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GLOBAL TRENDS IN CARDIAC REHABILITATION AS SECONDARY PREVENTION FOR ACUTE CORONARY SYNDROME : ANALYSES BIBLIOMETRICS 2010-2025 Ulan, Subhan; Azizah Khoiriyati
Nursing Sciences Journal Vol 10 No 1 (2026): April 2026
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/nsj.v10i1.7495

Abstract

Acute Coronary Syndrome (ACS) is a life-threatening cardiovascular disease which leads to high morbidity and mortality all over the world. Cardiac rehabilitation (CR) is considered a comprehensive approach that can improve functional ability and quality of life and reduce recurrent cardiovascular events in patients with ACS. However, no bibliometric approach has been published to comprehensively analyze the scientific achievements and worldwide research trends on CR as secondary prevention in ACS. This study was based on bibliometric analysis to explore the worldwide research trends, scientific progress and research hotspots of CR as a secondary prevention therapy for ACS. Methods conducted a bibliometric study of publications indexed in the Scopus database between 2010 and 2025. Appropriate articles were searched using pre-determined search strategies specific to CR and ACS. VOSviewer software was used to evaluate and visualize publication patterns, countries, journals, citations, co-authorship networks, and keyword co-occurrence. Totaly 552 publications were reviewed. The production of publications showed a steady increase, especially from 2021 onwards. The United States was also the top contributor in the number of publications and international collaborations. The most important study questions were exercise-based cardiac rehabilitation, reduction of mortality, enhancement of quality of life and secondary prevention in patients with coronary heart disease. Conclusion: Research on CR for secondary prevention of ACS has greatly expanded over the past decade, and is expected to increasingly focus on technology-based interventions, telemedicine and more accessible rehabilitation services worldwide  
DEVELOPMENT OF A SCORING SYSTEM FOR PREDICTING ACUTE CORONARY SYNDROME EVENTS: A SCOPING REVIEW Ihsan Angga Anjarwadi; Azizah Khoiriyati; Erna Rochmawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.28693

Abstract

Clinical scoring systems are widely used to support early risk stratification and clinical decision-making in patients with acute coronary syndrome (ACS). However, the characteristics, development processes, and clinical applications of these scoring systems remain dispersed across the literature. This scoping review aims to map and synthesize the available evidence on scoring systems used to assess or predict ACS events in hospital settings. A scoping review methodology was conducted using electronic databases, including PubMed, Scopus, and Emerald. The search terms included “acute coronary syndrome,” “scoring system,” OR “score predictor,” and “in hospital.” Of 1,961 identified records, 18 studies met the inclusion criteria after screening. Data were extracted using a charting approach to summarize study characteristics, scoring system variables, and reported outcomes. The review identified eleven ACS scoring systems, including widely used models such as GRACE, TIMI, and HEART. These scoring tools primarily incorporate clinical indicators such as age, systolic blood pressure, electrocardiogram findings, cardiac biomarkers, and cardiovascular risk factors. The results indicate that ACS scoring systems can be broadly categorized according to their clinical objectives, including diagnostic risk assessment, prognostic prediction, and early risk stratification in emergency settings. This review highlights the variability of predictive models across different clinical contexts and emphasizes the importance of selecting practical scoring systems that rely on readily available clinical indicators. The findings provide a comprehensive overview of existing ACS scoring systems and offer a conceptual framework that may help clinicians select appropriate risk assessment tools and guide future research on the development of simplified prediction models.  Keywords: Acute Coronary Syndrome, Risk Score, Clinical Prediction Model, Risk Stratification