Self-monitoring patterns after acute coronary syndrome: behavioural markers for secondary prevention
Authors' conclusion
RM adherence patterns are reproducible and clinically meaningful after ACS, with potential value as behavioural markers for risk stratification and targeted support in secondary prevention.
Study context
- Population
- Patients enrolled in a post-ACS remote monitoring programme at a tertiary centre
- Participants
- 1,181 patients
- Exposure
- Remote monitoring (RM) adherence patterns; enrolment before vs after MSC-supported care
- Outcome
- RM adherence patterns (time-series k-means clustering of weekly use of 3 home-monitoring devices)
- Follow-up
- 12 months
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
After MSC implementation, distribution shifted toward more favourable patterns, with more loyally persisting patients
p < 0.001
Observational data: associations, not effects.
Further findings
Cardiometabolic profile and target attainment
- Loyally persisting: more favourable cardiometabolic profiles and greater improvement over time for body mass index (BMI), triglycerides and LDL-C target attainment
Clinical events
- No significant difference between patterns; directional trends favoured loyally persisting
Original publication
Self-monitoring patterns after acute coronary syndrome: behavioural markers for secondary prevention. Eur J Prev Cardiol. Published 9 September 2026. doi:10. 1093/ eurjpc/ zwag486
Summarised from the published abstract; every number is checked against it