---
title: "Lifelong Roadmap After Acute Coronary Syndrome: ESC/EAPC Clinical Consensus"
id: "pubmed-42017832"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42017832"
content_type: "clinical_feed_article"
specialty: "Cardiology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42017832/"
doi: "10.1093/eurjpc/zwag236"
published_at: "2026-09-04T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Lifelong Roadmap After Acute Coronary Syndrome: ESC/EAPC Clinical Consensus
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42017832
- **Specialty:** [Cardiology](https://medichelpline.com/clinical-feed/cardiology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42017832/)
- **DOI:** [10.1093/eurjpc/zwag236](https://doi.org/10.1093%2Feurjpc%2Fzwag236)
- **Published At:** 2026-09-04T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- This record is a clinical consensus statement titled “Optimal lifelong roadmap post-acute coronary syndrome,” produced by the European Association of Preventive Cardiology (EAPC) of the European Society of Cardiology (ESC). - Publication: European Journal of Preventive Cardiology, 2026 Sep 4;33(11):1913–1939. DOI: 10.1093/eurjpc/zwag236. PubMed PMID: 42017832. The article is listed as a free article. - The statement is authored by a multi‑national group of clinicians and researchers (lead author Roberto F E Pedretti et al.) with affiliations across Europe, including Italy, Belgium, UK, Sweden, Norway, Spain, Switzerland, Greece, Poland and patient representatives from the ESC Patient Forum. - The document is classified as a Review and a clinical consensus statement originating from an ESC association (EAPC), indicating expert synthesis and guidance rather than novel primary trial data. - The title and metadata indicate the focus is on an **optimal lifelong roadmap** for patients after **acute coronary syndrome (ACS)**, and that the scope is preventive cardiology and long‑term care. - The PubMed page lists author affiliations and multiple contributors from cardiology departments, rehabilitation units, research institutes, and patient forums, reflecting multidisciplinary input. - The PubMed entry does not include the article abstract text or the detailed recommendations, pathways, algorithms, or specific interventions from the consensus; those full details are available in the linked full text source (journal site). - Because the PubMed source provided here contains only bibliographic and authorship metadata, specific clinical content, recommendations, risk stratification tools, follow‑up schedules, pharmacologic or nonpharmacologic interventions, and evidence grading are not reported in this source and cannot be reproduced. - For the full consensus guidance, clinical algorithms, and implementation details referenced by the title, clinicians should consult the full text linked via the DOI or the European Journal of Preventive Cardiology platform. - Key searchable identifiers to locate the full statement: article title, DOI 10.1093/eurjpc/zwag236, PubMed PMID 42017832, journal Eur J Prev Cardiol 2026;33(11):1913–1939. - The consensus document likely addresses secondary prevention and lifelong management after ACS given the title and issuing body (EAPC/ESC); however, specific recommendations and evidence cited are not available in the PubMed abstract entry provided here.
## Clinical Analysis & Structured Key Points
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Publication types MeSH terms Related information LinkOut - more resources Review Eur J Prev Cardiol Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Eur+J+Prev+Cardiol%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Eur+J+Prev+Cardiol%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42017832/) . 2026 Sep 4;33(11):1913-1939. doi: 10.1093/eurjpc/zwag236. # Optimal lifelong roadmap post-acute coronary syndrome: a clinical consensus statement of the European Association of Preventive Cardiology of the European Society of Cardiology [Roberto F E Pedretti](https://pubmed.ncbi.nlm.nih.gov/?term=Pedretti+RFE&cauthor_id=42017832)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-1 "School of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900 Monza \(MB\), Italy.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-2 "Cardiology Unit, Hospital of Erba, Via Fatebenefratelli, 20, Erba, CO 22036, Italy."), [Emeline M Van Craenenbroeck](https://pubmed.ncbi.nlm.nih.gov/?term=Van+Craenenbroeck+EM&cauthor_id=42017832)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-3 "Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium."), [Christiaan Vrints](https://pubmed.ncbi.nlm.nih.gov/?term=Vrints+C&cauthor_id=42017832)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-3 "Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium."), [Marco Ambrosetti](https://pubmed.ncbi.nlm.nih.gov/?term=Ambrosetti+M&cauthor_id=42017832)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-4 "Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta d'Adda, Italy."), [Donata Kurpas](https://pubmed.ncbi.nlm.nih.gov/?term=Kurpas+D&cauthor_id=42017832)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-5 "Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, Poland."), [Vassilios S Vassiliou](https://pubmed.ncbi.nlm.nih.gov/?term=Vassiliou+VS&cauthor_id=42017832)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-6 "Department of Metabolic Health, University of East Anglia, Norwich, UK.")