Platform Therapeutic Education in Heart Failure and Coronary Disease

Telephonic Platform of Follow up, Therapeutical Education and Coordination in Secondary Prevention in Patients With Heart Failure and Coronary Disease

A first therapeutic education is given before patient's discharge at the hospital, then a dedicated nurse follows patients through the phone,regularly according to patients' needs, continues to give advise on risk factors, information on medication and alert symptoms and therapeutic education.

Patients are assigned to an arm accordingly to their needs: class 1 with light therapeutic education, class 2 with moderate education, class 3 with heavy education. Assignement is based on the first education diagnosis during hospitalization time.

Quality of life and patient's knowledge are regularly evaluated through questionnaires

Inclusion Criteria:

• hospitalization for acute coronary syndrome (ST-segment elevation myocardial infarction ,no ST-segment elevation myocardial infarction ST , unstable angina)
• hospitalization for heart failure
• acute coronary syndrome < 3 months
• heart failure < 3 months
• coronary by-pass surgery < 3 months

Exclusion Criteria:

• complicated acute coronary syndrome (ventricular arrhythmia, heart failure, mechanical complications, cardiogenic shock)
• valvular cardiac pathology
• obstructive cardiomyopathy
• planned cardiac transplantation
• severe neurological or psychiatric troubles
• loss of autonomy
• other (refusal, language, nursing house, way of life not compatible with follow up, refusal of telephonic contacts)