Journal of Nuclear Cardiology

, Volume 25, Issue 2, pp 509–515 | Cite as

Guidelines in review: Comparison of ESC and ACC/AHA guidelines for the diagnosis and management of patients with stable coronary artery disease

  • Jubin Joseph
  • Alejandro Velasco
  • Fadi G. Hage
  • Eliana Reyes
Review Article

Abstract

In 2012, the American College of Cardiology Foundation (ACCF) and the American Heart Association (AHA) Task Force on Practice Guidelines jointly with the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons produced a set of recommendations intended to assist physicians in the diagnosis and management of patients with stable ischemic heart disease. Two years later, a focused update on the 2012 guidelines was published. A year before this update, The Task Force on the management of stable coronary artery disease (CAD) of the European Society of Cardiology (ESC) issued a guideline on the management of stable CAD. This document brings together European and American recommendations that include the use of stress testing and non-invasive imaging for the diagnosis and management of patients with known or suspected stable CAD.

Keywords

Coronary artery disease ischemia myocardium guidelines non-invasive imaging 

Abbreviations

CABG

Coronary artery bypass grafting

CAC

Coronary artery calcium

CAD

Coronary artery disease

CCTA

Coronary computed tomographic angiography

LVEF

Left ventricular ejection fraction

LOE

Level of evidence

MPI

Myocardial perfusion imaging

MRI

Magnetic resonance imaging

NSER

No specific equivalent recommendation

PCI

Percutaneous coronary intervention

PTP

Pre-test probability

Notes

Disclosure

Authors declare that they have no potential conflict of interest relevant to this document.

References

  1. 1.
    Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the diagnosis and management of patients with stable ischemic heart disease. J Am Coll Cardiol 2012;60:e44-164.CrossRefPubMedGoogle Scholar
  2. 2.
    Fihn SD, Blankenship JC, Alexander KP, Bittl JA, Byrne JG, Fletcher BJ, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease. J Am Coll Cardiol 2014;64:1929-49.CrossRefPubMedGoogle Scholar
  3. 3.
    Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Budaj A, et al. 2013 ESC guidelines on the management of stable coronary artery disease: The task force on the management of stable coronary artery disease of the European Society of Cardiology. Eur Heart J 2013;34:2949-3003.CrossRefPubMedGoogle Scholar
  4. 4.
    Velasco A, Reyes E, Hage FG. Guidelines in review: comparison of the 2014 ACC/AHA guidelines on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery and the 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management. J Nucl Cardiol 2017;24:165-70.CrossRefPubMedGoogle Scholar
  5. 5.
    Stirrup J, Velasco A, Hage FG, Reyes E. Comparison of ESC and ACC/AHA guidelines for myocardial revascularization. J Nucl Cardiol 2017;24:1046-53.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Velasco A, Stirrup J, Reyes E, Hage FG. Guidelines in review: Comparison between AHA/ACC and ESC guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. J Nucl Cardiol 2017. doi: 10.1007/s12350-017-0895-y.PubMedCentralGoogle Scholar
  7. 7.
    Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B, et al. 2011 ACCF/AHA/SCAI Guideline for percutaneous coronary intervention. J Am Coll Cardiol 2011;58:e44-122.CrossRefPubMedGoogle Scholar
  8. 8.
    Budoff MJ, Achenbach S, Blumenthal RS, Carr J, Goldin JG, Philip Greenland P, et al. Assessment of coronary artery disease by cardiac computed tomography: A scientific statement from the american heart association committee on cardiovascular imaging and intervention, council on cardiovascular radiology and intervention, and committee on cardiac imaging, Council on Clinical Cardiology. Circulation 2006;114:1761-91.CrossRefPubMedGoogle Scholar
  9. 9.
    Mark DB, Berman DS, Budoff MJ, Carr JJ, Gerber TC, Hecht HS, et al. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 Expert consensus document on coronary computed tomographic angiography a report of the American College of Cardiology Foundation task force on expert consensus documents. Circulation 2010;121:2509-43.CrossRefPubMedGoogle Scholar

Copyright information

© American Society of Nuclear Cardiology 2017

Authors and Affiliations

  • Jubin Joseph
    • 1
  • Alejandro Velasco
    • 2
  • Fadi G. Hage
    • 2
    • 3
  • Eliana Reyes
    • 1
    • 4
  1. 1.St Thomas’ HospitalKing’s College LondonLondonUK
  2. 2.Division of Cardiovascular Disease, Department of MedicineThe University of Alabama at BirminghamBirminghamUSA
  3. 3.Section of CardiologyBirmingham Veteran Affairs Medical CenterBirminghamUSA
  4. 4.Nuclear Medicine DepartmentRoyal Brompton and Harefield NHS Foundation TrustLondonUK

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