2019 ESC guidelines for the diagnosis and management of chronic coronary syndromes: The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC)

Task Force, European Society of Cardiology (ESC), ESC Committee for Practice Guidelines (CPG)

Research output: Contribution to journalReview article

206 Citations (Scopus)

Abstract

Coronary artery disease (CAD) is a pathological process characterized by atherosclerotic plaque accumulation in the epicardial arteries, whether obstructive or non-obstructive. This process can be modified by lifestyle adjustments, pharmacological therapies, and invasive interventions designed to achieve disease stabilization or regression. The disease can have long, stable periods but can also become unstable at any time, typically due to an acute atherothrombotic event caused by plaque rupture or erosion. However, the disease is chronic, most often progressive, and hence serious, even in clinically apparently silent periods. The dynamic nature of the CAD process results in various clinical presentations, which can be conveniently categorized as either acute coronary syndromes (ACS) or chronic coronary syndromes (CCS). The Guidelines presented here refer to the management of patients with CCS. The natural history of CCS is illustrated in Figure 1.

Original languageEnglish
Pages (from-to)407-477
Number of pages71
JournalEuropean Heart Journal
Volume41
Issue number3
Early online date31 Aug 2019
DOIs
Publication statusPublished - 14 Jan 2020

Keywords

  • Angina pectoris
  • Anti-ischaemic drugs
  • Antithrombotic therapy
  • Chronic coronary syndromes
  • Coronary artery disease
  • Diagnostic testing
  • Guidelines
  • Imaging
  • Lifestyle modifications
  • Lipid-lowering drugs
  • Microvascular angina
  • Myocardial ischaemia
  • Myocardial revascularization
  • Risk assessment
  • Screening
  • Vasospastic angina

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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