Summary
This 2016 guideline document from major US cardiology societies (ACC/AATS/AHA/ASE/ASNC/SCAI/SCCT/STS) establishes consensus-based appropriate use criteria to guide clinical decision-making regarding coronary revascularisation in patients with acute coronary syndromes. The criteria classify clinical scenarios according to appropriateness of intervention, aiming to optimise resource allocation and patient outcomes. As a clinical guideline rather than an empirical research study, it reflects expert consensus informed by published evidence available at the time of publication.
UK applicability
The guideline reflects North American clinical practice patterns and healthcare systems. UK applicability is limited, as the National Institute for Health and Care Excellence (NICE) and the National Health Service typically develop and adopt their own evidence-based guidance for acute coronary syndrome management; however, the clinical principles and evidence base may inform comparative UK guideline development.
Key measures
Appropriateness ratings for coronary revascularisation (percutaneous coronary intervention and coronary artery bypass grafting) across clinical presentations and patient subgroups with acute coronary syndromes
Outcomes reported
The paper presents consensus-based appropriate use criteria (AUC) for coronary revascularisation procedures in patients presenting with acute coronary syndromes. The criteria classify clinical scenarios and patient presentations as appropriate, may be appropriate, or rarely appropriate for intervention.
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