The Log book (LB) project was created by a multidisciplinary team of healthcare professionals from a regional care network and aimed to improve secondary prevention (SP) after acute myocardial infarction (MI) in Cote d’Or. LB includes information and advices for increasing self management of risk factors by the patient.

A prospective interventional study on 469 patients hospitalised for an acute MI in the 2 Intensive Coronary Care unit of Côte d’Or (CHU Dijon and Clinique de Fontaine les Dijon) in 2012 and surviving at 1 year follow-up (FU). LB was randomly given at the time of their hospitalisation by the nursing team, also providing oral advices on risk factors management and CV health self care. Patients who received LB (LB+) were compared with patients without LB (LB-).

Patients from LB+group (n=307(65%)) were younger (57 vs 63y, p<0.001)) and less frequently women (16 vs 32%, p<0.001), diabetic (17 vs 30%, p<0.001) or with prior CAD (7 vs 15%, p=0.008) than patients without LB (LB- group, n=162(35%)). After matching patients LB+with LB- based on age, sex, diabetes and GRACE risk score (n=127 in each group), baseline characteristics, were similar in the 2 groups. At 1 year FU, there was a trend for more frequent visits to the cardiologist in the LB+group (2±1 vs 1±1, p=0.056) and cardiac rehabilitation program was more often performed in LB+patients (69 vs 54%, p=0.015). Moreover, weight loss in obese patients and smoke withdrawal rates also showed a trend for improvement in LB+patients (respectively 71 vs 59%, p=0.311 and 69 vs 53%, p=0.109). Finally, patients with LB showed a trend toward a lower rate of combined outcomes including recurrent MI, hospitalisation for heart failure and unscheduled PCI than in the LB- group (3 vs 7%, p=0.155).

These preliminary data of our ongoing regional study suggest the efficacy of LB as a support for CV risk factor self management. In addition, our study provides encouraging data on the potential clinical benefits of this pioneer tool for SP.