{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T18:02:41Z","timestamp":1789408961565,"version":"build-2803163510"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"Supplement_6","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cardiovascular diseases remain the leading cause of mortality globally and in Italy, with a growing burden exacerbated by ageing populations and underdeveloped strategies for managing chronic cardiovascular conditions. This position paper, resulting from the 2024 ANMCO General Assembly, addresses the current state of cardiovascular chronicity management in Italy, highlighting critical gaps and proposing sustainable, integrative solutions. Despite improvements in acute cardiovascular care, the lack of structured post-acute management, insufficient adoption of secondary prevention protocols, limited access to innovative therapies, and a slow digital transition continue to hinder effective chronic care. The document stresses the pivotal role of cardiologists, not only in acute intervention but also in long-term care and secondary prevention, emphasising the need for a multidisciplinary, multichannel healthcare model. The paper explores the potential of e-Health and artificial intelligence to revolutionize chronic disease management. It advocates for the widespread implementation of integrated care pathways, digital tools like electronic health records and telemedicine platforms, which together could enhance early detection, patient monitoring, and therapeutic adherence while reducing unnecessary hospitalisations. It also underscores the necessity of updating national and regional pharmaceutical policies to improve equitable access to disease-modifying therapies. Furthermore, the integration of palliative care in end-stage cardiovascular disease and the enhancement of post-acute care networks are deemed essential. Ultimately, the document advocates for a comprehensive systemic and cultural transformation spearheaded by scientific societies such as ANMCO, where technological innovation, organisational reform, and patient-centred care align to ensure a sustainable and universally accessible healthcare system. This vision is consistent with the objectives of the PNRR, the 2030 Agenda, and, most importantly, the foundational principles of the Italian Constitution.<\/jats:p>","DOI":"10.1093\/eurheartjsupp\/suag062","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:53:47Z","timestamp":1772628827000},"page":"vi272-vi285","source":"Crossref","is-referenced-by-count":0,"title":["ANMCO position paper: ANMCO general assembly 2024\u2014the role of the cardiologist in the management of cardiovascular chronicity"],"prefix":"10.1093","volume":"28","author":[{"given":"Simona","family":"Giubilato","sequence":"first","affiliation":[{"name":"U.O.C. di UTIC con Cardiologia ed Emodinamica, AOE Cannizzaro , Catania via Messina, 829 Catania (CT) 95126, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0471-0053","authenticated-orcid":false,"given":"Pietro","family":"Scicchitano","sequence":"additional","affiliation":[{"name":"U.O.C. Cardiologia-UTIC, P.O. \u2018F. Perinei\u2019 , Altamura (BA) , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3474-0579","authenticated-orcid":false,"given":"Claudio","family":"Bilato","sequence":"additional","affiliation":[{"name":"U.O.C. Cardiologia, Ospedali dell\u2019Ovest Vicentino, Azienda ULSS 8 Berica , Vicenza"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Corda","sequence":"additional","affiliation":[{"name":"S.C. Cardiologia, Azienda Ospedaliera \u2018G. Brotzu\u2019 , Cagliari (CA), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8552-1272","authenticated-orcid":false,"given":"Leonardo","family":"De Luca","sequence":"additional","affiliation":[{"name":"S.C. Cardiologia, Dipartimento Cardio-Toraco-Vascolare, Fondazione IRCCS Policlinico San Matteo , Pavia (PV), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4423-5202","authenticated-orcid":false,"given":"Massimo","family":"Di Marco","sequence":"additional","affiliation":[{"name":"U.O.C. Cardiologia-UTIC, Ospedale Santo Spirito , Pescara (PE), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0092-8717","authenticated-orcid":false,"given":"Giovanna","family":"Geraci","sequence":"additional","affiliation":[{"name":"U.O. Cardiologia, P.O. Sant\u2019Antonio Abate, ASP Trapani , Erice (TP) , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0347-6672","authenticated-orcid":false,"given":"Attilio","family":"Iacovoni","sequence":"additional","affiliation":[{"name":"SSD Chirurgia dei Trapianti e del Trattamento Chirurgico dello Scompenso, Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII , Bergamo (BG), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4811-6224","authenticated-orcid":false,"given":"Massimo","family":"Milli","sequence":"additional","affiliation":[{"name":"Cardiologia Firenze 1 (Ospedali S. Maria Nuova e Nuovo San Giovanni di Dio), Azienda USL Toscana Centro , Firenze (FI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8417-7783","authenticated-orcid":false,"given":"Alessandro","family":"Navazio","sequence":"additional","affiliation":[{"name":"S.O.C. Cardiologia Ospedaliera, Presidio Ospedaliero Arcispedale Santa Maria Nuova, Azienda USL di Reggio Emilia\u2014IRCCS , Reggio Emilia (RE), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0465-4709","authenticated-orcid":false,"given":"Vittorio","family":"Pascale","sequence":"additional","affiliation":[{"name":"UTIC-Emodinamica e Cardiologia Interventistica, Ospedale Civile Pugliese , Catanzaro"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0160-3674","authenticated-orcid":false,"given":"Carmine","family":"Riccio","sequence":"additional","affiliation":[{"name":"U.O.S.D. Follow-Up del Paziente Post-Acuto, Dipartimento Cardio-Vascolare, AORN Sant\u2019Anna e San Sebastiano , Caserta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Tizzani","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Degli Infermi , Rivoli (TO) , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7217-4961","authenticated-orcid":false,"given":"Filippo","family":"Zilio","sequence":"additional","affiliation":[{"name":"U.O. Cardiologia, Ospedale Santa Chiara , APSS Trento (TE), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1297-2056","authenticated-orcid":false,"given":"Antonio","family":"Di Monaco","sequence":"additional","affiliation":[{"name":"\"F. Miulli\u201d Regional Hospital, Acquaviva delle Fonti , Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7743-2587","authenticated-orcid":false,"given":"Federico","family":"Nardi","sequence":"additional","affiliation":[{"name":"Dipartimento di Cardiologia, Ospedale Santo Spirito , Casale Monferrato (AL) , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenico","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"U.O.C. Cardiologia, Dipartimento Cardio-Toraco-Vascolare, Azienda Ospedaliera San Camillo Forlanini , Roma (RM), Italy"},{"name":"Fondazione per il Tuo Cuore\u2014Heart Care Foundation , Firenze (FI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-2234","authenticated-orcid":false,"given":"Furio","family":"Colivicchi","sequence":"additional","affiliation":[{"name":"U.O.C. Cardiologia Clinica e Riabilitativa, Presidio Ospedaliero San Filippo Neri\u2014ASL Roma 1 , Roma (RM), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9347-8884","authenticated-orcid":false,"given":"Massimo","family":"Grimaldi","sequence":"additional","affiliation":[{"name":"\"F. Miulli\u201d Regional Hospital, Acquaviva delle Fonti , Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5827-996X","authenticated-orcid":false,"given":"Fabrizio","family":"Oliva","sequence":"additional","affiliation":[{"name":"Fondazione per il Tuo Cuore\u2014Heart Care Foundation , Firenze (FI), Italy"},{"name":"Cardiologia 1-Emodinamica, Dipartimento Cardiotoracovascolare \u2018A. De Gasperis\u2019, ASST Grande Ospedale Metropolitano Niguarda , Milano"},{"name":"Associazione Nazionale Medici Cardiologi Ospedalieri\u2014ANMCO , Firenze (FI), Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"2026091413041931900_suag062-B1","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.amepre.2023.11.009","article-title":"Trends in cardiovascular disease mortality rates and excess deaths, 2010\u20132022","volume":"66","author":"Woodruff","year":"2024","journal-title":"Am J Prev Med"},{"key":"2026091413041931900_suag062-B2","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1093\/eurjpc\/zwaa047","article-title":"DA VINCI study. EU-wide cross-sectional observational study of lipid-modifying therapy use in secondary and primary care: the DA VINCI study","volume":"28","author":"Ray","year":"2021","journal-title":"Eur J Prev Cardiol"},{"key":"2026091413041931900_suag062-B3","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.ijcard.2020.05.055","article-title":"Current lipid lowering treatment and attainment of LDL targets recommended by ESC\/EAS guidelines in very high-risk patients with established atherosclerotic cardiovascular disease: insights from the START registry","volume":"316","author":"De Luca","year":"2020","journal-title":"Int J Cardiol"},{"key":"2026091413041931900_suag062-B4","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1002\/ejhf.3295","article-title":"How to tackle therapeutic inertia in heart failure with reduced ejection fraction. A scientific statement of