2023 ESC Guidelines for the management of acute coronary syndromes
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The ESC Guidelines represent the views of the ESC and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their publication.The ESC is not responsible in the event of any contradiction, discrepancy, and/or ambiguity between the ESC Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies.Health professionals are encouraged to take the ESC Guidelines fully into account when exercising their clinical judgment, as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies; however, the ESC Guidelines do not override, in any way whatsoever, the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and in consultation with that patient and, where appropriate and/or necessary, the patient's caregiver.Nor do the ESC Guidelines exempt health professionals from taking into full and careful consideration the relevant official updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations.It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription.
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Measurement of cardiac troponins is currently recommended in all clinical and laboratory medicine guidelines because of their typical kinetic release and well-defined analytical performance.
“The measurement of cardiac troponins, in fact, is currently recommended in all clinical and laboratory medicine guidelines, because their prevalent features are the typical kinetic release and well-de fi ned analytical performance [40].”
From Point-of-care testing: state-of-the art and perspectives (2025) · cites this paper as [40]
In the last 20 years, cardiac troponins have been identified as the gold standard for diagnosing acute cardiac diseases and detecting myocardial injury thanks to high sensitivity methods.
“In the last 20 years, cardiac troponins have been identi fi ed as the gold standard not only for diagnosing acute cardiac diseases, but also to detect myocardial injury thanks to the development of high sensitivity methods which have changed the previously described clinical scenario.”
From Point-of-care testing: state-of-the art and perspectives (2025) · cites this paper as [40]
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Can point-of-care high sensitivity troponin improve efficiency: a multisite US study
Mahler, S. A., Ashburn, N. P., Villenthi, A., Pearson, D. A., Pugh, H. D., Hutchison, B. T., Supples, M. W., & Snavely, A. C. (2026) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2026.08.035 · Cited by 4
- Authors
- Byrne, R. A., Rossello, X., Coughlan, J. J., Barbato, E., Berry, C., Chieffo, A., Claeys, M. J., Dan, G.-A., Dweck, M. R., Galbraith, M., Gilard, M., Hinterbuchner, L., Jankowska, E. A., Jüni, P., Kimura, T., Kunadian, V., Leosdottir, M., Lorusso, R., Pedretti, R. F. E., Rigopoulos, A. G., Rubini Gimenez, M., Thiele, H., Vranckx, P., Wassmann, S., Wenger, N. K., Ibanez, B., ESC Scientific Document Group, Halvorsen, S., James, S., Abdelhamid, M., Aboyans, V., Marsan, N. A., Antoniou, S., Asteggiano, R., Bäck, M., Capodanno, D., Casado-Arroyo, R., Cassese, S., Čelutkienė, J., Cikes, M., Collet, J.-P., Ducrocq, G., Falk, V., Fauchier, L., Geisler, T., Gorog, D. A., Holmvang, L., Jaarsma, T., Jones, H. W., Køber, L., Koskinas, K. C., Kotecha, D., Krychtiuk, K. A., Landmesser, U., Lazaros, G., Lewis, B. S., Lindahl, B., Linhart, A., Løchen, M.-L., Mamas, M. A., McEvoy, J. W., Mihaylova, B., Mindham, R., Mueller, C., Neubeck, L., Niebauer, J., Nielsen, J. C., Niessner, A., Paradies, V., Pasquet, A. A., Petersen, S. E., Prescott, E., Rakisheva, A., Rocca, B., Rosano, G. M. C., Sade, L. E., Schiele, F., Siller-Matula, J. M., Sticherling, C., Storey, R. F., Thielmann, M., Vrints, C., Windecker, S., Wiseth, R., Witkowski, A., El Amine Bouzid, M., Hayrapetyan, H., Metzler, B., Lancellotti, P., Bajrić, M., Karamfiloff, K., Mitsis, A., Ostadal, P., Sørensen, R., Elwasify, T., Marandi, T., Ryödi, E., Collet, J.-P., Chukhrukidze, A., Mehilli, J., Davlouros, P., Becker, D., Guðmundsdóttir, I. J., Crowley, J., Abramowitz, Y., Indolfi, C., Sakhov, O., Elezi, S., Beishenkulov, M., Erglis, A., Moussallem, N., Benlamin, H., Dobilienė, O., Degrell, P., Balbi, M. M., Grosu, A., Lakhal, Z., ten Berg, J., Pejkov, H., Angel, K., Witkowski, A., De Sousa Almeida, M., Chioncel, O., Bertelli, L., Stojkovic, S., Studenčan, M., Radšel, P., Ferreiro, J. L., Ravn-Fischer, A., Räber, L., Marjeh, M. Y. B., Hassine, M., Yildirir, A., Parkhomenko, A., Banning, A. P., Prescott, E., James, S., Arbelo, E., Baigent, C., Borger, M. A., Buccheri, S., Ibanez, B., Køber, L., Koskinas, K. C., McEvoy, J. W., Mihaylova, B., Mindham, R., Neubeck, L., Nielsen, J. C., Pasquet, A. A., Rakisheva, A., Rocca, B., Rossello, X., Vaartjes, I., Vrints, C., Witkowski, A., & Zeppenfeld, K.
