Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) scientific statement on the simplification of the drug regimen for secondary cardiovascular prevention.

Cardiovascular prevention Cardiovascular risk Drug combinations Drug treatment Polypill Single pill combination Therapeutic adherence

Journal

European heart journal supplements : journal of the European Society of Cardiology
ISSN: 1520-765X
Titre abrégé: Eur Heart J Suppl
Pays: England
ID NLM: 100886647

Informations de publication

Date de publication:
Apr 2024
Historique:
medline: 24 5 2024
pubmed: 24 5 2024
entrez: 24 5 2024
Statut: epublish

Résumé

The issue of suboptimal drug regimen adherence in secondary cardiovascular prevention presents a significant barrier to improving patient outcomes. To address this, the utilization of drug combinations, specifically single pill combinations (SPCs) and polypills, was proposed as a strategy to simplify treatment regimens. This approach aims to enhance treatment accessibility, affordability, and adherence, thereby reducing healthcare costs and improving patient health. The document is an Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO) scientific statement on simplifying drug regimens for secondary cardiovascular prevention. It discusses the underuse of treatments despite available, effective, and accessible options, highlighting a significant gap in secondary prevention across different socio-economic statuses and countries. The statement explores barriers to implementing evidence-based treatments, including patient, healthcare provider, and system-related challenges. The paper also reviews international guidelines, the role of SPCs and polypills in clinical practice, and their economic impact, advocating for their use in secondary prevention to improve patient outcomes and adherence.

Identifiants

pubmed: 38784670
doi: 10.1093/eurheartjsupp/suae032
pii: suae032
pmc: PMC11110452
doi:

Types de publication

Journal Article

Langues

eng

Pagination

ii236-ii251

Informations de copyright

© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.

Déclaration de conflit d'intérêts

Conflict of interest: none declared.

Auteurs

Leonardo De Luca (L)

Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Viale Camillo Golgi 19, 27100 Pavia, Italy.

Stefania Angela Di Fusco (SA)

UOC Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri-ASL Roma 1, Rome, Italy.

Gianmarco Iannopollo (G)

UOC Cardiologia, Ospedale Maggiore, Bologna, Italy.

Raffaella Mistrulli (R)

Dipartimento di Medicina Clinica e Molecolare, Università degli studi di Roma La Sapienza, Rome, Italy.

Vittoria Rizzello (V)

UOC Cardiologia, Ospedale San Giovanni Addolorata, Rome, Italy.

Alberto Aimo (A)

UOC Cardiologia, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.

Alessandro Navazio (A)

SOC Cardiologia Ospedaliera, Presidio Ospedaliero Arcispedale Santa Maria Nuova, Azienda USL di Reggio Emilia-IRCCS, Reggio Emilia, Italy.

Claudio Bilato (C)

UOC Cardiologia, Ospedali dell'Ovest Vicentino, Azienda ULSS 8 Berica, Vicenza, Italy.

Marco Corda (M)

SC Cardiologia, Azienda Ospedaliera G. Brotzu, Cagliari, Italy.

Massimo Di Marco (M)

U.O.C. Cardiologia-UTIC, Ospedale Santo Spirito, Pescara, Italy.

Giovanna Geraci (G)

UOC Cardiologia, Ospedale Sant'Antonio Abate, Trapani, Italy.

Attilio Iacovoni (A)

SSD Chirurgia dei Trapianti e del Trattamento Chirurgico dello Scompenso, Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, Bergamo, Italy.

Massimo Milli (M)

Cardiologia Firenze 1 (Ospedali S. Maria Nuova e Nuovo San Giovanni di Dio), Azienda USL Toscana Centro, Firenze, Italy.

Vittorio Pascale (V)

UTIC-Emodinamica e Cardiologia Interventistica, Ospedale Civile Pugliese, Catanzaro, Italy.

Carmine Riccio (C)

U.O.S.D. Follow-up del Paziente Post-Acuto, Dipartimento Cardio-Vascolare, AORN Sant'Anna e San Sebastiano, Caserta, Italy.

Pietro Scicchitano (P)

U.O. Cardiologia-UTIC, Ospedale 'F. Perinei', Altamura, BA, Italy.

Emanuele Tizzani (E)

Dipartimento di Cardiologia, Ospedale degli Infermi, Rivoli, TO, Italy.

Domenico Gabrielli (D)

Dipartimento Cardio-Toraco-Vascolare, U.O.C. Cardiologia, Azienda Ospedaliera San Camillo Forlanini, Roma, Italy.

Massimo Grimaldi (M)

U.O.C. Cardiologia-UTIC, Ospedale Miulli, Acquaviva delle Fonti, BA, Italy.

Furio Colivicchi (F)

UOC Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri-ASL Roma 1, Rome, Italy.

Fabrizio Oliva (F)

Cardiologia 1-Emodinamica, Dipartimento Cardiotoracovascolare "A. De Gasperis", ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Classifications MeSH