Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Feb;49(1):5-14.
doi: 10.1007/s00059-023-05222-1. Epub 2023 Nov 30.

[Management of acute coronary syndrome : ESC guidelines 2023]

[Article in German]
Maria Buske  1 , Hans-Josef Feistritzer  1 , Alexander Jobs  1 , Holger Thiele  2
Affiliations

[Management of acute coronary syndrome : ESC guidelines 2023]

[Article in German]
Maria Buske et al. Herz. 2024 Feb.

Abstract
in English, German

The new guidelines of the European Society of Cardiology (ESC) on the management of acute coronary syndrome (ACS) in 2023 encompass updates for both the guidelines pertaining to ST elevation myocardial infarction (STEMI) and acute coronary syndrome without ST segment elevation (NSTE-ACS). The previously separated guidelines from 2017 and 2020 were therefore revised and summarized. These guidelines address various topics, including diagnostics, acute management, antithrombotic treatment, out-of-hospital cardiac arrest, cardiogenic shock, invasive strategies, and long-term treatment. The notable updates compared to earlier guidelines address the recommendation regarding the timing of invasive diagnostics in NSTE-ACS (Non-ST elevation acute coronary syndrome), the procedure of revascularization in multivessel coronary artery disease and alternative regimens for antithrombotic treatment in patients with a high risk of bleeding.

Die neuen Leitlinien der European Society of Cardiology (ESC) zum Management des akuten Koronarsyndroms (ACS) von 2023 umfassen sowohl Neuerungen der Leitlinie zum ST-Strecken-Hebungs-Myokardinfarkt (STEMI) als auch zum akuten Koronarsyndrom ohne ST-Strecken-Hebung (NSTE-ACS). Damit wurden die vormals getrennten Leitlinien von 2017 bzw. 2020 überarbeitet und zusammengefasst. Dabei werden die Themen Diagnostik, Akutmanagement, antithrombotische Therapie, außerklinischer Herzstillstand und kardiogener Schock, invasive Strategien sowie die Langzeittherapie behandelt. Die Neuerungen gegenüber älteren Leitlinien betreffen unter anderem den Empfehlungsgrad zum Zeitpunkt der invasiven Diagnostik beim akuten Koronarsyndrom ohne ST-Hebungen (NSTE-ACS), das Vorgehen der Revaskularisation bei koronarer Mehrgefäßerkrankung sowie alternative Regime der antithrombotischen Therapie bei Patienten mit hohem Blutungsrisiko.

Keywords: Antithrombotic agents; Coronary artery disease; Myocardial infarction; Revascularization; ST segment elevation.

PubMed Disclaimer

References

Literatur

    1. Byrne RA, Rossello X, Coughlan JJ et al (2023) 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J 44(38):3720–3826 - PubMed - DOI
    1. Thygesen K, Alpert JS, Jaffe AS et al (2018) Fourth universal definition of myocardial infarction (2018). Circulation 138(20):e618–e651 - PubMed - DOI
    1. Chew DP, Lambrakis K, Blyth A et al (2019) A Randomized Trial of a 1-Hour Troponin T Protocol in Suspected Acute Coronary Syndromes: The Rapid Assessment of Possible Acute Coronary Syndrome in the Emergency Department With High-Sensitivity Troponin T Study (RAPID-TnT). Circulation 140(19):1543–1556 - PubMed - DOI
    1. Stoyanov KM, Hund H, Biener M et al (2020) RAPID-CPU: a prospective study on implementation of the ESC 0/1-hour algorithm and safety of discharge after rule-out of myocardial infarction. Eur Heart J Acute Cardiovasc Care 9(1):39–51 - PubMed - DOI
    1. Twerenbold R, Costabel JP, Nestelberger T et al (2019) Outcome of applying the ESC 0/1-hour algorithm in patients with suspected myocardial infarction. J Am Coll Cardiol 74(4):483–494 - PubMed - DOI

Publication types

MeSH terms

Substances

LinkOut - more resources