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Published Online First: 20 May 2009. doi:10.1136/hrt.2009.166595
Heart 2009;95:1382-1384
Copyright © 2009 BMJ Publishing Group Ltd & British Cardiovascular Society

Editorial

Risk factor management after acute coronary syndromes

Chiara Melloni, L Kristin Newby

Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA

Correspondence to Dr L K Newby, Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715-7969, USA; newby001@mc.duke.edu

The first 150 words of the full text of this article appear below.

Considerable resources in most healthcare systems and hospitals are devoted to measuring, improving and ensuring quality of care. In no other disease area is this a more prominent focal point than in cardiovascular disease. Randomised clinical trials have clearly proven benefits from a number of treatments for patients presenting with acute coronary syndromes, and their results are the foundation of guideline recommendations world wide.12345 These recommended treatments range from inexpensive, non-invasive and relatively low-risk interventions, such as the use of aspirin, to more invasive and/or higher-risk interventions like coronary angiography and revascularisation.

Over the past decade, recognition of the presence of a wide gap between the quality of the care delivered and the quality of the care recommended has led to the development of performance measures and the institution of quality improvement programmes that could document clinically relevant quality indicators in the treatment of patients with ST-segment elevation and non-ST-segment . . . [Full text of this article]


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