Abstract
In August of 2014, the American Heart Association and American College of Cardiology (AHA/ACC) published a new guideline for the management of patients with non-ST-elevation acute coronary syndromes. With similar timing, the European Association for Cardio-Thoracic Surgery (EACTS) released new 2014 guidelines on myocardial revascularization, including a brief update on the 2011 European Society of Cardiology guidelines on the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. We briefly summarize key components of all three of these guideline publications, highlighting differences and concluding that similarities far outweigh differences in the American vs European approach to a patient with non-ST-elevation acute coronary syndrome.
Similar content being viewed by others
References
Amsterdam, E. A., Wenger, N. K., Brindis, R. G., et al. (2014). 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: executive summary, a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 64, 2645–2687.
Anderson, J. L., Adams, C. D., Antman, E. M., et al. (2007). ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction: executive summary, a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 2002 guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction). Circulation, 116, 803–877.
Windecker, S., Kolh, P., Alfonso, F., et al. (2014). ESC/EACTS guidelines on myocardial revascularization: the task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). European Heart Journal. doi:10.1093/eurheartj/ehu278. online published ahead of print.
Hamm, C. W., Bassand, J.-P., Agewall, S., et al. (2011). ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST el-segment elevation: the task force for the management of acute coronary syndromes (ACS) in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal, 32, 2999–3054.
Levine, G. N., Bates, E. R., Blankenship, J. C., et al. (2011). 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. Journal of the American College of Cardiology, 58, e44–e122.
Hillis, L. D., Smith, P. K., Anderson, J. L., et al. (2011). 2011 ACCF/AHA guideline for coronary artery bypass graft surgery: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and Society of Thoracic Surgeons. Journal of the American College of Cardiology, 58, e123–e210.
Author information
Authors and Affiliations
Corresponding author
Additional information
Associate Editor Emanuele Barbato oversaw the review of this article
Rights and permissions
About this article
Cite this article
Cassimatis, D.C., Wenger, N.K. America vs Europe and the 2014 Non-ST Elevation Acute Coronary Syndrome Guidelines. J. of Cardiovasc. Trans. Res. 8, 385–391 (2015). https://doi.org/10.1007/s12265-015-9639-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12265-015-9639-z