the Heart Failure Association of the ESC","volume":"26","author":"Savarese","year":"2024","journal-title":"Eur J Heart Fail"},{"key":"2026091413041931900_suag062-B5","doi-asserted-by":"crossref","first-page":"2350","DOI":"10.1016\/j.jacc.2023.11.007","article-title":"Global burden of cardiovascular diseases and risks, 1990\u20132022","volume":"82","author":"Mensah","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"2026091413041931900_suag062-B6","article-title":"Definizione dei livelli essenziali di assistenza","author":"Decreto del Presidente del Consiglio dei Ministri 29 novembre 2001"},{"key":"2026091413041931900_suag062-B7","author":"Ministero della Salute"},{"key":"2026091413041931900_suag062-B8","author":"Ministero della Salute"},{"key":"2026091413041931900_suag062-B9","author":"Ministero della Salute"},{"key":"2026091413041931900_suag062-B10","first-page":"19S","article-title":"8\u00b0Censimento delle strutture cardiologiche in italia. Associazione nazionale medici cardiologi ospedalieri (ANMCO). anno 2022","volume":"25","author":"Oliva","year":"2024","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B11","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jchf.2016.11.013","article-title":"Moving beyond the walls of the clinic: opportunities and challenges to the future of telehealth in heart failure","volume":"5","author":"Fraiche","year":"2017","journal-title":"JACC Heart Fail"},{"key":"2026091413041931900_suag062-B12","first-page":"63","article-title":"Follow-up del paziente dopo syndrome coronarica acuta: il progetto PONTE-SCA Puglia","volume":"23","author":"Locuratolo","year":"2022","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B13","first-page":"150","article-title":"Studio multicentrico APULIA HF: efficacia di un protocollo di gestione condiviso fra ospedale eterritorio dei pazienti ospedalizzati per scompenso cardiaco acuto","volume":"18","author":"Iacoviello","year":"2017","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B14","first-page":"121","article-title":"Position paper ANMCO\u2014stati generali ANMCO 2023: verso una moderna cardiologia territoriale","volume":"25","author":"Zuin","year":"2024","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B15","volume-title":"Digital Transformation Handbook for Primary Heath Care: Optimizing Person-Centred Point of Service Systems","author":"World Health Organization","year":"2024"},{"key":"2026091413041931900_suag062-B16","doi-asserted-by":"crossref","first-page":"1606371","DOI":"10.3389\/phrs.2024.1606371","article-title":"The transformative power of virtual hospitals for revolutionising healthcare delivery","volume":"45","author":"Vall\u00e9e","year":"2024","journal-title":"Public Health Rev"},{"key":"2026091413041931900_suag062-B17","doi-asserted-by":"crossref","first-page":"104110","DOI":"10.1016\/j.drudis.2024.104110","article-title":"Navigating the future of health care with AI-driven digital therapeutics","volume":"29","author":"Vasdev","year":"2024","journal-title":"Drug Discov Today"},{"key":"2026091413041931900_suag062-B18"},{"key":"2026091413041931900_suag062-B19","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1007\/s12529-024-10263-9","article-title":"Social disconnectedness in individuals with cardiovascular disease: associations with health literacy and treatment burden","volume":"31","author":"Christiansen","year":"2024","journal-title":"Int J Behav Med"},{"key":"2026091413041931900_suag062-B20","first-page":"179","article-title":"Position paper ANMCO: stat generali 2023\u2014la medicina digitale in cardiologia: evidenze e stato di avanzamento","volume":"25","author":"Di Fusco","year":"2024","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B21"},{"key":"2026091413041931900_suag062-B22","doi-asserted-by":"crossref","first-page":"2911","DOI":"10.1093\/eurheartj\/ehad280","article-title":"Telemonitoring for heart failure: a meta-analysis","volume":"44","author":"Scholte","year":"2023","journal-title":"Eur Heart J"},{"key":"2026091413041931900_suag062-B23","author":"Ministero dell\u2019Economia e delle Finanze"},{"key":"2026091413041931900_suag062-B24","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.jacc.2024.05.003","article-title":"Transforming cardiovascular care with artificial intelligence: from discovery to practice:JACC state-of-the-art review","volume":"84","author":"Khera","year":"2024","journal-title":"J Am Coll Cardiol"},{"key":"2026091413041931900_suag062-B25","doi-asserted-by":"crossref","first-page":"100109","DOI":"10.1016\/j.glmedi.2024.100109","article-title":"Advancementsand applications of artificial intelligence in cardiology: current trends and future prospects","volume":"3","author":"Olawade","year":"2024","journal-title":"J