Major Changes and New Key Recommendation of ESC Acute Coronary Syndrome Guidelines

14 May 2021

The 2020 ESC Guidelines of acute coronary syndrome highlights new major changes and recommendations in the diagnosis, risk stratification, and treatment of patients presenting without ST-segment elevation.

Two of the major changes from the guidelines include the use of CCTA as an alternative non-invasive means to exclude ACS when there is a low-to-intermediate likelihood of CAD and when cardiac markers and/or ECG are normal or inconclusive. The second one is the consideration of adding a second antithrombotic agent in patients at high risk of ischaemic events and without increased risk of major or life-threatening bleeding.

Some new key recommendations regarding diagnostic biomarkers, P2Y12 receptor inhibitor, antiplatelet treatment, and early invasive strategy can also be found in the guidelines.

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Major Changes and New Key Recommendation of ESC Acute Coronary Syndrome Guidelines