Patient discussions

Your Organisational Guidance

ebpracticenet urges you to prioritise the following organisational guidance:

Behandeling acuut coronair syndroom in een urgente situatie (in afwachting van hospitalisatie)Published by: Werkgroep Ontwikkeling Richtlijnen Eerste Lijn (Worel)Last published: 2022La prise en charge du syndrome coronarien aigu (SCA) en situation d'urgence (en attente d'hospilatisation)Published by: Groupe de Travail Développement de recommmandations de première ligneLast published: 2022

Patients should schedule a follow-up appointment with their doctor in 1 to 2 weeks. Patients should be given prescriptions and detailed discharge instructions including a list of medicines to take (e.g., dual antiplatelet therapy, ACE inhibitor, beta-blocker, statin). These instructions should inform the patient what to do if they experience any recurrent signs or symptoms and should include restrictions on physical activity. Before discharge, patients should also receive instruction and prescriptions for any additional testing that is needed by the physician. If one is available, patients should enter a cardiac rehabilitation programme. Cardiac rehabilitation is a structured programme that provides myocardial infarction survivors with the tools, motivation, and support needed to change behaviour and increase chance of survival.[139]​ Typically, cardiac rehabilitation programmes use group therapy to supervise and promote beneficial exercise, as well as to provide emotional support.

Patients should return to the nearest accident and emergency department or call their physician if they develop recurring chest pain or discomfort, shortness of breath, sweating, gastrointestinal symptoms, lightheadedness, palpitations, or other symptoms suggesting another myocardial infarction or heart condition.

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