IMR Press / RCM / Volume 23 / Issue 6 / DOI: 10.31083/j.rcm2306210
Open Access Review
Secondary Prevention after Myocardial Infarction: What to Do and Where to Do It
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1 2nd Department of Medicine - Department of Cardiovascular Medicine, General University Hospital in Prague, First Faculty of Medicine, Charles University, 12808 Prague, Czech Republic
*Correspondence: (Vladimír Tuka)
Academic Editors: Kazuhiro P. Izawa and Peter H. Brubaker
Rev. Cardiovasc. Med. 2022, 23(6), 210;
Submitted: 25 February 2022 | Revised: 6 May 2022 | Accepted: 11 May 2022 | Published: 8 June 2022
(This article belongs to the Special Issue Cardiac rehabilitation)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.

Acute myocardial infarction is a manifestation of atherosclerosis which may be fatal. In-hospital and short-term mortality rates after an acute myocardial infarction have declined in the past few decades. However, although long-term mortality has decreased, it remains unacceptably high. This review paper summarises the non-pharmacological interventions (smoking cessation, physical activity, nutrition, and psychosocial intervention) and pharmacological approaches (antiplatelet and lipid-lowering therapy, renin-angiotensin-aldosterone system inhibitors, beta-blockers, and glucose-lowering drugs) to secondary prevention after a myocardial infarction. The provision of secondary prevention services is established through cardiac rehabilitation, which consists of several discussed components. Finally, we discuss the quality indicators for long-term care after an acute myocardial infarction.

cardiovascular rehabilitation
myocardial infarction
secondary prevention
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