{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:24:02Z","timestamp":1791890642600,"version":"4.3.4"},"reference-count":40,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Extended telemonitored follow-up after acute coronary syndrome (ACS) has been shown to optimize secondary prevention outcomes. However, its impact on patient experience and outpatient visits remains unclear. Methods: This observational, retrospective, longitudinal study included 75 consecutive patients who underwent 10-month telemonitored follow-up after ACS and 50 consecutive patients who received standard care. Lipid parameters at hospital admission and 12 months post-discharge, patient experience (measured using the IEXPAC scale), and outpatient visits were evaluated. Results: The mean patient age was 58.0 years in the telemonitored group and 60.8 years in the control group, with males comprising 87% and 92%, respectively. The telemonitored group showed significant decreases in triglyceride levels (p &lt; 0.011), VLDL cholesterol (p = 0.003), triglyceride\/HDL ratio (p = 0.007), and remnant cholesterol levels (p = 0.018). The IEXPAC score was significantly higher in the telemonitored group (7.9 \u00b1 1.5) compared to the standard care group (6.0 \u00b1 1.9, p &lt; 0.001). Higher ratings were observed across all domains: patient-professional productive interaction, the new patient-healthcare system relational model, and self-care. The telemonitored group also had fewer visits to Cardiology (1.0 \u00b1 1.2 vs. 1.7 \u00b1 1.0; p &lt; 0.001) and Primary Care (7.1 \u00b1 4.6 vs. 9.4 \u00b1 5.2; p = 0.014). Conclusions: Extended telemonitored follow-up after ACS significantly enhances patient experience, improves lipid-related cardiovascular risk, and reduces outpatient visits to Primary Care and Cardiology compared to standard follow-up. These findings support the broader implementation of this healthcare pathway.<\/jats:p>","DOI":"10.3390\/jcm14207283","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T14:04:02Z","timestamp":1760537042000},"page":"7283","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Extended Telemonitored Follow-Up After Acute Coronary Syndrome: A Healthcare Pathway That Improves Cardiovascular Prevention and Patient Experience, and Reduces Outpatient Visits"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4340-6620","authenticated-orcid":false,"given":"Ernesto","family":"Dalli-Peydr\u00f3","sequence":"first","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Serrano-Romero","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Polit\u00e9cnico Universitario La Fe, 46026 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roc\u00edo","family":"Serrats-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alvaro Salvador","family":"Minaya-Zaballos","sequence":"additional","affiliation":[{"name":"Centro de Atenci\u00f3n Primaria de Burjassot, 46100 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Herrera-V\u00e1squez","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Interna, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sof\u00eda","family":"Ram\u00edrez-Candela","sequence":"additional","affiliation":[{"name":"Centro de Atenci\u00f3n Primaria de Burjassot, 46100 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Arias-Fresneda","sequence":"additional","affiliation":[{"name":"Centro de Atenci\u00f3n Primaria de Valterna (Paterna), 46980 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Llanos-Gabaroa","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Interna, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Mu\u00f1oz-Ramos","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amparo","family":"Fresneda-Fresneda","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4249-557X","authenticated-orcid":false,"given":"Juan","family":"Cos\u00edn-Sales","sequence":"additional","affiliation":[{"name":"Servicio de Cardiolog\u00eda, Hospital Arnau de Vilanova, 46015 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3720","DOI":"10.1093\/eurheartj\/ehad191","article-title":"2023 ESC Guidelines for the management of acute coronary syndromes","volume":"44","author":"Byrne","year":"2023","journal-title":"Eur. 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