Latin-American guidelines of recommendations at discharge from an acute coronary syndrome

Carlos I. Ponte-Negretti, Instituto Medico la Floresta, Caracas, Venezuela
Ezequiel J. Zaidel, Facultad de Medicina, Universidad de Buenos Aires, Argentina
Ricardo López-Santi, Sociedad Interamericana de Cardiología, Mexico City, Mexico
Ana Múnera-Echeverri, Department of Cardiology, Clínica Rosario-Cardioestudio, Medellín, Colombia
Alfonso Bryce, Cardiogolf, Clínica El Golf, Lima, Perú
Sandra Negrón, Clínica Delgado, Lima, Perú
Jessica Espinoza, Instituto Nacional Cardiovascular (INCOR), Lima, Perú
Juan C. Gaibor, Hospital Metropolitano, Quito, Ecuador
Yedid Valcárcel, Hospital Metropolitano, Quito, Ecuador
Cintia De Antonio, Comité de Prevención Cardiovascular de la Sociedad Interamericana de Cardiología, Mendoza, Argentina
Jorge Juárez-Lloclla, Department of Cardiology, Hospital de la Amistad Perú-Corea, Santa Rosa II-2, Piura, Peru
Adriana Puente-Barragán, Centro Medico Nacional XX de Noviembre, Ciudad de México, México
Vladimir E. Ullauri-Solórzano, Hospital Metropolitano, Quito, Ecuador
Franklin E. Cueva-Torres, CARDIOFE, Centro Cardiovascular, Loja, Ecuador
Patricia Nuriulú, Department of Cardiology, Instituto Cardiovascular de Hidalgo, Pachuca, Hgo., Mexico
Salvador V. Spina, Department of Cardiology, Hospital Aeronáutico Central, Buenos Aires, Argentina
Heidy L. Veitía, Clínica Santa Sofía, Caracas, Venezuela
Marco Alcocer-Gamba, Arritmias y Mesa directiva, Sociedad Mexicana de Cardiología (SMC), Ciudad de México, México
Jean P. Carrión-Arcela, Hospital Luis Heysen Incháustegui, Chiclayo, Perú
Ricardo A. Villarreal, Sanatorio Güemes, Buenos Aires, Argentina
Araceli Martínez-Cervantes, Centro de Estudios Clínicos de Querétaro, Santiago de Querétaro, Querétaro, México
Marco Rodas-Díaz, Unidad de Cirugía Cardiovascular UNICAR, Ciudad de Guatemala, Guatemala
Beatriz Domínguez-Méndez, Centro Médico, Hospital Herrera Llerandi, Tecnsiscan, Guatemala
Fernando Wyss, Servicios y Tecnología Cardiovascular de Guatemala-CARDIOSOLUTIONS, Guatemala
Daniel Piskorz, Institute of Cardiology, Sanatorio Británico SA, Santa Fe, Rosario, Argentina
Gonzalo E. Pérez, Clínica Olivos, Buenos Aires, Argentina
Cristhian E. Scatularo, Servicio de Cardiología, Sanatorio Trinidad de Palermo, Buenos Aires, Argentina
Carlos E. Peñaherrera-Patiño, Hospital Luis Vernaza, Guayaquil, Ecuador
Osiris Valdez, Hospital Central de la Romana, La Romana, Republica Dominicana
María I. Sosa-Liprandi, Sanatorio Güemes, Buenos Aires, Argentina
Lucrecia M. Burgos, Heart Failure, Pulmonary Hypertension, and Transplant Service, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina
Gabriela Borrayo-Sánchez, Instituto Mexicano del Seguro Social, México
Mónica Acevedo-Blanco, Facultad de Medicina, Pontificia Universidad Católica de Chile, Región Metropolitana, Chile
Juan P. Costabel, Departamento de Cardiología, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina
Miguel Quintana, Instituto Cardiovascular y Respiratorio LW Randall, Asunción, Paraguay
Juan J. Amaro-Alcalá, Hospital Dr. Domingo Luciani, Caracas, Venezuela
Jorge A. Rivera-Pineda, Hospital Roosevelt, Ciudad de Guatemala, Guatemala
Paola Varleta, Centro Cardiovascular Hospital Dipreca, Santiago de Chile, Chile
Joffre Lara-Terán, Hospital Juan Tanca Marengo, Guayaquil, Ecuador
M García-Saldivia, Mexican Society for Heart Care (SOMECCOR), Emeritus Fellow; Mexican Society of Cardiology (SMC), Fellow
H Ilarraza-Lomelí, Mexican Society for Heart Care (SOMECCOR), Emeritus Fellow; Mexican Society of Cardiology (SMC), Honorary Fellow
Karina González-Carta, Clínica Mayo, Rochester, Minnesota, Estados Unidos de América
Carlos González-Juanatey, Department of Cardiology, Hospital Universitario Lucus Augusti (HULA), Lugo, Spain
Iván Mendoza, Instituto de Medicina Tropical, Universidad Central, Caracas, Venezuela
Adrian Baranchuk, Kingston Health Sciences Centre, Queens University, Kingston, Canadá
Luis Alcocer-B., Instituto Mexicano de Salud Cardiovascular Ciudad de Mexico, Mexico

The diagnostic criteria, treatments at the time of admission, and drugs used in patients with acute coronary syndrome are well defined in countless guidelines. However, there is uncertainty about the measures to recommend during patient discharge planning. This document brings together the most recent evidence and the standardized and optimal treatment for patients at the time of discharge from hospitalization for an acute coronary syndrome, for comprehensive and safe care in the patient’s transition between care from the acute event to the outpatient care, with the aim of optimizing the recovery of viable myocardium, guaranteeing the most appropriate secondary prevention, reducing the risk of a new coronary event and mortality, as well as the adequate reintegration of patients into daily life.

Keywords: Acute coronary syndrome. Myocardial infarction. Unstable angina. Cardiac rehabilitation. Practice guidelines.