The evolution of diagnostic terms of stable coronary artery disease from European and American guidelines
10.3969/j.issn.1004-8812.2024.11.004
- VernacularTitle:从欧美指南看稳定性冠心病诊断术语的演变
- Author:
Hong-Bing YAN
1
;
Yong HUO
Author Information
1. 国家心血管病中心北京协和医学院中国医学科学院阜外医院冠心病中心,北京 100037
- Keywords:
Stable coronary artery disease;
European Society of Cardiology;
American College of Cardiology/American Heart Association
- From:
Chinese Journal of Interventional Cardiology
2024;32(11):631-634
- CountryChina
- Language:Chinese
-
Abstract:
More and more evidence shows that non-epicardial coronary causes of angina pectoris and ischemia,including coronary microvascular dysfunction,vasospasm disorder and myocardial metabolic disorder,are more common than blood flow limited stenosis.Therefore,in 2019,the European Society of Cardiology(ESC)guideline first proposed the concept of chronic coronary syndrome to replace the diagnostic terminology of stable coronary artery disease(SCAD).The 2024 ESC guideline further clarified the definition of chronic coronary syndrome.Recently,American Heart Association and ESC suggested renaming the diagnostic term of SCAD as non-acute myocardial ischemia syndrome.These reflect the deepening understanding of the pathophysiology of SCAD,which will certainly bring about further accurate classification of SCAD and better guide clinical practice.
