2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes

Franz Josef Neumann, Udo Sechtem, Adrian Paul Banning, Nikolaos Bonaros, Héctor Bueno, Raffaele Bugiardini, Alaide Chieffo, Filippo Crea, Martin Czerny, Victoria Delgado, Paul Dendale, Juhani Knuuti, William Wijns, Frank Arnold Flachskampf, Helmut Gohlke, Erik Lerkevang Grove, Stefan James, Demosthenes Katritsis, Ulf Landmesser, Maddalena LettinoChristian M. Matter, Hendrik Nathoe, Alexander Niessner, Carlo Patrono, Anna Sonia Petronio, Steffen E. Pettersen, Raffaele Piccolo, Massimo Francesco Piepoli, Bogdan A. Popescu, Lorenz Räber, Dimitrios J. Richter, Marco Roffi, Franz X. Roithinger, Evgeny Shlyakhto, Dirk Sibbing, Sigmund Silber, Iain A. Simpson, Miguel Sousa-Uva, Panos Vardas, Adam Witkowski, Jose Luis Zamorano, Stephan Achenbach, Stefan Agewall, Emanuele Barbato, Jeroen J. Bax, Davide Capodanno, Thomas Cuisset, Christi Deaton, Kenneth Dickstein, Thor Edvardsen, Javier Escaned, Christian Funck-Brentano, Bernard J. Gersh, Martine Gilard, David Hasdai, Robert Hatala, Felix Mahfoud, Josep Masip, Claudio Muneretto, Eva Prescott, Antti Saraste, Robert F. Storey, Pavel Svitil, Marco Valgimigli, Victor Aboyans, Colin Baigent, Jean Philippe Collet, Veronica Dean, Donna Fitzsimons, Christopher P. Gale, Diederick E. Grobbee, Sigrun Halvorsen, Gerhard Hindricks, Bernard Iung, Peter Jüni, Hugo A. Katus, Christophe Leclercq, Basil S. Lewis, Bela Merkely, Christian Mueller, Steffen Petersen, Rhian M. Touyz, Salim Benkhedda, Bernhard Metzler, Volha Sujayeva, Bernard Cosyns, Zumreta Kusljugic, Vasil Velchev, Georgios Panayi, Petr Kala, Sune Ammentorp Haahr-Pedersen, Hamza Kabil, Tiia Ainla, Tomi Kaukonen, Guillaume Cayla, Zurab Pagava, Jochen Woehrle, John Kanakakis, Kalman Toth, Thorarinn Gudnason, Aaron Peace, Doron Aronson, Carmine Riccio, Shpend Elezi, Erkin Mirrakhimov, Silvija Hansone, Antoine Sarkis, Ruta Babarskiene, Jean Beissel, Andrew J. Cassar Maempel, Valeriu Revenco, G. J. de Grooth, Hristo Pejkov, Vibeke Juliebø, Piotr Lipiec, Jose Santos, Ovidiu Chioncel, Dmitry Duplyakov, Luca Bertelli, Ana Djordjevic Dikic, Martin Studencan, Matjaz Bunc, Fernando Alfonso, Magnus Back, Michael Zellweger, Faouzi Addad, Aylin Yildirir, Yuriy Sirenko, Brian Clapp

Research output: Contribution to journalReview articlepeer-review

4536 Scopus citations

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
DOIs
StatePublished - 14 Jan 2020
Externally publishedYes

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

Fingerprint

Dive into the research topics of '2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes'. Together they form a unique fingerprint.

Cite this