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

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ID: 289372
2019
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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.
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Authors Juhani Knuuti, William Wijns, Antti Saraste, Davide Capodanno, Emanuele Barbato, Christian Funck‐Brentano, Eva Prescott, Robert F. Storey, Christi Deaton, Thomas Cuisset, Stefan Agewall, Kenneth Dickstein, Thor Edvardsen, Javier Escaned, Bernard J. Gersh, Pavel Svítil, Martine Gilard, David Hasdai, Róbert Hatala, Felix Mahfoud, Josep Masip, Claudio Muneretto, Marco Valgimigli, Stephan Achenbach, Jeroen J. Bax, Franz-Josef Neumann, Udo Sechtem, Adrian Banning, Nikolaos Bonaros, Héctor Bueno, Raffaele Bugiardini, Alaide Chieffo, Filippo Crea, Martin Czerny, Victoria Delgado, Paul Dendale, Frank A. Flachskampf, H. Gohlke, Erik Lerkevang Grove, Stefan James, Demosthenes G. Katritsis, Ulf Landmesser, Maddalena Lettino, Christian M. Matter, Hendrik M. Nathoe, Alexander Niessner, Carlo Patrono, Anna Sonia Petronio, S. Pettersen, Raffaele Piccolo, Massimo Piepoli, Bogdan A Popescu, Lorenz Räber, Dimitrios Richter, Marco Roffi, Franz Xaver Roithinger, Е. V. Shlyakhto, Dirk Sibbing, Sigmund Silber, Iain Simpson, Miguel Sousa‐Uva, Panos Vardas, Adam Witkowski, Jose Luis Zamorano, Stephan Windecker, Victor Aboyans, Colin Baigent, Jean-Philippe Collet, Veronica Dean, Donna Fitzsimons, Chris P Gale, Diederick E. Grobbee, Sigrun Halvorsen, Gerhard Hindricks, Bernard Iung, Peter Jüni
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Journal european heart journal
Year 2019
DOI
10.1093/eurheartj/ehz425
URL
https://academic.oup.com/eurheartj/article-pdf/41/3/407/32651471/ehz425.pdf
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