European Heart Journal· 2019Q1
2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes
- 7,178citations
- Q1SCImago
- 2019year
Short summary
These guidelines provide a framework for diagnosing and managing chronic coronary syndromes (CCS), a condition characterized by atherosclerotic plaque buildup in heart arteries.
AI-generated from the title and abstract; the full text is not read.
Key points
- Chronic coronary syndromes (CCS) are defined by atherosclerotic plaque accumulation in epicardial arteries.
- CCS is a progressive disease that can present acutely due to plaque rupture or erosion.
- Management strategies include lifestyle adjustments, pharmacological therapies, and invasive interventions.
- The guidelines focus on disease stabilization or regression.
AI-generated from the title and abstract; the full text is not read.
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.
The authors' abstract, as published at the source. European Heart Journal, 2019 · DOI ↗
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Field: Radiology, Nuclear Medicine and Imaging
Radiology, Nuclear Medicine and ImagingMedicine