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

Figures

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  Fig. 1. Estimation of the clinical likelihood of obstructive coronary artery disease based on the Risk Factor-weighted Clinical Likelihood model from Winther et al. [2, 6]. A combination of Figures 4 and 5 as published in the 2024 ESC guideline of chronic coronary syndromes (reproduced with the permission of Oxford University Press) [2]. CACS coronary artery calcium score, CACS-CL coronary artery calcium score + RF-CL model, CAD coronary artery disease, CT computed tomography, ECG electrocardiogram, LV left ventricular, RF-CL risk factor-weighted clinical likelihood

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  Fig. 2. Diagnostic algorithm for patients with angina/ischemia with non-obstructive coronary arteries. Published in the 2024 ESC guideline of chronic coronary syndromes (Fig. 13, reproduced with the permission of Oxford University Press) [2]. Ach acetylcholine, ANOCA angina with non-obstructive coronary arteries, CAD coronary artery disease, CCS chronic coronary syndrome, CCTA coronary computed tomography angiography, CFR coronary flow reserve, ECG electrocardiogram, echo echocardiography; FFR fractional flow reserve, GDMT guideline-directed medical therapy, HMR hyperemic myocardial velocity resistance, i.c. intracoronary, ICA invasive coronary angiography, iFR instantaneous-wave free ratio, IMR index of microcirculatory resistance, INOCA ischemia with non-obstructive coronary arteries, MRI magnetic resonance imaging, PET positron emission tomography, SPECT single-photon emission computed tomography