[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-7 "Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UG, UK."), [Maria Bäck](https://pubmed.ncbi.nlm.nih.gov/?term=B%C3%A4ck+M&cauthor_id=42017832)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-8 "Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden."), [Trine Moholdt](https://pubmed.ncbi.nlm.nih.gov/?term=Moholdt+T&cauthor_id=42017832)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-9 "Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway."), [Alessandro Sionis](https://pubmed.ncbi.nlm.nih.gov/?term=Sionis+A&cauthor_id=42017832)[ 10 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-10 "Acute and Intensive Cardiac Care Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain."), [Matthias Wilhelm](https://pubmed.ncbi.nlm.nih.gov/?term=Wilhelm+M&cauthor_id=42017832)[ 11 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-11 "Department of Cardiology, Bern University Hospital, Inselspital, Bern, Switzerland."), [David Niederseer](https://pubmed.ncbi.nlm.nih.gov/?term=Niederseer+D&cauthor_id=42017832)[ 12 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-12 "Hochgebirgsklinik Davos, Medicine Campus Davos, Davos, Switzerland."), [Maria Antonopoulou](https://pubmed.ncbi.nlm.nih.gov/?term=Antonopoulou+M&cauthor_id=42017832)[ 13 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-13 "Spili Primary Care Centre, Regional Health System of Crete, Rethymno, Greece."), [Vassiliki Tsampasian](https://pubmed.ncbi.nlm.nih.gov/?term=Tsampasian+V&cauthor_id=42017832)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-7 "Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UG, UK.")[ 14 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-14 "Department of Medicine, Bob Champion Research and Education, Norwich Medical School, University of East Anglia, Norwich NR4 7UQ, UK."), [Paul Dendale](https://pubmed.ncbi.nlm.nih.gov/?term=Dendale+P&cauthor_id=42017832)[ 15 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-15 "Hasselt University, Heartcentre Hasselt, Jessa Hospital, Hasselt, Belgium."), [Patrizia Steca](https://pubmed.ncbi.nlm.nih.gov/?term=Steca+P&cauthor_id=42017832)[ 16 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-16 "Department of Psychology, University of Milano Bicocca, Milano, Italy."), [Irene Gibson](https://pubmed.ncbi.nlm.nih.gov/?term=Gibson+I&cauthor_id=42017832)[ 17 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-17 "National Institute for Prevention and Cardiovascular Health, Galway, Ireland."), [Paul McGreavy](https://pubmed.ncbi.nlm.nih.gov/?term=McGreavy+P&cauthor_id=42017832)[ 18 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-18 "ESC Patient Forum, UK."), [Julia Harris](https://pubmed.ncbi.nlm.nih.gov/?term=Harris+J&cauthor_id=42017832)[ 18 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-18 "ESC Patient Forum, UK."), [Constantinos H Davos](https://pubmed.ncbi.nlm.nih.gov/?term=Davos+CH&cauthor_id=42017832)[ 19 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#full-view-affiliation-19 "Cardiovascular Research Laboratory, Academy of Athens Biomedical Research Foundation, Athens, Greece.") Affiliations Expand ### Affiliations * 1 School of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900 Monza (MB), Italy. * 2 Cardiology Unit, Hospital of Erba, Via Fatebenefratelli, 20, Erba, CO 22036, Italy. * 3 Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium. * 4 Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta d'Adda, Italy. * 5 Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, Poland. * 6 Department of Metabolic Health, University of East Anglia, Norwich, UK. * 7 Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UG, UK. * 8 Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden. * 9 Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway. * 10 Acute and Intensive Cardiac Care Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. * 11 Department of Cardiology, Bern University Hospital, Inselspital, Bern, Switzerland. * 12 Hochgebirgsklinik Davos, Medicine Campus Davos, Davos, Switzerland. * 13 Spili Primary Care Centre, Regional Health System of Crete, Rethymno, Greece. * 14 Department of Medicine, Bob Champion Research and Education, Norwich Medical School, University of East Anglia, Norwich NR4 7UQ, UK. * 15 Hasselt University, Heartcentre Hasselt, Jessa Hospital, Hasselt, Belgium. * 16 Department of Psychology, University of Milano Bicocca, Milano, Italy. * 17 National Institute for Prevention and Cardiovascular Health, Galway, Ireland. * 18 ESC Patient Forum, UK. * 19 Cardiovascular Research Laboratory, Academy of Athens Biomedical Research Foundation, Athens, Greece. * PMID: **42017832** * DOI: [ 10.1093/eurjpc/zwag236 ](https://doi.org/10.1093/eurjpc/zwag236) Free article Item in Clipboard Review # Optimal lifelong roadmap post-acute coronary syndrome: a clinical consensus statement of the European Association of Preventive Cardiology of the European Society of Cardiology Roberto F E Pedretti et al. Eur J Prev Cardiol. 