2023 ESC Guidelines for the management of acute coronary syndromes

ESC Clinical Practice Guidelines

25 Aug 2023

The present guideline has been developed to support healthcare professionals in the diagnosis and management of patients presenting with acute coronary syndrome (ACS). The conditions of ST-elevation myocardial infarction (STEMI) and non-ST-elevation ACS (NSTE-ACS) have been covered separately in previous European Guidelines. For the first time, the present guideline presents recommendations for management of patients across the entire spectrum of ACS in one document. The previous guidelines on STEMI were published in 2017 and the previous guidelines on NSTE-ACS were published in 2020. There have been numerous developments in the diagnosis and treatment of patients with ACS in the intervening years, which are reflected in this up-to-date guideline. The current guideline provides a comprehensive overview of the management of patients presenting with ACS, from the point of diagnosis and risk stratification at initial presentation, through to longterm management after the initial hospitalisation period. Particular focus is given to the importance of anti-thrombotic therapy, invasive assessment and revascularisation. This guideline also highlights the importance of providing patient-centred care throughout the patient's ACS journey.

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Topic(s):

Cardiogenic Shock

Pathophysiology and Mechanisms

Cardiac Arrest

Epidemiology, Prognosis, Outcome

Diagnostic Methods

Acute Coronary Syndromes

Endorsed by cardiac societies

Armenian Cardiologists Association , Austrian Society of Cardiology , Azerbaijan Society of Cardiology , Belgian Society of Cardiology , Association of Cardiologists of Bosnia & Herzegovina , British Cardiovascular Society , Bulgarian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Danish Society of Cardiology , Egyptian Society of Cardiology , Estonian Society of Cardiology , Finnish Cardiac Society , French Society of Cardiology , Georgian Society of Cardiology , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Irish Cardiac Society , Israel Heart Society , Italian Federation of Cardiology , Kosovo Society of Cardiology , Kyrgyz Society of Cardiology , Luxembourg Society of Cardiology , Maltese Cardiac Society , Moroccan Society of Cardiology , Lithuanian Society of Cardiology , National Society of Cardiology of North Macedonia , Norwegian Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , Romanian Society of Cardiology , San Marino Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology , Spanish Society of Cardiology , Swiss Society of Cardiology , Turkish Society of Cardiology , Ukrainian Association of Cardiology