Acute coronary syndrome (ACS) is a life-threatening condition, with ACS-associated morbidity and mortality causing substantial human and economic challenges to the individual and health services. Due to shared disease determinants, those with ACS have a high risk of comorbid Type 2 diabetes mellitus (T2DM). Despite this, the two conditions are managed separately, duplicating workload for staff and increasing the number of appointments and complexity of patient management plans. This rapid review compared current ACS and T2DM guidelines across Australia, Canada, Europe, Ireland, New Zealand, the UK, and the USA. Results highlighted service overlap, repetition, and opportunities for integrated practice for ACS-T2DM lifestyle management across diet and nutrition, physical activity, weight management, clinical and psychological health. Recommendations are made for potential integration of ACS-T2DM service provision to streamline care and reduce siloed care in the context of the health services for ACS-T2DM and similar comorbid conditions.
Keyphrases
- acute coronary syndrome
- physical activity
- healthcare
- percutaneous coronary intervention
- antiplatelet therapy
- glycemic control
- weight loss
- mental health
- palliative care
- metabolic syndrome
- cardiovascular disease
- body mass index
- type diabetes
- primary care
- endothelial cells
- quality improvement
- public health
- case report
- social media
- skeletal muscle
- health promotion
- induced pluripotent stem cells
- health information