Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery

Massimo F Piepoli; Ugo Corrà; Stamatis Adamopoulos; Werner Benzer; Birna Bjarnason-Wehrens; Margaret Cupples; Paul Dendale; Patrick Doherty; Dan Gaita; Stefan Höfer; Hannah McGee; Miguel Mendes; Josef Niebauer; Nana Pogosova; Esteban Garcia-Porrero; Bernhard Rauch; Jean Paul Schmid; Pantaleo Giannuzzi

doi:10.1177/2047487312449597

Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery

Massimo F Piepoli, Ugo Corrà, Stamatis Adamopoulos, Werner Benzer, Birna Bjarnason-Wehrens, Margaret Cupples, Paul Dendale, Patrick Doherty, Dan Gaita, Stefan Höfer, Hannah McGee, Miguel Mendes, Josef Niebauer, Nana Pogosova, Esteban Garcia-Porrero, Bernhard Rauch, Jean Paul Schmid, Pantaleo Giannuzzi

Health Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic burden both in western and developing countries, in which this burden is increasing in close correlation to economic growth. Health authorities and the general population have started to recognize that the fight against these diseases can only be won if their burden is faced by increasing our investment on interventions in lifestyle changes and prevention. There is an overwhelming evidence of the efficacy of secondary prevention initiatives including cardiac rehabilitation in terms of reduction in morbidity and mortality. However, secondary prevention is still too poorly implemented in clinical practice, often only on selected populations and over a limited period of time. The development of systematic and full comprehensive preventive programmes is warranted, integrated in the organization of national health systems. Furthermore, systematic monitoring of the process of delivery and outcomes is a necessity. Cardiology and secondary prevention, including cardiac rehabilitation, have evolved almost independently of each other and although each makes a unique contribution it is now time to join forces under the banner of preventive cardiology and create a comprehensive model that optimizes long term outcomes for patients and reduces the future burden on health care services. These are the aims that the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation has foreseen to promote secondary preventive cardiology in clinical practice.

Original language	English
Pages (from-to)	664-681
Journal	European journal of preventive cardiology
Volume	21
Issue number	6
DOIs	https://doi.org/10.1177/2047487312449597
Publication status	Published - 20 Jun 2012

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Piepoli, M. F., Corrà, U., Adamopoulos, S., Benzer, W., Bjarnason-Wehrens, B., Cupples, M., Dendale, P., Doherty, P., Gaita, D., Höfer, S., McGee, H., Mendes, M., Niebauer, J., Pogosova, N., Garcia-Porrero, E., Rauch, B., Schmid, J. P., & Giannuzzi, P. (2012). Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery. European journal of preventive cardiology, 21(6), 664-681. https://doi.org/10.1177/2047487312449597

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title = "Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery",

abstract = "Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic burden both in western and developing countries, in which this burden is increasing in close correlation to economic growth. Health authorities and the general population have started to recognize that the fight against these diseases can only be won if their burden is faced by increasing our investment on interventions in lifestyle changes and prevention. There is an overwhelming evidence of the efficacy of secondary prevention initiatives including cardiac rehabilitation in terms of reduction in morbidity and mortality. However, secondary prevention is still too poorly implemented in clinical practice, often only on selected populations and over a limited period of time. The development of systematic and full comprehensive preventive programmes is warranted, integrated in the organization of national health systems. Furthermore, systematic monitoring of the process of delivery and outcomes is a necessity. Cardiology and secondary prevention, including cardiac rehabilitation, have evolved almost independently of each other and although each makes a unique contribution it is now time to join forces under the banner of preventive cardiology and create a comprehensive model that optimizes long term outcomes for patients and reduces the future burden on health care services. These are the aims that the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation has foreseen to promote secondary preventive cardiology in clinical practice.",

author = "Piepoli, {Massimo F} and Ugo Corr{\`a} and Stamatis Adamopoulos and Werner Benzer and Birna Bjarnason-Wehrens and Margaret Cupples and Paul Dendale and Patrick Doherty and Dan Gaita and Stefan H{\"o}fer and Hannah McGee and Miguel Mendes and Josef Niebauer and Nana Pogosova and Esteban Garcia-Porrero and Bernhard Rauch and Schmid, {Jean Paul} and Pantaleo Giannuzzi",

