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Scientific article
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What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes

ContributorsRoffi, Marco
Published inCardiology discovery, vol. 3, no. 4, p. 227-231
Publication date2023-11-07
First online date2023-11-07
Abstract

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.

eng
Keywords
  • Acute coronary syndromes
  • Guidelines
  • European Society of Cardiology
Citation (ISO format)
ROFFI, Marco. What Is New in the 2023 European Society of Cardiology Guidelines for the Management of Acute Coronary Syndromes. In: Cardiology discovery, 2023, vol. 3, n° 4, p. 227–231. doi: 10.1097/CD9.0000000000000106
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ISSN of the journal2693-8499
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