- Affiliations
- (Ireland)
- (Italy)
- (United Kingdom)
- (Belgium)
- (Romania)
- (France)
- (Austria)
- (Poland)
- (Japan)
- (Sweden)
- (Netherlands)
- (Greece)
- (Germany)
- (United States of America)
- Corresponding author
- Byrne, Robert A
- ORCID
- Byrne, Robert A
- Coughlan, J J
- Barbato, Emanuele
- Berry, Colin
- Chieffo, Alaide
- Claeys, Marc J
- Dan, Gheorghe-Andrei
- Dweck, Marc R
- Galbraith, Mary
- Gilard, Martine
- Hinterbuchner, Lynne
- Jankowska, Ewa A
- Jüni, Peter
- Kimura, Takeshi
- Kunadian, Vijay
- Leosdottir, Margret
- Lorusso, Roberto
- Pedretti, Roberto F E
- Rigopoulos, Angelos G
- Rubini Gimenez, Maria
- Vranckx, Pascal
- Wassmann, Sven
- Wenger, Nanette Kass
- Halvorsen, Sigrun
- Abdelhamid, Magdy
- Aboyans, Victor
- Marsan, Nina Ajmone
- Antoniou, Sotiris
- Asteggiano, Riccardo
- Bäck, Maria
- Capodanno, Davide
- Cassese, Salvatore
- Čelutkienė, Jelena
- Falk, Volkmar
- Fauchier, Laurent
- Geisler, Tobias
- Gorog, Diana A
- Holmvang, Lene
- Jaarsma, Tiny
- Kotecha, Dipak
- Krychtiuk, Konstantin A
- Landmesser, Ulf
- Lazaros, George
- Lewis, Basil S
- Lindahl, Bertil
- Løchen, Maja-Lisa
- Mamas, Mamas A
- Mueller, Christian
- Niebauer, Josef
- Niessner, Alexander
- Paradies, Valeria
- Petersen, Steffen E
- Rosano, Giuseppe M C
- Sade, Leyla Elif
- Schiele, François
- Siller-Matula, Jolanta M
- Sticherling, Christian
- Storey, Robert F
- Thielmann, Matthias
- Windecker, Stephan
- Wiseth, Rune
- Hayrapetyan, Hamlet
- Metzler, Bernhard
- Lancellotti, Patrizio
- Karamfiloff, Kiril
- Mitsis, Andreas
- Sørensen, Rikke
- Marandi, Toomas
- Chukhrukidze, Archil
- Mehilli, Julinda
- Davlouros, Periklis
- Becker, Dávid
- Guðmundsdóttir, Ingibjörg Jóna
- Sakhov, Orazbek
- Elezi, Shpend
- Beishenkulov, Medet
- Moussallem, Nicolas
- Grosu, Aurel
- Pejkov, Hristo
- Chioncel, Ovidiu
- Stojkovic, Sinisa
- Studenčan, Martin
- Radšel, Peter
- Räber, Lorenz
- Hassine, Majed
- Parkhomenko, Alexander
- Banning, Adrian Paul
- Arbelo, Elena
- Baigent, Colin
- Borger, Michael A
- Buccheri, Sergio
- Vaartjes, Ilonca
- Zeppenfeld, Katja
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-08-25
- Volume
- 44
- Issue
- 38
- Pages
- 3720-3826
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W4386153206
- Cited by
- 5,333
- References
- 69
- Citations by year
- 2026: 1796 · 2025: 1986 · 2024: 1379 · 2023: 168 · 2020: 2
- FWCI
- 1048.81
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Heart Journal (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (publishedVersion)
- HAL (submittedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
- Document Server@UHasselt (UHasselt) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- ORBi (University of Liège) (submittedVersion, other-oa)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Surgery › Coronary Interventions and Diagnostics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Antiplatelet Therapy and Cardiovascular Diseases
- Keywords
- acute coronary syndrome, clinical management, guideline recommendations, ST-elevation myocardial infarction, non-ST-elevation acute coronary syndrome, reperfusion therapy, secondary prevention
- MeSH terms
- Angina, Unstable, Humans, Myocardial Infarction, Acute Coronary Syndrome
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