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Tier 4 — Narrative / commentaryPeer-reviewedConventional

2023 ESC Guidelines for the management of acute coronary syndromes

Robert A. Byrne, Xavier Rosselló, J J Coughlan, Emanuele Barbato, Colin Berry, Alaide Chieffo, Marc J. Claeys, Gheorghe‐Andrei Dan, Marc R. Dweck, Mary Galbraith, Martine Gilard, Lynne Hinterbuchner, Ewa A. Jankowska, Peter Jüni, Takeshi Kimura, Vijay Kunadian, Margrét Leósdóttir, Roberto Lorusso, Roberto F.E. Pedretti, Angelos G. Rigopoulos, María Rubini Giménez, Hölger Thiele, Pascal Vranckx, Sven Waßmann, Nanette K. Wenger, Borja Ibáñez, ESC Scientific Document Group, Sigrun Halvorsen, Stefan James, Magdy Abdelhamid, Victor Aboyans, Nina Ajmone Marsan, Sotiris Antoniou, Riccardo Asteggiano, Maria Bäck, Davide Capodanno, Rubén Casado-Arroyo, Salvatore Cassese, Jelena Čelutkienė, Maja Čikeš, Jean-Philippe Collet, Grégory Ducrocq, Volkmar Falk, Laurent Fauchier, Tobias Geisler, Diana A. Gorog, Lene Holmvang, Tiny Jaarsma, Hywel Wynne Jones, Lars Køber, Konstantinos C Koskinas, Dipak Kotecha, Konstantin A. Krychtiuk, Ulf Landmesser, George Lazaros, Basil S. Lewis, Bertil Lindahl, Aleš Linhart, Maja‐Lisa Løchen, Mamas A. Mamas, John W. McEvoy, Borislava Mihaylova, Richard Mindham, Christian Mueller, Lis Neubeck, Josef Niebauer, Jens Cosedis Nielsen, Alexander Niessner, Valeria Paradies, Agnes A Pasquet, Steffen E. Petersen, Eva Prescott, Amina Rakisheva, Bianca Rocca, Giuseppe Rosano, Leyla Elif Sade, François Schiele, Jolanta M. Siller‐Matula, Christian Sticherling, Robert F. Storey, Matthias Thielmann, Christiaan Vrints, Stephan Windecker, Rune Wiseth, Adam Witkowski, Mohammed El Amine Bouzid, Hamlet Hayrapetyan, Bernhard Metzler, Patrizio Lancellotti, Mugdim Bajrić, Kiril Karamfiloff, Andreas Mitsis, Petr Ošťádal, Rikke Sørensen, Tamer Elwasify, Toomas Marandi, Essi Ryödi, Jean-Philippe Collet, Archil Chukhrukidze, Julinda Mehilli

European Heart Journal · 2023

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Summary

The 2023 European Society of Cardiology Guidelines represent a formal, expert-consensus synthesis of international clinical evidence for the acute management of coronary syndromes, encompassing diagnosis, risk stratification, acute interventions, and secondary prevention. Whilst secondary prevention sections may reference dietary and lifestyle counselling, the document's primary scope is acute cardiovascular clinical practice rather than agricultural systems or nutritional epidemiology. This guideline has limited direct relevance to Vitagri's core remit of farming systems and food composition; any dietary intersection occurs at the level of post-acute patient management rather than upstream food system drivers of coronary risk.

Regional applicability

These ESC guidelines are European in origin and directly applicable to United Kingdom clinical practice, as UK cardiologists generally adopt or adapt ESC recommendations. However, the guidelines focus on acute clinical management rather than population-level food systems or nutritional prevention—domains where UK dietary guidance and agricultural policy would be more relevant.

Key measures

Clinical diagnostic criteria, risk stratification protocols, intervention protocols, secondary prevention strategies

Outcomes reported

The guidelines synthesise international evidence on diagnosis, risk stratification, acute interventions, and secondary prevention strategies for acute coronary syndromes. Secondary prevention recommendations may include lifestyle and dietary modifications, though the primary focus is acute clinical cardiology.

Theme
Policy, governance & rights
Subject
Out of scope / non-food
Study type
Guideline
Study design
Guideline
Source type
Peer-reviewed study
Status
Published
Geography
Europe
System type
Human clinical
DOI
10.1093/eurheartj/ehad191
Catalogue ID
SNmp6e6lsi-epxmbq

Topic tags

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