Cardiac rehabilitation programmes are a proven treatment for individuals with recent myocardial infarction, resulting in reduced morbidity and mortality compared to usual care. Unfortunately, following completion of a cardiac rehabilitation programme, risk factors and lifestyle behaviours may deteriorate. The GOSPEL study investigates the benefits of a programme of continued educational and behavioural intervention to achieve optimal long-term secondary prevention goals.

Study partially sponsored by Società Prodotti Antibiotici

Inclusion Criteria:

• Recent myocardial infarction (within 3 months after the index event)
• Standard rehabilitation program of 3-6 weeks performed
• Informed consent (obtained before any study specific procedure)

Exclusion Criteria:

• Age > 75 years
• Any condition that in the opinion of the investigator would jeopardize the evaluation of efficacy or be associated with poor adherence to the protocol;
• Presence of any non-cardiac disease (e.g. cancer) that is likely to significantly shorten life expectancy