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[Management of acute coronary syndrome : ESC guidelines 2023]

Maria Buske1, Hans-Josef Feistritzer1, Alexander Jobs1

  • 1Herzzentrum Leipzig - Universität Leipzig, Strümpellstr. 39, 04289, Leipzig, Deutschland.

Herz
|November 30, 2023
PubMed

Insights

The 2023 European Society of Cardiology guidelines update acute coronary syndrome (ACS) management for STEMI and NSTE-ACS. Key changes include invasive diagnostics timing, revascularization in multivessel disease, and bleeding risk-adapted antithrombotic therapy.

Area of Science:

  • Cardiology
  • Internal Medicine

Context:

  • The European Society of Cardiology (ESC) has released updated guidelines for managing acute coronary syndromes (ACS).
  • These 2023 guidelines consolidate and revise previous recommendations for ST-elevation myocardial infarction (STEMI) and non-ST-elevation ACS (NSTE-ACS).

Purpose:

  • To provide clinicians with the latest evidence-based recommendations for the diagnosis and management of ACS.
  • To outline updated strategies for acute and long-term treatment, including antithrombotic therapy and invasive procedures.

Summary:

  • The guidelines cover diagnostics, acute management, antithrombotic strategies, out-of-hospital cardiac arrest, cardiogenic shock, invasive interventions, and long-term care for ACS patients.
  • Significant updates include refined recommendations on the timing of invasive diagnostics for NSTE-ACS.
  • New guidance addresses revascularization in multivessel coronary artery disease and alternative antithrombotic regimens for high bleeding risk patients.

Impact:

  • These updated guidelines aim to optimize patient outcomes and standardize care for acute coronary syndromes across Europe.
  • The revisions facilitate improved clinical decision-making regarding invasive strategies and antithrombotic treatments, particularly in complex patient subsets.

Keywords:
Antithrombotic agentsCoronary artery diseaseMyocardial infarctionRevascularizationST segment elevation

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