The 2024 ESC Guidelines on the management of chronic coronary syndromes (CCS) include a focus on both larger and smaller blood vessels of the heart; new models to estimate chances of blocked large arteries (so-called obstructive coronary artery disease); optimal selection and sequence of tests; drugs and interventions to prevent disease...
European Society of Cardiology Aug 30 2024 The 2024 ESC Guidelines on the management of chronic coronary syndromes include a focus on both larger and smaller blood vessels of the heart; new models to estimate chances of blocked large arteries ; optimal selection and sequence of tests; drugs and interventions to prevent disease complications and improve symptoms, and the fundamental role of patient involvement.
The guidelines highlight that persistently symptomatic patients with suspected ANOCA/INOCA who do not respond to guideline-derived medical therapy should undergo invasive coronary functional testing to determine underlying endotypes and to guide appropriate medical therapy. "In patients with large coronary artery blockages, surgical or percutaneous revascularisation is recommended for specific anatomical and/or clinical groups of patients in whom revascularisation over medical therapy alone has been shown to prolong survival and to reduce deaths from cardiovascular causes, as well as spontaneous myocardial infarctions and symptoms caused by cardiac ischaemia," says guidelines co-chair Professor Felicita Andreotti, Fondazione Policlinico Universitario...
When performing revascularisation via percutaneous coronary intervention, intracoronary imaging, in addition to pressure measurements, is helpful to guide interventions and enhance immediate and long-term results, especially in complex anatomical scenarios such as left main disease, bifurcations, or long lesions.
Diagnostic Syndrome Anatomy Angina Blood Blood Vessels Cardiology Coronary Artery Disease Drugs Heart Hospital Imaging Stress Surgery Tomography
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