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Smoking cessation

Healthy diet

Regular exercise

Healthy weight

Support healthy lifestyle choices Continue optimal pharmacological  and cardio-protective treatment Reach and sustain risk factor treatment targets

Discharge on cardioprotective medications, start lifestyle management and refer to cardiac rehab Arrange OPD review to

manage comorbidities and discuss patient goals

and preferences

1 2 3

Psychosocial management Antithrombotic

therapy

Lipid-lowering

therapy

Annual influenza

vaccination

Long term treatment after ACS

Treatment goals

Promote drug adherence and

persistence + other treatments as appropriatea Systolic BP <130 mmHg and diastolic BP <80 mmHg

(if tolerated)b

LDL-C <1.4 mmol/L

(<55 mg/dL)

HbA1c <53 mmol/mol

(<7%)c

Figure 17 Long-term management after acute coronary syndrome. ACS, acute coronary syndrome; HbA1c, glycosylated haemoglobin; LDL-C, lowdensity lipoprotein cholesterol; OPD, outpatient department. aSee Recommendation Table 16 for other pharmacological treatments after ACS. bFor patients ≥70 years of age the systolic target should be <140 mmHg and down to 130 mmHg if tolerated.646 cFor patients with diabetes mellitus. Downloaded from academic.oup.com/eurheartj/article/44/38/3720/7243210 by guest on 07 October 2026