Revisiting October’s Insights: Acute Coronary Syndromes where we are and what is the future?

Marta Kałużna-Oleksy:    And what is the second very important thing in thinking about prevention after myocardial infarction, and where I see also a really differences between female and male patients, is rehabilitation. And if we observe the status, which shows us how rehabilitation looks, especially in the population with coronary artery disease, it means usually after myocardial infarction, we have very different protocols. It is impossible to compare these trials and to give one answer whether it works or not. We know that each physical activity works, but we don’t know if there are some differences and how a special personalized program for patients with acute myocardial infarction should look, especially if we try to find one solution for women and men; probably it does not work. And what do we know from these trials talking now about cardiac rehabilitation: the first problem is that the number of females attending cardiac rehabilitation is much lower than the number of men. If they are involved, they do much less exercise, their physical activity, also daily physical activity, is lower. We observed also a huge problem with achieving the weight; we know that especially in older women with coronary artery disease, we have a problem with obesity, with higher BMI in comparison with men. And it is also showing that the data regarding lipid management are also lacking or show that achieving the goal in females is much more difficult.