Guided Optimisation of Long-term Disease rEduction in secoNdary Prevention of CVD
Guided Optimisation of Long-term Disease rEduction in secoNdary Prevention of CVD (GOLDEN). A Prospective Observational Study of Long-term Outcomes.
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
5,586 participants
Jul 9, 2024
OBSERVATIONAL
Conditions
Summary
The goal of this observational study is to evaluate the implementation of a 'first-time-right' pharmacological treatment strategy in patients hospitalized with coronary artery disease. The main question it aims to answer is: Does early (immediately post-event) initiation of a full set of guideline-based, individualized, preventive medication lead to reductions in cardiovascular events compared to current practice (incremental titration strategies)? Researchers will compare the 'first-time-right' strategy group to the current practice group to see if there are improvements in major adverse cardiac and cerebrovascular events (MACE) at 36 months. Participants will: * Receive either the 'first-time-right' strategy or current practice for secondary prevention. * Be monitored (data collection) through routine clinical visits at baseline, 8 weeks, 12, and additional telephone contacts at 24, and 36 months after discharge. * Complete online questionnaires at hospitalization, 8 weeks, 12, 24, and 36 months after discharge.
Eligibility
Inclusion Criteria3
- >18 years of age (no upper limit)
- Coronary event, i.e. ACS or coronary revascularisation
- Able to provide informed consent
Exclusion Criteria2
- (short-term planned) pregnancy or breast feeding
- Dialysis
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Interventions
No intervention, only guideline implementation (observational study)
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06637657