Coronary disease & ACSCohort study

Self-monitoring patterns after acute coronary syndrome: behavioural markers for secondary prevention

Eur J Prev CardiolPublished

  • Retrospective cohort study
  • single-centre

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

Main finding

As reported in the abstract

RM adherence patterns (time-series k-means clustering of weekly use of 3 home-monitoring devices) · 12 months

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