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Korean Society of Interventional Cardiology Expert Consensus for the Management of Chronic Coronary Syndrome: Part 1
Joo Myung Lee1, Yisik Kim2, Sang Yoon Lee1
1Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University, Seoul, Korea.
Insights
This expert consensus offers guidance for managing chronic coronary syndrome (CCS) in Korea. It integrates global evidence with local data to improve diagnosis and treatment for Korean patients with ischemic heart disease.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Coronary artery disease (CAD) is a leading global cause of death and a significant health issue in Korea.
- Chronic coronary syndrome (CCS) presents diverse clinical manifestations, from epicardial to microvascular disease, requiring tailored management.
- Preventing progression from CCS to acute coronary syndrome necessitates individualized diagnostic and therapeutic approaches.
Purpose of the Study:
- To provide a localized, evidence-based framework for diagnosing, treating, and managing CCS in Korean patients.
- To integrate the latest international guidelines and research with Korean clinical data and practice patterns.
- To address the gap in implementing contemporary CCS management principles in real-world Korean clinical practice.
Main Methods:
- Expert consensus development integrating recent international guidelines and evidence.
- Consideration of physiological and intravascular imaging-based assessments.
- Emphasis on multidisciplinary care, including cardiovascular prevention and patient-centered revascularization.
Main Results:
- A comprehensive, stepwise framework for CCS management tailored to Korean patients.
- Integration of new evidence on diagnostic strategies and medical therapy.
- Highlighting the importance of localized guidance for effective CCS care.
Conclusions:
- There is a need for localized, evidence-based guidance for CCS management in Korea.
- This consensus provides a practical framework for Korean clinicians.
- Optimizing CCS management can improve patient outcomes and reduce the burden of ischemic heart disease.
Abstract:
Coronary artery disease is one of the leading causes of death worldwide and represents a major health burden in Korea. Chronic coronary syndrome (CCS) encompasses the long-term and heterogeneous clinical manifestations of ischemic heart disease, ranging from obstructive epicardial disease to non-obstructive and microvascular disease. This pathophysiological heterogeneity necessitates individualized diagnostic and therapeutic strategies to prevent progression from CCS to acute coronary syndrome. Since the publication of recent CCS guidelines, new evidence has emerged regarding optimal diagnostic strategies, physiological and intravascular imaging-based assessments, and medical therapy. In addition, contemporary CCS management increasingly emphasizes multidisciplinary integration, including cardiovascular prevention, non-invasive imaging-guided decision-making, and patient-centered revascularization strategies. However, the implementation of these principles in real-world Korean clinical practice remains unclear, highlighting the need for localized, evidence-based guidance for Korean patients with CCS. This expert consensus provides a comprehensive, stepwise framework for the diagnosis, treatment, and long-term management of CCS by integrating the latest international evidence with Korean clinical data and practice patterns.
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