegem , Belgium

19. Department of Human and Social Sciences, University of Bergamo , Bergamo , Italy

20. Department of Family Medicine, Wroclaw Medical University , Wroclaw , Poland

21. Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz , Mainz , Germany

22. German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main , Mainz , Germany

23. Institute of Clinical Chemistry & Department of Cardiology, Heart Center, University & University Hospital Zurich , Zurich , Switzerland

24. Department of Psychology, University of Southern Denmark , Odense , Denmark

25. Department of Cardiology, Odense University Hospital , Odense , Denmark

26. Vienna , Austria

27. Heart Transplantation Outpatient Department, Cardiopulmonary Exercise Test Research Department, Almazov National Medical Research Centre , St. Petersburg , Russia

28. Department of Psychology, University of Milan-Bicocca , Milano , Italy

29. School of Nursing and Midwifery, Queen’s University Belfast , Belfast , UK

30. Department of Cardiology, Bern University Hospital, University of Bern , Bern , Switzerland

31. Department of Cardiology of Hospital Santa Maria, Centro Hospitalar Universitário Lisboa Norte, Institute of Preventive Medicine and Institute of Environmental Health of the Faculty of Medicine of University of Lisbon, Centre of Cardiovascular Investigation of University of Lisbon (CCUL) and Academic Centre of Medicine of University of Lisbon (CAML) , Lisbon , Portugal

Abstract

Abstract A key factor to successful secondary prevention of cardiovascular disease (CVD) is optimal patient adherence to treatment. However, unsatisfactory rates of adherence to treatment for CVD risk factors and CVD have been observed consistently over the last few decades. Hence, achieving optimal adherence to lifestyle measures and guideline-directed medical therapy in secondary prevention and rehabilitation is a great challenge to many healthcare professionals. Therefore, in this European Association of Preventive Cardiology clinical consensus document, a modern reappraisal of the adherence to optimal treatment is provided, together with simple, practical, and feasible suggestions to achieve this goal in the clinical setting, focusing on evidence-based concepts.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Epidemiology

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