Abstract
In 2014, the Task Force on Myocardial Revascularization of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery with the special contribution of the European Association of Percutaneous Cardiovascular Interventions published a comprehensive set of recommendations on myocardial revascularization in patients presenting with acute or chronic coronary artery disease. In the United States, pertinent guidance on this topic has been published by the American College of Cardiology, American Heart Association and other relevant societies in multiple guideline documents that have been published in recent years. This document brings together European and American recommendations on myocardial revascularization with a focus on the role of cardiac imaging
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In 2014, the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI) published a comprehensive set of recommendations on myocardial revascularization in patients presenting with acute or chronic coronary artery disease (CAD).1 In the United States, pertinent guidance on this topic has been published by the American College of Cardiology (ACC), American Heart Association (AHA), and other relevant societies in multiple guideline documents that have been published in recent years.2,3,4,5,6,7,8,9,10 This document brings together European and American recommendations on myocardial revascularization for side-by-side comparison; class (I, II or III) and level of evidence (A, B or C) are shown for each recommendation (Tables 1, 2, 3, 4, 5, 6 and Figures 1, 2). This is followed by two Editorial comments that reflect on the similarities and the differences between European and American guidance and the relevance of these to clinical practice. This represents the second of a new series of comparative guidelines review; the first of these focused on the recently published ACC/AHA and ESC/ESA guidelines for the cardiovascular evaluation and management of patients undergoing non-cardiac surgery.11,12,13
Abbreviations
- CABG:
-
Coronary artery bypass grafting
- CAD:
-
Coronary artery disease
- CTA:
-
Computed tomographic angiography
- EF:
-
Ejection fraction
- FFR:
-
Fractional flow reserve
- HFrEF:
-
Heart failure with reduced ejection fraction
- ICD:
-
Implantable cardioverter defibrillator
- LAD:
-
Left anterior descending coronary artery
- LIMA:
-
Left internal mammary artery
- LOE:
-
Level of evidence
- LV:
-
Left ventricular
- MPS:
-
Myocardial perfusion scintigraphy
- MRI:
-
Magnetic resonance imaging
- NSER:
-
No specific equivalent recommendation
- NSTE-ACS:
-
Non-ST-segment elevation acute coronary syndrome
- PCI:
-
Percutaneous coronary intervention
- PET:
-
Positron emission tomography
- SIHD:
-
Stable ischaemic heart disease
- SPECT:
-
Single-photon emission computed tomography
- STEMI:
-
ST-segment elevation myocardial infarction
References
Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V, et al. 2014 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J 2014;35:2541–619.
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.
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.
Greenland P, Alpert JS, Beller GA, Benjamin EJ, Budoff MJ, Fayad ZA, et al. 2010 ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults. Circulation 2010;122:e584–636.
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.
Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG, et al. 2011 ACCF/AHA guideline for coronary artery bypass graft surgery. J Am Coll Cardiol 2011;58:e123–210.
Amsterdam EA, Wenger NK, Brindis RG, Casey DE Jr, Ganiats TG, Holmes DR Jr, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes. Circulation 2014;130:e344–426.
O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction. Circulation 2013;127:e362–425.
Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure. Circulation 2013;128:e240–327.
Fleisher LA, Fleischmann KE, Auerbach AD, Barnason SA, Beckman JA, Bozkurt B, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. J Am Coll Cardiol 2014;64:e77–137.
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 2016;24:165–70.
Kristensen SD. 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management: Are the differences clinically relevant? The European perspective. J Nucl Cardiol 2016;24:162–4.
Port SC. 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management: Are the differences clinically relevant? The USA perspective. J Nucl Cardiol 2016;24:171–3.
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.
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Stirrup, J., Velasco, A., Hage, F.G. et al. Comparison of ESC and ACC/AHA guidelines for myocardial revascularization. J. Nucl. Cardiol. 24, 1046–1053 (2017). https://doi.org/10.1007/s12350-017-0811-5
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DOI: https://doi.org/10.1007/s12350-017-0811-5