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The evolving field of acute coronary syndrome management: a critical appraisal of the 2023 European Society of Cardiology guidelines for the management of acute coronary syndrome

Abstract: Acute coronary syndromes (ACS), encompassing conditions like ST-elevation myocardial infarction (STEMI) and non-ST-elevation acute coronary syndromes (NSTE-ACS), represent a significant challenge in cardiovascular care due to their complex pathophysiology and substantial impact on morbidity and mortality. The 2023 European Society of Cardiology (ESC) guidelines for ACS management introduce several updates in key areas such as invasive treatment timing in NSTE-ACS, pre-treatment strategies, approaches to multivessel disease, and the use of imaging modalities including computed tomography (CT) coronary angiography, magnetic resonance imaging (MRI), and intracoronary imaging techniques, such as optical coherence tomography (OCT) and intravascular ultrasound (IVUS). They also address a modulation of antiplatelet therapy, taking into consideration different patient risk profiles, and introduce new recommendations for low-dose colchicine. These guidelines provide important evidence-based updates in practice, reflecting an evolution in the understanding and management of ACS, yet some potentially missed opportunities for more personalized care and technology adoption are discussed.

 Fuente: Journal of Clinical Medicine, 2024, 13, 1885

 Editorial: MDPI

 Año de publicación: 2024

 Nº de páginas: 16

 Tipo de publicación: Artículo de Revista

 DOI: 10.3390/jcm13071885

 ISSN: 2077-0383

Autoría

LICORDI, ROBERTO

COSTA, FRANCESCO

GARCÍA-RUIZ, VICTORIA

MAMAS, MAMAS A.

MARQUIS-GRAVEL, GUILLAUME

GÓMEZ DOBLAS, JUAN JOSÉ

JIMÉNEZ-NAVARRO, MANUEL

RODRÍGUEZ-CAPITÁN, JORGE

URBANO-CARRILLO, CRISTOBAL

ORTEGA-PAZ, LUIS

PICCOLO, RAFFAELE

VERSACE, ANTONIO GIOVANNI

DI BELLA, GIANLUCA

ANDÒ, GIUSEPPE

ANGIOLILLO, DOMINICK J.

VALGIMIGLI, MARCO

MICARI, ANTONIO