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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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Minerva Cardioangiologica 2018 Feb 19

DOI: 10.23736/S0026-4725.18.04648-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Risk stratification in secondary cardiovascular prevention

Davide LAZZERONI 1, Paolo CORUZZI 2

1 IRCCS Fondazione Don C. Gnocchi, Milan, Italy; 2 Department of Medicine and Surgery, University of Parma, Parma, Italy


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Worldwide, more than 7 million people experience acute myocardial infarction (AMI) every year (1), and although substantial reduction in mortality has been obtained in recent decades, one-year mortality rates are still in the range of 10%. Among patients who survive AMI, 20% suffer a second cardiovascular event in the first year and approximately 50% of major coronary events occur in those with a previous hospital discharge diagnosis of AMI (2). Despite the evidence that lifestyle changes and risk factors management strongly improve long-term prognosis, preventive care post-AMI remains sub-optimal. Cross-sectional data from the serially conducted EUROASPIRE surveys in patients with established ischemic heart disease (IHD) and people at high cardiovascular risk have demonstrated a high prevalence of unhealthy lifestyle, modifiable risk factors and inadequate use of drug therapies to achieve blood pressure and lipid goals (3). Secondary prevention programmes, defined as the level of preventive care focusing on early risk stratification, are highly recommended in all IHD patients, to restore quality of life, maintain or improve functional capacity and prevent recurrence.


KEY WORDS: Acute myocardial infarction (AMI) - Ischemic heart disease (IHD) - Cardiovascular risk factors

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Publication History

Article first published online: February 19, 2018
Manuscript accepted: February 14, 2018
Manuscript received: February 13, 2018

Cite this article as

Lazzeroni D, Coruzzi P. Risk stratification in secondary cardiovascular prevention. Minerva Cardioangiol 2018 Feb 19. DOI: 10.23736/S0026-4725.18.04648-0

Corresponding author e-mail

paolo.coruzzi@unipr.it