Introduction: Cardiology Beyond Surgery Acute Myocardial Infarction (AMI) remains the leading cause of death in Brazil, and treatment complexity increases drastically when the patient has comorbidities. The true battle for life does not end in the operating room; it begins with risk management and continuous follow-up. Our work focuses on transforming clinical practice, using recent data to establish a roadmap of excellence led by Nursing.
Challenge 1: The Ineffective Struggle Against LDL Cholesterol Despite advances in therapies (such as statins and PCSK9 inhibitors), recent research indicates an alarming failure: the majority of post-AMI patients do not reach recommended LDL cholesterol targets. This points to a systemic failure requiring Nursing intervention.
- The Managerial Nursing Solution: We advocate for the implementation of Adherence Monitoring Protocols and Personalized Risk Screening. It is the nurse who is on the front lines to translate the complexity of guidelines into a manageable life plan, ensuring that treatment is not just prescribed, but rigorously followed.
Challenge 2: Integrating Care for Sustainable Results The prognosis of patients with AMI and comorbidities (such as diabetes and hypertension) requires a holistic approach that coordinates multiple professionals (physicians, nutritionists, physiotherapists).
- Leadership in Integrated Health: The nurse is the Case Manager, ensuring end-to-end coordination. Adopting integrated care models is not a luxury, but a strategic necessity to improve service efficiency, reduce hospital stays, and, fundamentally, reduce mortality rates.
Challenge 3: Combatting Inequalities in Treatment Access Brazil demonstrates significant variations in cardiovascular mortality, with less developed regions facing greater challenges. Prevention fails where access to information and services is limited.
- The Power of Health Education: The nurse is the primary educator, acting directly on public health strategies to increase awareness about modifiable risk factors (smoking, obesity). Our contribution focuses on bringing the science of institutional articles to the population, ensuring that prevention is accessible and relevant in all socioeconomic contexts.
Conclusion: Our work is at the forefront of cardiovascular health management. By applying science into practical care models and leading multidisciplinary coordination, we ensure that medical advancements translate into life outcomes for patients within the complex context of the Brazilian health system.
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