What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes
For the first time, European Society of Cardiology (ESC) guidelines have aggregated in 1 single document recommendations for the management of patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) and ST-elevation myocardial infarction (STEMI). From a clinical perspective, this...
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| Language: | English |
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Wolters Kluwer Health/LWW
2023-12-01
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| Series: | Cardiology Discovery |
| Online Access: | http://journals.lww.com/10.1097/CD9.0000000000000106 |
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| author | Marco Roffi |
| author_facet | Marco Roffi |
| author_sort | Marco Roffi |
| collection | DOAJ |
| description | For the first time, European Society of Cardiology (ESC) guidelines have aggregated in 1 single document recommendations for the management of patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) and ST-elevation myocardial infarction (STEMI). From a clinical perspective, this is coherent, as the spectrum of clinical presentations in acute coronary syndromes (ACS) may range from new onset or progressive troponin-negative angina to STEMI, cardiogenic shock, or cardiac arrest. In addition, the management pathways of NSTE-ACS and STEMI patients are widely similar. Compared with previous editions of the guidelines, the extensive document is improved also from a graphic perspective, containing several appealing and easy-to-understand figures. New or modified recommendations include, among others, the topics of diagnostic work-up, timing of invasive strategy, revascularization in multi-vessel disease, intravascular imaging, cardiac arrest, cardiogenic shock, and antithrombotic treatment. For the first time in the field of ACS, ESC guidelines have incorporated a section on patient perspectives with dedicated recommendations. Some of the most relevant changes in recommendations impacting clinical practice are discussed in this article. |
| format | Article |
| id | doaj-art-a118569e88984bcda07647dec0437e71 |
| institution | OA Journals |
| issn | 2096-952X 2693-8499 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer Health/LWW |
| record_format | Article |
| series | Cardiology Discovery |
| spelling | doaj-art-a118569e88984bcda07647dec0437e712025-08-20T02:07:57ZengWolters Kluwer Health/LWWCardiology Discovery2096-952X2693-84992023-12-013422723110.1097/CD9.0000000000000106202312000-00001What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary SyndromesMarco Roffi0Division of Cardiology, University Hospitals, Geneva 1211, Switzerland.For the first time, European Society of Cardiology (ESC) guidelines have aggregated in 1 single document recommendations for the management of patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) and ST-elevation myocardial infarction (STEMI). From a clinical perspective, this is coherent, as the spectrum of clinical presentations in acute coronary syndromes (ACS) may range from new onset or progressive troponin-negative angina to STEMI, cardiogenic shock, or cardiac arrest. In addition, the management pathways of NSTE-ACS and STEMI patients are widely similar. Compared with previous editions of the guidelines, the extensive document is improved also from a graphic perspective, containing several appealing and easy-to-understand figures. New or modified recommendations include, among others, the topics of diagnostic work-up, timing of invasive strategy, revascularization in multi-vessel disease, intravascular imaging, cardiac arrest, cardiogenic shock, and antithrombotic treatment. For the first time in the field of ACS, ESC guidelines have incorporated a section on patient perspectives with dedicated recommendations. Some of the most relevant changes in recommendations impacting clinical practice are discussed in this article.http://journals.lww.com/10.1097/CD9.0000000000000106 |
| spellingShingle | Marco Roffi What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes Cardiology Discovery |
| title | What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes |
| title_full | What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes |
| title_fullStr | What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes |
| title_full_unstemmed | What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes |
| title_short | What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes |
| title_sort | what is new in the 2023 european society of cardiology guidelines for the management of acute coronary syndromes |
| url | http://journals.lww.com/10.1097/CD9.0000000000000106 |
| work_keys_str_mv | AT marcoroffi whatisnewinthe2023europeansocietyofcardiologyguidelinesforthemanagementofacutecoronarysyndromes |