Text messages to promote secondary prevention after acute coronary syndrome (impacs trial)
| dc.creator | Luiz Guilhermepassaglia | |
| dc.creator | Luisa Campos Caldeira Brant | |
| dc.creator | José Luiz Padilha da Silva | |
| dc.creator | Bruno Ramos Nascimento | |
| dc.creator | Antonio Luiz Pinho Ribeiro | |
| dc.date.accessioned | 2024-01-09T19:31:08Z | |
| dc.date.accessioned | 2025-09-09T00:48:18Z | |
| dc.date.available | 2024-01-09T19:31:08Z | |
| dc.date.issued | 2021 | |
| dc.format.mimetype | ||
| dc.identifier.doi | 10.36660/ijcs.20200378 | |
| dc.identifier.issn | 23594802 | |
| dc.identifier.uri | https://hdl.handle.net/1843/62521 | |
| dc.language | eng | |
| dc.publisher | Universidade Federal de Minas Gerais | |
| dc.relation.ispartof | International Journal of Cardiovascular Sciences | |
| dc.rights | Acesso Aberto | |
| dc.subject | Acute Coronary Syndrome | |
| dc.subject | Text Messaging | |
| dc.subject | Risk Factors | |
| dc.subject | Telemedicine. | |
| dc.subject.other | Acute Coronary Syndrome | |
| dc.subject.other | Text Messages | |
| dc.subject.other | Risk Factors | |
| dc.subject.other | Telemedicine. | |
| dc.title | Text messages to promote secondary prevention after acute coronary syndrome (impacs trial) | |
| dc.type | Artigo de periódico | |
| local.citation.epage | 213 | |
| local.citation.issue | 2 | |
| local.citation.spage | 202 | |
| local.citation.volume | 35 | |
| local.description.resumo | Background: Short message service (SMS) to promote healthcare improves the control of cardiovascular risk factors, but there is a lack of evidence in low and middle-income countries, particularly after acute coronary syndromes (ACS). Objective: This study aims to evaluate whether the use of SMS increases risk factor control after hospital discharge for ACS. Methods: IMPACS is a 2-arm randomized trial with 180 patients hospitalized due to ACS at a tertiary hospital in Brazil. Eligible patients were randomized (1:1) to an SMS intervention (G1) or standard care (G2) upon hospital discharge. The primary endpoint was set to achieve 4 or 5 points in a risk factor control score, consisting of a cluster of 5 modifiable risk factors: LDL-C <70mg/dL, blood pressure (BP) <140/90mmHg, regular exercise (≥5 days/week, 30 minutes/session), nonsmoker status, and body mass index (BMI) <25 kg/m2] at 6 months. Secondary outcomes were components of the primary outcome plus rehospitalization, cardiovascular death, and death from any cause. Results are designated as significant if p<0.05.Results: From randomized patients, 147 were included in the final analysis. Mean age was 58 (51–64) years, 74% males. The primary outcome was achieved by 12 (16.2%) patients in G1 and 15 (20.8%) in G2 (OR=0.73, 95%CI 0.32–1.70, p=0.47). Secondary outcomes were also similar: LDL-C<70 mg/dl (p=0.33), BP<140/90 mmHg (p=0.32), non-smoker(p=0.74), regular exercise (p=0.97), BMI (p=0.71), and rehospitalization (p=0.06). Death from any cause occurred in three participants (2%), including one cardiovascular death in each group.Conclusion: SMS intervention did not significantly improve cardiovascular risk factor control when compared to standard care in patients discharged after ACS in Brazil. | |
| local.publisher.country | Brasil | |
| local.publisher.department | MED - DEPARTAMENTO DE CLÍNICA MÉDICA | |
| local.publisher.initials | UFMG | |
| local.url.externa | https://doi.org/10.36660/ijcs.20200378 |