TAMIS Consensus on Multidisciplinary Team Care in Post-Acute Stage of Acute Coronary Syndrome: Nutrition, Pharmacotherapy, and Cardiac Rehabilitation.

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.