2024 European Society of Cardiology guidelines for the management of chronic coronary syndromes

NVVC (Netherlands Society of Cardiology) · 2026 · Netherlands

Source and licence

Authors
Alexander Hirsch, Leo H. B. Baur, Peter Damman et al.
Title
2024 European Society of Cardiology guidelines for the management of chronic coronary syndromes
Journal
Netherlands Heart Journal, 2026
Licence
CC BY 4.0
Changes
Verbatim excerpts; formatting adapted

Full text retrieved 2026-10-27 from Europe PMC · PMC13376111

Licence statement of the original publication

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This page reproduces excerpts of the original publication; the original is authoritative. It has not been reviewed by a physician, does not state a recommendation of Medelix and does not replace medical advice. The guideline may have been updated since.

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Recommendations

Verbatim, with grade of recommendation or strength of consensus where given.

Drafting of this addendum:

  • The working group assessed all recommendations from the guideline for applicability in the Netherlands. All recommendations were assessed during several meetings. In particular, recommendations with a low level of evidence (level of evidence C; expert opinion) are assessed for applicability in the Dutch clinical setting. Recommendations with a higher level of evidence can be changed only in light of new literature or changes in Dutch cardiology practice. Any modifications to the recommendations were agreed upon by consensus. An overview highlighting several comments from the working group is depicted in Tab. 1.

Abstract

This article discusses the updated 2024 European Society of Cardiology guidelines on chronic coronary syndromes and situates them within the context of Dutch clinical practice. A working group was appointed by the Netherlands Society of Cardiology (Nederlandse Vereniging voor Cardiologie). It consisted of a general cardiologist, interventional cardiologists, cardiovascular imaging cardiologists, and a representative of the Dutch Heart Foundation (Nederlandse Hartstichting). This document summarizes the key recommendations and includes additional guidance tailored to clinical practice in the Netherlands, focusing on the risk-factor-weighted clinical likelihood model, the choice of non-invasive imaging modality, functional assessment of epicardial artery stenosis during invasive coronary angiography, and angina and ischemia with non-obstructive coronary arteries. It is intended for all healthcare professionals involved in the care of patients with chronic coronary syndromes and has been approved by the Netherlands Society of Cardiology and the Dutch Heart Foundation.

Contents of the original publication

The section headings of the original.

  • Introduction
  • Methods
  • Composition of the working group:
  • Drafting of this addendum:
  • Comment and authorization phase:
  • Summary and translation into clinical practice in the Netherlands
  • The stepwise approach to the initial management of individuals with suspected chronic coronary syndrome
  • Guideline-directed therapy
  • Optimal assessment and treatment of specific groups
  • Patient-centered care and shared decision-making
  • Conclusion

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