Summary
This 2017 multi-society consensus document from the American College of Cardiology and associated societies establishes appropriate use criteria for coronary revascularisation in patients with stable ischaemic heart disease. The guidance synthesises evidence to classify clinical scenarios as appropriate, inappropriate, or uncertain for revascularisation, intended to inform clinical decision-making and reduce unnecessary procedures. The document reflects professional consensus on evidence-based indications for intervention in this patient population.
UK applicability
Whilst developed by United States societies, the clinical evidence base and pathophysiological principles are generally applicable to UK practice. However, UK practitioners should consult National Institute for Health and Care Excellence (NICE) guidance on stable angina management, which may reflect different cost-effectiveness thresholds and healthcare system priorities.
Key measures
Appropriateness classifications for coronary revascularisation across patient presentations and anatomical scenarios
Outcomes reported
The paper presents appropriate use criteria (AUC) for coronary revascularisation procedures in patients with stable ischaemic heart disease, as developed by a multi-society consensus panel. It provides clinical guidance on when revascularisation is deemed appropriate, inappropriate, or uncertain based on patient and anatomical factors.
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