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[Chronic coronary syndrome : New classification of stable coronary artery disease]

Daniel Jurisch1, Ulrich Laufs2

  • 1Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstraße 20, 04109, Leipzig, Deutschland. daniel.jurisch@medizin.uni-leipzig.de.

Der Internist
|December 1, 2020
PubMed

Insights

The European Society for Cardiology now uses chronic coronary syndromes (CCS) instead of stable coronary artery disease. These guidelines cover CCS diagnosis, management, and secondary prevention strategies.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • The European Society of Cardiology (ESC) updated guidelines in 2019, introducing chronic coronary syndromes (CCS) to replace "stable coronary artery disease."
  • This change reflects a deeper understanding of coronary artery disease (CAD) pathogenesis, clinical presentation, and treatment.

Purpose of the Study:

  • To provide an overview of chronic coronary syndromes (CCS) scenarios.
  • To outline diagnostic pathways for identifying relevant coronary artery disease (CAD).
  • To highlight current therapeutic and secondary preventive strategies for CCS based on ESC guidelines.

Main Methods:

  • Review of the 2019 European Society of Cardiology (ESC) guidelines for diagnosis and management of chronic coronary syndromes (CCS).
  • Analysis of the shift in terminology from "stable coronary artery disease" to CCS.
  • Synthesis of information on pathogenesis, clinical features, and management options.

Main Results:

  • Chronic coronary syndromes (CCS) are defined as a chronic process.
  • Management strategies include lifestyle changes, pharmacotherapy, and invasive interventions (PCI, CABG) for stabilization or regression.
  • Diagnostic and therapeutic approaches align with current ESC recommendations.

Conclusions:

  • The adoption of the term CCS signifies a more dynamic view of coronary artery disease.
  • Effective management of CCS involves a multi-faceted approach including lifestyle, medication, and interventions.
  • Adherence to ESC guidelines is crucial for optimal patient outcomes in CCS.

Keywords:
Coronary angiography, invasiveMicrovascular diseaseMyocardial ischemia, diagnosis, non-invasiveProbability, pretestSecondary prevention/cardiovascular events

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