The prevention of future ischaemic events is a core part of the management of patients with coronary artery disease and is known to contribute to patient quality of life as well as longevity. The iASPIRE Study,1 published in Open Heart, demonstrates, as did the prior EUROASPIRE Surveys,2 that optimal, guideline-based targets for secondary prevention are frequently not met. Uniquely, it shows that how a patient presents, whether it be a stable chronic coronary syndrome (CCS) or an acute coronary syndrome (ACS), has a great deal of influence on whether these targets are met and, in addition, that the hospital that treats you also has an impact. While this multicentre, cross-sectional study was done in Ireland, it is highly probable that the findings are relevant to other nations with similar health systems. While the targets themselves have been refined over the years, the modifiable risk factors for the progression of coronary arteries are not in doubt. The European Society of Cardiology (ESC) suggests that patients with known cardiovascular disease live a healthy lifestyle with a diet low in saturated fat and rich in wholegrains, vegetables, fruit and fish and take at least …

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标准化空间：冠状动脉疾病的二级预防

预防未来的缺血事件是冠状动脉疾病患者管理的核心部分，众所周知，它有助于提高患者的生活质量和寿命。发表在 Open Heart 上的 iASPIRE 研究 1 与之前的 EUROASPIRE 调查 2 一样，表明二级预防的最佳、基于指南的目标经常没有达到。独特的是，它表明患者的表现，无论是稳定的慢性冠状动脉综合征 (CCS) 还是急性冠状动脉综合征 (ACS)，对是否达到这些目标有很大影响，此外，医院那对待你也有影响。虽然这项多中心、横断面研究是在爱尔兰完成的，但研究结果很可能与其他具有类似卫生系统的国家相关。虽然这些目标本身多年来一直在改进，但冠状动脉进展的可改变风险因素是毋庸置疑的。欧洲心脏病学会 (ESC) 建议，患有已知心血管疾病的患者过着健康的生活方式，饮食饱和脂肪含量低，富含全麦、蔬菜、水果和鱼类，并且至少……