Framework for the care of acute coronary syndrome and stroke
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World Health Organization
Abstract
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viii, 52 p.
This framework provides a comprehensive health systems approach for strengthening the care of acute coronary syndrome (ACS) and stroke, two leading causes of mortality and disability worldwide. Developed by WHO in collaboration with the World Heart Federation and the World Stroke Organization, the publication supports countries in reducing cardiovascular morbidity and premature mortality in line with Sustainable Development Goal target 3.4. It outlines evidence-based, people-centred and time-sensitive strategies to improve prevention, diagnosis, acute treatment, rehabilitation and long-term management of ACS and stroke across different health system contexts. The publication describes the continuum of care from community awareness and symptom recognition to prehospital services, emergency and inpatient care, rehabilitation and secondary prevention. It highlights the importance of coordinated referral systems, specialized stroke and coronary care units, access to diagnostics and reperfusion therapies, and the integration of rehabilitation into acute and long-term care pathways. The document also emphasizes quality improvement through monitoring systems, registries and governance mechanisms, while encouraging adaptation of interventions to national capacities, resources and local health priorities.
This framework provides a comprehensive health systems approach for strengthening the care of acute coronary syndrome (ACS) and stroke, two leading causes of mortality and disability worldwide. Developed by WHO in collaboration with the World Heart Federation and the World Stroke Organization, the publication supports countries in reducing cardiovascular morbidity and premature mortality in line with Sustainable Development Goal target 3.4. It outlines evidence-based, people-centred and time-sensitive strategies to improve prevention, diagnosis, acute treatment, rehabilitation and long-term management of ACS and stroke across different health system contexts. The publication describes the continuum of care from community awareness and symptom recognition to prehospital services, emergency and inpatient care, rehabilitation and secondary prevention. It highlights the importance of coordinated referral systems, specialized stroke and coronary care units, access to diagnostics and reperfusion therapies, and the integration of rehabilitation into acute and long-term care pathways. The document also emphasizes quality improvement through monitoring systems, registries and governance mechanisms, while encouraging adaptation of interventions to national capacities, resources and local health priorities.
Keywords
Acute Coronary Syndrome, Mortality, Premature, Stroke, Stroke Rehabilitation, Hospitals, Rehabilitation, Morbidity, Health Services Accessibility, Emergency Medical Services, Ambulatory Care, Emergency Service, Hospital, Quality Improvement, Registries, Outcome Assessment, Health Care, Continuity of Patient Care, Quality of Life