year = "2012",

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Piepoli, MF, Corrà, U, Adamopoulos, S, Benzer, W, Bjarnason-Wehrens, B, Cupples, M, Dendale, P, Doherty, P, Gaita, D, Höfer, S, McGee, H, Mendes, M, Niebauer, J, Pogosova, N, Garcia-Porrero, E, Rauch, B, Schmid, JP & Giannuzzi, P 2012, 'Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery', European journal of preventive cardiology, vol. 21, no. 6, pp. 664-681. https://doi.org/10.1177/2047487312449597

Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery. / Piepoli, Massimo F; Corrà, Ugo; Adamopoulos, Stamatis et al.
In: European journal of preventive cardiology, Vol. 21, No. 6, 20.06.2012, p. 664-681.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Secondary prevention in the clinical management of patients with cardiovascular diseases. Core components, standards and outcome measures for referral and delivery

AU - Piepoli, Massimo F

AU - Corrà, Ugo

AU - Adamopoulos, Stamatis

AU - Benzer, Werner

AU - Bjarnason-Wehrens, Birna

AU - Cupples, Margaret

AU - Dendale, Paul

AU - Doherty, Patrick

AU - Gaita, Dan

AU - Höfer, Stefan

AU - McGee, Hannah

AU - Mendes, Miguel

AU - Niebauer, Josef

AU - Pogosova, Nana

AU - Garcia-Porrero, Esteban

AU - Rauch, Bernhard

AU - Schmid, Jean Paul

AU - Giannuzzi, Pantaleo

PY - 2012/6/20

Y1 - 2012/6/20

N2 - Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic burden both in western and developing countries, in which this burden is increasing in close correlation to economic growth. Health authorities and the general population have started to recognize that the fight against these diseases can only be won if their burden is faced by increasing our investment on interventions in lifestyle changes and prevention. There is an overwhelming evidence of the efficacy of secondary prevention initiatives including cardiac rehabilitation in terms of reduction in morbidity and mortality. However, secondary prevention is still too poorly implemented in clinical practice, often only on selected populations and over a limited period of time. The development of systematic and full comprehensive preventive programmes is warranted, integrated in the organization of national health systems. Furthermore, systematic monitoring of the process of delivery and outcomes is a necessity. Cardiology and secondary prevention, including cardiac rehabilitation, have evolved almost independently of each other and although each makes a unique contribution it is now time to join forces under the banner of preventive cardiology and create a comprehensive model that optimizes long term outcomes for patients and reduces the future burden on health care services. These are the aims that the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation has foreseen to promote secondary preventive cardiology in clinical practice.

AB - Despite major improvements in diagnostics and interventional therapies, cardiovascular diseases remain a major health care and socio-economic burden both in western and developing countries, in which this burden is increasing in close correlation to economic growth. Health authorities and the general population have started to recognize that the fight against these diseases can only be won if their burden is faced by increasing our investment on interventions in lifestyle changes and prevention. There is an overwhelming evidence of the efficacy of secondary prevention initiatives including cardiac rehabilitation in terms of reduction in morbidity and mortality. However, secondary prevention is still too poorly implemented in clinical practice, often only on selected populations and over a limited period of time. The development of systematic and full comprehensive preventive programmes is warranted, integrated in the organization of national health systems. Furthermore, systematic monitoring of the process of delivery and outcomes is a necessity. Cardiology and secondary prevention, including cardiac rehabilitation, have evolved almost independently of each other and although each makes a unique contribution it is now time to join forces under the banner of preventive cardiology and create a comprehensive model that optimizes long term outcomes for patients and reduces the future burden on health care services. These are the aims that the Cardiac Rehabilitation Section of the European Association for Cardiovascular Prevention & Rehabilitation has foreseen to promote secondary preventive cardiology in clinical practice.

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DO - 10.1177/2047487312449597

M3 - Article

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SN - 2047-4881

VL - 21

SP - 664

EP - 681

JO - European journal of preventive cardiology

JF - European journal of preventive cardiology

IS - 6

ER -