Open AccessA Checklist Approach for Enhanced Outpatient Guideline-Directed Management in the Secondary Prevention of Atherosclerotic Cardiovascular Disease
Author(s) -
Mohamad B. Taha,
Eleonora Avenatti,
Daniel S Li,
Tirhas Ohonba,
Miguel Caínzos-Achirica,
Kershaw V. Patel,
Khurram Nasir
Publication year - 2021
Publication title -
methodist debakey cardiovascular journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.552
H-Index - 23
eISSN - 1947-6094
pISSN - 1947-6108
DOI - 10.14797/mdcvj.907
Subject(s) - medicine , guideline , checklist , atherosclerotic cardiovascular disease , intensive care medicine , disease management , point of care , secondary prevention , disease , medline , clinical trial , ambulatory care , family medicine , health care , nursing , pathology , psychology , parkinson's disease , political science , law , economics , cognitive psychology , economic growth
Compelling results from clinical trials supporting intensive risk-reduction therapies to reduce associated morbidity and mortality in patients with established atherosclerotic cardiovascular disease (ASCVD) provided the impetus for medical societies to integrate these evidence-based results into clinical practice guidelines. Current evidence, however, points toward gaps in the management of patients with established ASCVD. Some of these gaps are related to barriers to guideline implementation, and strategies are needed to overcome these barriers. In this review, we propose a framework incorporating comprehensive tools for enhanced guideline-directed management in secondary prevention of ASCVD. This aid includes a 13-point checklist with supporting educational and system-based tools for effective evidence-based pharmacological and nonpharmacological care. This proposed tool targets primary care providers and cardiologists in the outpatient setting who provide direct medical care for patients with established ASCVD.