Acta Cardiologica Sinica · 2026
TAMIS Consensus on Multidisciplinary Team Care in Post-Acute Stage of Acute Coronary Syndrome: Nutrition, Pharmacotherapy, and Cardiac Rehabilitation.
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Chao Ching-Ping, Chiu Chun-Chih, Lin Wei-Cheng, Chuang Hsin-Chiao, Hu Jia-Ying, Liu Li-Wei, Huang Chun-Yao, Wang Yu-Chen, Huang Wei-Chun, Lin Kolong, Su Hsiu-Yueh, Wu Yen-Wen
Аннотация
BACKGROUND: Post-acute care (PAC) following acute coronary syndrome (ACS) aims to reduce recurrent cardiovascular events, improve cardiac function, enhance quality of life, and lower mortality. Effective PAC requires a multidisciplinary team including cardiologists, nurses, dietitians, rehabilitation specialists, and psychologists to deliver individualized strategies.
OBJECTIVES: To summarize current evidence and provide consensus recommendations across three key domains of PAC: nutritional management, pharmacotherapy, and cardiac rehabilitation.
METHODS: This consensus was developed from 2024-2025 through expert discussions hosted by the Taiwan Myocardial Infarction Society (TAMIS) Expert Committee, based on a review of current scientific and clinical evidence.
RESULTS: Nutritional management emphasizes Mediterranean and DASH dietary patterns, restriction of saturated and trans fats, and weight control; evidence for most nutraceuticals remains limited. Pharmacotherapy focuses on guideline-directed medical therapy and adherence management, with pharmacist-provided education and follow-up shown to improve clinical outcomes. For cardiac rehabilitation, center-based programs have been shown to reduce rehospitalization, recurrent events, and mortality. Home-based models improve quality of life and accessibility with comparable functional benefits and no significant difference in short-term mortality compared to center-based care. Telerehabilitation also enhances functional recovery, though its specific effects on mortality and rehospitalization remain inconclusive.
CONCLUSIONS: Current evidence underscores that nutrition planning, pharmacist involvement, and structured rehabilitation are central to integrated PAC for ACS. Multidisciplinary collaboration is essential to optimize long-term outcomes and support patient recovery.
OBJECTIVES: To summarize current evidence and provide consensus recommendations across three key domains of PAC: nutritional management, pharmacotherapy, and cardiac rehabilitation.
METHODS: This consensus was developed from 2024-2025 through expert discussions hosted by the Taiwan Myocardial Infarction Society (TAMIS) Expert Committee, based on a review of current scientific and clinical evidence.
RESULTS: Nutritional management emphasizes Mediterranean and DASH dietary patterns, restriction of saturated and trans fats, and weight control; evidence for most nutraceuticals remains limited. Pharmacotherapy focuses on guideline-directed medical therapy and adherence management, with pharmacist-provided education and follow-up shown to improve clinical outcomes. For cardiac rehabilitation, center-based programs have been shown to reduce rehospitalization, recurrent events, and mortality. Home-based models improve quality of life and accessibility with comparable functional benefits and no significant difference in short-term mortality compared to center-based care. Telerehabilitation also enhances functional recovery, though its specific effects on mortality and rehospitalization remain inconclusive.
CONCLUSIONS: Current evidence underscores that nutrition planning, pharmacist involvement, and structured rehabilitation are central to integrated PAC for ACS. Multidisciplinary collaboration is essential to optimize long-term outcomes and support patient recovery.