The abstract is read at the publisher; the summary is JClub's.
In 2057 post-hospitalization acute coronary syndrome patients, a nurse-coordinated prevention program reduced long-term MACE versus standard care (16.2% vs 22.6%; HR 0.70).
- Why it matters: Long-term evidence for nurse-led cardiovascular risk management after ACS has been limited, leaving uncertainty about whether such programs improve outcomes beyond usual hospital practice.
- What they did: In a pragmatic randomized multicentre trial, patients received either nine nurse-led education and counselling sessions over four years or standard hospital care, with MACE as the primary endpoint.
- The result: The nurse-coordinated program significantly lowered MACE, mainly by reducing non-fatal myocardial infarction (9.3% vs 15.2%; HR 0.60), and improved exercise frequency, body weight control, and medication adherence.
The findingWhy it mattersWhat they didThe result
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