Stratification of significant predictor variables for adequate health literacy (15 points or more), based on SAHLPA-18 of individuals with acute coronary syndrome.
The authors declare that they have no conflicts of interest.
Ethical approval
The study complies with the Declaration of Helsinki. The project was approved by the Research Ethics Committee of the Federal University of Uberlândia, under the number of opinion 2496296 (Certificate of Presentation for Ethical Review: 48561715.5.2013.5152). All patients signed the informed consent form for the study itself.
Consent to participate
Informed consent to participate in the study was obtained from all participants.
Consent to publication
Not applicable.
Availability of data and materials
The data of this manuscript could be available from the corresponding authors upon reasonable request.
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References
Global Burden of Cardiovascular Diseases and Risks 2023 Collaborators. Global, Regional, and National Burden of Cardiovascular Diseases and Risk Factors in 204 Countries and Territories, 1990–2023.J Am Coll Cardiol. 2025;86:2167–243. [DOI] [PubMed]
Oliveira GMM, Brant LCC, Polanczyk CA, Biolo A, Nascimento BR, Malta DC, et al. Cardiovascular Statistics – Brazil 2020.Arq Bras Cardiol. 2020;115:308–439. [DOI] [PubMed] [PMC]
Rao SV, O’Donoghue M L, Ruel M, Rab T, Tamis-Holland JE, Alexander JH, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.Circulation. 2025;151:e771–862. [DOI] [PubMed]
Cata-Preta IF, Silqueira SM, Passaglia LG. Evaluation of the Level of Knowledge of Patients With Regards To the Treatment of Acute Coronary Syndrome Using the Maugerl Cardiac Prevention-Questionnaire.Reme Rev Min Enferm. 2019;23:e-1202. [DOI]
Passamai MPB, Sampaio HAC, Iorio Dias AM, Cabra LA. Functional Health Literacy: Reflections and concepts on its impact on the interaction among users, professionals and the health system.Interface Commun Heal Educ. 2012;16:301. [DOI]
Chehuen Neto JA, Costa LA, Estevanin GM, Bignoto TC, Vieira CIR, Pinto FAR, et al. Functional health literacy in chronic cardiovascular patients.Cienc Saude Coletiva. 2019;24:1121–32. [DOI] [PubMed]
Apolinario D, Braga Rde C, Magaldi RM, Busse AL, Campora F, Bruc KS, et al. Short assessment of health literacy for portuguese-speaking adults.Rev Saude Publica. 2012;46:702–11. [DOI] [PubMed]
Taniguchi FP, Bernardez-Pereira S, Silva SA, Ribeiro ALP, Morgan L, Curtis AB, et al. Implementation of a Best Practice in Cardiology (BPC) Program Adapted from Get With The Guidelines®in Brazilian Public Hospitals: Study Design and Rationale.Arq Bras Cardiol. 2020;115:92–9. [PubMed] [PMC]
Lee SY, Bender DE, Ruiz RE, Young IC. Development of an easy-to-use Spanish health literacy test.Health Serv Res. 2006;41:1392–412. [DOI] [PubMed] [PMC]
Cangussú LR, Alho EAS, Cardoso FEL, Tenório APO, Barbosa RHA, Lopes JM. Concordance between two instruments for health literacy assessment.Epidemiol Serv Saude. 2021;30:e2020490. [DOI] [PubMed]
Emberson JR, Whincup PH, Morris RW, Wannamethee SG, Shaper AG. Lifestyle and cardiovascular disease in middle-aged British men: the effect of adjusting for within-person variation.Eur Heart J. 2005;26:1774–82. [DOI] [PubMed]
Silva ANE, Silva SAD, Silva ARVD, Araújo TME, Rebouças CBA, Nogueira LT. Primary care assessment from a male population perspective.Rev Bras Enferm. 2018;71:236–43. [DOI] [PubMed]
Kaufman R, Azevedo VMP, Sá RMG, Geller M, Xavier RMA, Chaves RBM, et al. Epidemiological Characteristics and Mortality Predictors in Patients Over 70 Years Submitted to Coronary Artery Bypass Grafting.Int J Cardiovasc Sci. 2018;31:258–63. [DOI]
Moizés AS, Shiotsu CH, Takashi MH. Profile of Patients Admitted in a Cardiovascular Hospital.J Nurs UFPE line. 2016;10:2595–603.
Visseren FLJ, MacH F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice.Eur Heart J. 2021;42:3227–337. [DOI] [PubMed]
Francula-Zaninovic S, Nola IA. Management of Measurable Variable Cardiovascular Disease’ Risk Factors.Curr Cardiol Rev. 2018;14:153–63. [DOI] [PubMed] [PMC]
Costa FAS, Pessoa VLMP, Salles DL, Frota KC, Sobral MGV, Souza LC. Functional health literacy in patients with acute coronary syndrome.Cogitare Enferm. 2021;26:e75415. [DOI]
Souza JG, Apolinario D, Magaldi RM, Busse AL, Campora F, Jacob-Filho W. Functional health literacy and glycaemic control in older adults with type 2 diabetes: A cross-sectional study.BMJ Open. 2014;4:e004180. [DOI] [PubMed] [PMC]
Sampaio HA, Carioca AA, Sabry MO, Dos Santos PM, Coelho MA, Passamai Mda P. Health literacy in type 2 diabetics: associated factors and glycemic control.Cien Saude Colet. 2015;20:865–74. [DOI] [PubMed]
Bruno TC, Bittencourt MS, Quidim AVL, Santos I, Lotufo P, Bensenor I, et al. The Prognosis of Coronary Artery Disease in a Brazilian Community Hospital: Findings from the ERICO Study.Arq Bras Cardiol. 2021;117:978–85. [DOI] [PubMed] [PMC]
Harvie DS. Immersive Education for Chronic Condition Self-Management.Front Virtual Real. 2021;2:657761. [DOI]
Alkethiri K, Almtroudi T, Jurays AB, Abanumay F, Aldammas M, AlKhodheer M, et al. The relationship between type 2 diabetes mellitus with cognitive functions.Heliyon. 2021;7:e06358. [DOI] [PubMed] [PMC]
Zeng J, Hu K, Wang Z, Huang YC, Zhang Y, Peng H, et al. Cognitive dysfunction and dementia in type 2 diabetes mellitus: insights into mechanisms, models, and therapeutics.ACS Pharmacol Transl Sci. 2025;8:2337–52. [DOI] [PubMed] [PMC]
Zakeri MA, Tavan A, Nadimi AE, Bazmandegan G, Zakeri M, Sedri N. Relationship Between Health Literacy, Quality of Life, and Treatment Adherence in Patients with Acute Coronary Syndrome.Health Lit Res Pract. 2023;7:e71–9. [DOI] [PubMed] [PMC]
Williamson C, Chen Y, Richman T, Greaves K. Health literacy and its role within cardiovascular disease: a primer from a cardiology perspective.Health Lit Commun Open. 2025:3:2590786. [DOI]
Talevski J, Nicholls S, Wong Shee A, Jessup R, Martin C, Van Gaal W, et al. Associations between health literacy, socio-demographics and health behaviours in adults with myocardial infarction: a cross-sectional analysis of the ENHEARTEN Study.Eur Heart J. 2025;46:ehaf784.3636. [DOI]