Med Surg Public Health"},{"key":"2026091413041931900_suag062-B26","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1002\/ejhf.2994","article-title":"Artificial intelligence and heart failure: a state-of-the-art review","volume":"25","author":"Khan","year":"2023","journal-title":"Eur J Heart Fail"},{"key":"2026091413041931900_suag062-B27","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1093\/eurjpc\/zwab160","article-title":"European Society of Cardiology quality indicators for cardiovascular disease prevention: developed by the working Group for Cardiovascular Disease Prevention Quality Indicators in collaboration with the European Association for Preventive Cardiology of the European Society of Cardiology","volume":"29","author":"Aktaa","year":"2022","journal-title":"Eur J Prev Cardiol"},{"key":"2026091413041931900_suag062-B28","doi-asserted-by":"crossref","first-page":"4444","DOI":"10.1002\/ehf2.13646","article-title":"Time is prognosis\u201d in heart failure: time-to-treatment initiation as a modifiable risk factor","volume":"8","author":"Abdin","year":"2021","journal-title":"ESC Heart Fail"},{"key":"2026091413041931900_suag062-B29","doi-asserted-by":"crossref","first-page":"e749","DOI":"10.1016\/S2589-7500(24)00155-9","article-title":"Mitigating the risk of artificial intelligence bias in cardiovascular care","volume":"6","author":"Mihan","year":"2024","journal-title":"Lancet Digit Health"},{"key":"2026091413041931900_suag062-B30","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1093\/ehjcvp\/pvad074","article-title":"Novel therapeutic targets and emerging treatments for atherosclerotic cardiovascular disease","volume":"10","author":"Zheng","year":"2024","journal-title":"Eur Heart J Cardiovasc Pharmacother"},{"key":"2026091413041931900_suag062-B31","doi-asserted-by":"crossref","first-page":"5989","DOI":"10.3390\/jcm12185989","article-title":"Management of residual risk in chronic coronary syndromes. Clinical pathways for a quality-based secondary prevention","volume":"12","author":"Giubilato","year":"2023","journal-title":"J Clin Med"},{"key":"2026091413041931900_suag062-B32","doi-asserted-by":"crossref","first-page":"3198","DOI":"10.1093\/eurheartj\/ehab841","article-title":"The Dawn of a new era of targeted lipid-lowering therapies","volume":"43","author":"Tokg\u00f6zo\u011flu","year":"2022","journal-title":"Eur Heart J"},{"key":"2026091413041931900_suag062-B33","first-page":"202","article-title":"Focused update 2023 delle linee guida ESC 2021 per la diagnosi e il trattamento dello scompenso cardiacacuto e cronico","volume":"24","author":"McDonagh","year":"2024","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B34","first-page":"e1","article-title":"Linee guida ESC2023 per il trattamento delle malattie cardiovascolari nei pazienti diabetici","volume":"25","author":"Marx","year":"2024","journal-title":"G Ital Cardiol"},{"key":"2026091413041931900_suag062-B35","author":"AGENAS"},{"key":"2026091413041931900_suag062-B36","first-page":"29","article-title":"Condivisione dell\u2019assessment da aifa a regioni: ricadute sui tempi di accesso","volume":"25","author":"Scroccaro","year":"2024","journal-title":"Politiche Sanitarie"},{"key":"2026091413041931900_suag062-B37","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/j.jchf.2024.01.010","article-title":"Palliative care across the spectrum of heart failure","volume":"12","author":"Gelfman","year":"2024","journal-title":"JACC Heart Fail"},{"key":"2026091413041931900_suag062-B38","doi-asserted-by":"crossref","first-page":"e13982","DOI":"10.1111\/eci.13982","article-title":"Effect of a quality-improvement intervention on end-of-life care in cardiac intensive care unit","volume":"53","author":"Sacco","year":"2023","journal-title":"Eur J Clin Invest"}],"container-title":["European Heart Journal Supplements"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurheartjsupp\/article-pdf\/28\/Supplement_6\/vi272\/68234089\/suag062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurheartjsupp\/article-pdf\/28\/Supplement_6\/vi272\/68234089\/suag062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:04:28Z","timestamp":1789405468000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurheartjsupp\/article\/28\/Supplement_6\/vi272\/8670984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":38,"journal-issue":{"issue":"Supplement_6","published-online":{"date-parts":[[2026,5,7]]},"published-print":{"date-parts":[[2026,5,7]]}},"URL":"https:\/\/doi.org\/10.1093\/eurheartjsupp\/suag062","relation":{},"ISSN":["1520-765X","1554-2815"],"issn-type":[{"value":"1520-765X","type":"print"},{"value":"1554-2815","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,5]]}}}