European Society of Cardiology
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Guidelines & Surveys
Welcome to the European Society of Cardiology. Our mission: to reduce the burden of cardiovascular disease in Europe

Myocardial Revascularisation (Guidelines for)

ESC Clinical Practice Guidelines

Topics: Acute Coronary Syndromes (ACS)


Watch a video about the new ESC Guidelines presented at the ESC Congress 2010.
02/12/2010 00:00:00

Current versions available to download

Publication dateVersionsReferencesSize
 Essential MessagesMessages from the ESC Guidelines on Myocardial Revascularisation853 KB
2010Full TextEuropean Heart Journal (2010) 31, 2501–2555; doi:10.1093/eurheartj/ehq277
 Pocket GuidelinesTable of Contents
 PdaDownload the PDA Version
  Slide-setSlide set on Myocardial revascularisation8 MB
  Slide-setJoint-ESC-EACTS-slides-Special-conditions-MR6 MB
 CME QuestionsCME Questions
 Related MaterialsMyocardial revascularization - Appendix968 KB
2010Related MaterialsMyocardial Revascularisation additional references832 KB

Current translated versions available to download:


William Wijns FESC (Chairperson), Philippe Kolh FESC (Chairperson), Nicolas Danchin FESC, Carlo Di Mario FESC, Volkmar Falk, Thierry Folliguet, Scot Garg, Kurt Hubert, Stefan James FESC, Juhani Knuuti FESC, Jose Lopez-Sendon, Jean Marco FESC, Lorenzo Menicanti, Miodrag Ostojic FESC, Massimo F. Piepoli FESC, Charles Pirlet, Jose L. Pomar, Nicolaus Reifart FESC, Flavio L. Ribichini, Martin J. Schalij FESC, Paul Sergeant, Patrick W. Serruys FESC,Sigmund Silber FESC, Miguel Sousa Uva FESC, David Taggart

Declarations of Interest of the experts involved in the elaboration of the document.

Endorsement by non ESC Entities

Swiss Society of Cardiac Surgery
Society for Cardiothoracic Surgery of Great Britain and Ireland
Israel Society of Cardiothoracic Surgery
Italian Society of Cardiac Surgery
German Society for Thoracic and Cardiovascular Surgery
Belgian Association for Cardio-Thoracic Surgery (BACTS)
Sociedade Portuguesa de Cirurgia Cardio-Toracica e Vascular






Endorsed by:

Table of contents: Full Text (ESC Clinical Practice Guidelines)

Preamble and Introduction

Scores and risk stratification, impact of comoborbidity

Process for decision making & patient information

  • Patient information
  • Multidisciplinary decision making (Heart Team)

Strategies for pre-intervention diagnosis and imlaging

  • Detection of coronary artery disease
  • Detection of ischaemia
  • Hybrid/combined imaging
  • Invasive tests
  • Prognostic value
  • Detection of myocardial viability

Revascularization for stabe CAD

  • Evidence basis for revascularisation
  • Impact of ischaemia burden on prognosis
  • Optimal medical therapy vs PCI
  • PCI with drug-eluting stents vs bare metal stents
  • Coronary artery bypass grafting vs medical therapy
  • PCI vs coronary artery bypass grafting
  • Recommendations

Revascularization in non-ST-segment elevation ACS

  • Intended early invasive or conservative strategies
  • Risk stratification
  • Timing of angiography & intervention
  • Coronary angiography, PCI, & coronary artery bypass grafting
  • Patient subgroups

Revascularisation in St-segment elevation myoacardial infraction

  • Reperfusion strategies
  • Cardiogenic shock and mechanical complications

Special conditions

  • Diabetes
  • Myocardial revascularization in patients with chronic kidney disease
  • Myocardial revascularisation in patients requiring valve surgery
  • Associated carotid/peripheral arterial disease
  • Myocardial revascularisation in CHF
  • Crossed revascularisation procedures
  • Arrhythmias in patients with ischaemic heart disease

Procedural aspects of coronary artery bypass grafting

  • Pre-operative management
  • Surgical procedures
  • Early post-operative risk

Procedural aspects of PCI

  • Impact of clinical presentation
  • Specific lesion subsets
  • Drug-eluting stents
  • Adjunctive invasive diagnostic tools

Antithrombotic pharmacotherapy

  • Elective PCI
  • Non-St-segment elevation ACS
  • ST-segment elevation myoacardial infraction
  • Points of interest and special conditions

Secondary prevention

  • Background and rationale
  • Modalities
  • Settings

Strategies for follow-up

Previous versions

Percutaneous coronary interventions
European Heart Journal  2005;26:804-847 - Full Text

A complete list of ESC Clinical Practice Guidelines (current and previous versions) endorsed by ESC National Society Members is available here