2026. Free article Show details Display options Display options Format Abstract PubMed PMID Eur J Prev Cardiol Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Eur+J+Prev+Cardiol%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Eur+J+Prev+Cardiol%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42017832/) . 2026 Sep 4;33(11):1913-1939. doi: 10.1093/eurjpc/zwag236. ### Authors [Roberto F E Pedretti](https://pubmed.ncbi.nlm.nih.gov/?term=Pedretti+RFE&cauthor_id=42017832)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-1 "School of Medicine and Surgery, University of Milano Bicocca, Via Cadore 48, 20900 Monza \(MB\), Italy.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-2 "Cardiology Unit, Hospital of Erba, Via Fatebenefratelli, 20, Erba, CO 22036, Italy."), [Emeline M Van Craenenbroeck](https://pubmed.ncbi.nlm.nih.gov/?term=Van+Craenenbroeck+EM&cauthor_id=42017832)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-3 "Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium."), [Christiaan Vrints](https://pubmed.ncbi.nlm.nih.gov/?term=Vrints+C&cauthor_id=42017832)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-3 "Department of Cardiology, Antwerp University Hospital, Antwerp, Belgium."), [Marco Ambrosetti](https://pubmed.ncbi.nlm.nih.gov/?term=Ambrosetti+M&cauthor_id=42017832)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-4 "Cardiovascular Rehabilitation Unit, ASST Crema, Santa Marta Hospital, Rivolta d'Adda, Italy."), [Donata Kurpas](https://pubmed.ncbi.nlm.nih.gov/?term=Kurpas+D&cauthor_id=42017832)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-5 "Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, Wroclaw, Poland."), [Vassilios S Vassiliou](https://pubmed.ncbi.nlm.nih.gov/?term=Vassiliou+VS&cauthor_id=42017832)[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-6 "Department of Metabolic Health, University of East Anglia, Norwich, UK.")[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-7 "Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UG, UK."), [Maria Bäck](https://pubmed.ncbi.nlm.nih.gov/?term=B%C3%A4ck+M&cauthor_id=42017832)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-8 "Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden."), [Trine Moholdt](https://pubmed.ncbi.nlm.nih.gov/?term=Moholdt+T&cauthor_id=42017832)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-9 "Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway."), [Alessandro Sionis](https://pubmed.ncbi.nlm.nih.gov/?term=Sionis+A&cauthor_id=42017832)[ 10 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-10 "Acute and Intensive Cardiac Care Unit, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain."), [Matthias Wilhelm](https://pubmed.ncbi.nlm.nih.gov/?term=Wilhelm+M&cauthor_id=42017832)[ 11 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-11 "Department of Cardiology, Bern University Hospital, Inselspital, Bern, Switzerland."), [David Niederseer](https://pubmed.ncbi.nlm.nih.gov/?term=Niederseer+D&cauthor_id=42017832)[ 12 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-12 "Hochgebirgsklinik Davos, Medicine Campus Davos, Davos, Switzerland."), [Maria Antonopoulou](https://pubmed.ncbi.nlm.nih.gov/?term=Antonopoulou+M&cauthor_id=42017832)[ 13 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-13 "Spili Primary Care Centre, Regional Health System of Crete, Rethymno, Greece."), [Vassiliki Tsampasian](https://pubmed.ncbi.nlm.nih.gov/?term=Tsampasian+V&cauthor_id=42017832)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-7 "Department of Cardiology, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UG, UK.")[ 14 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-14 "Department of Medicine, Bob Champion Research and Education, Norwich Medical School, University of East Anglia, Norwich NR4 7UQ, UK."), [Paul Dendale](https://pubmed.ncbi.nlm.nih.gov/?term=Dendale+P&cauthor_id=42017832)[ 15 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-15 "Hasselt University, Heartcentre Hasselt, Jessa Hospital, Hasselt, Belgium."), [Patrizia Steca](https://pubmed.ncbi.nlm.nih.gov/?term=Steca+P&cauthor_id=42017832)[ 16 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-16 "Department of Psychology, University of Milano Bicocca, Milano, Italy."), [Irene Gibson](https://pubmed.ncbi.nlm.nih.gov/?term=Gibson+I&cauthor_id=42017832)[ 17 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-17 "National Institute for Prevention and Cardiovascular Health, Galway, Ireland."), [Paul McGreavy](https://pubmed.ncbi.nlm.nih.gov/?term=McGreavy+P&cauthor_id=42017832)[ 18 ](https://pubmed.ncbi.nlm.nih.gov/42017832/#short-view-affiliation-18 "ESC Patient Forum, UK."), [Julia Harris](https://pubmed.ncbi.nlm.nih.gov/?term=Harris+J&cauthor_id=42017832)[ 18 ](https://pubmed.ncbi.nlm.nih.gov/42017832
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