{"doi":"10.1093/eurheartj/ehz425","title":"2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes","abstract":"Coronary artery disease (CAD) is a pathological process characterized by atherosclerotic plaque accumulation in the epicardial arteries,
\\nwhether obstructive or non-obstructive. This process can be modified by lifestyle adjustments, pharmacological therapies, and invasive
\\ninterventions designed to achieve disease stabilization or regression.
\\nThe disease can have long, stable periods but can also become unstable at any time, typically due to an acute atherothrombotic event
\\ncaused by plaque rupture or erosion. However, the disease is
\\nchronic, most often progressive, and hence serious, even in clinically
\\napparently silent periods. The dynamic nature of the CAD process
\\nresults in various clinical presentations, which can be conveniently categorized as either acute coronary syndromes (ACS) or chronic
\\ncoronary syndromes (CCS). The Guidelines presented here refer to
\\nthe management of patients with CCS","journal":"European Heart Journal","year":2019,"id":9836,"datarank":10.598594795341103,"base_score":8.858510813033927,"endowment":8.858510813033927,"self_citation_contribution":1.3287766219550892,"citation_network_contribution":9.269818173386014,"self_endowment_contribution":1.3287766219550892,"citer_contribution":9.269818173386014,"corpus_percentile":86.1,"corpus_rank":1927,"citation_count":7033,"citer_count":131,"citers_with_citation_signal":131,"citers_with_endowment":131,"datacite_reuse_total":0,"is_dataset":false,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2019-08-31","authors":[{"id":72500,"name":"William Wijns","orcid":"0000-0002-7267-4376","position":1,"is_corresponding":false},{"id":84508,"name":"Antti Saraste","orcid":"0000-0003-2488-0893","position":2,"is_corresponding":false},{"id":70463,"name":"Davide Capodanno","orcid":"0000-0002-5156-7723","position":3,"is_corresponding":false},{"id":84509,"name":"Emanuele Barbato","orcid":"0000-0002-0050-5178","position":4,"is_corresponding":false},{"id":40666,"name":"Eva Prescott","orcid":"0000-0002-4134-0349","position":6,"is_corresponding":false},{"id":80351,"name":"Robert F. Storey","orcid":"0000-0002-6677-6229","position":7,"is_corresponding":false},{"id":2637,"name":"Christi Deaton","orcid":"0000-0003-3209-0752","position":8,"is_corresponding":false},{"id":84510,"name":"Thomas Cuisset","orcid":null,"position":9,"is_corresponding":false},{"id":58209,"name":"Stefan Agewall","orcid":"0000-0002-6942-6312","position":10,"is_corresponding":false},{"id":2617,"name":"Kenneth Dickstein","orcid":null,"position":11,"is_corresponding":false},{"id":19403,"name":"Thor Edvardsen","orcid":"0000-0002-3800-765X","position":12,"is_corresponding":false},{"id":84511,"name":"Javier Escaned","orcid":"0000-0003-4932-0112","position":13,"is_corresponding":false},{"id":55159,"name":"Bernard J. Gersh","orcid":"0000-0001-5605-900X","position":14,"is_corresponding":false},{"id":84512,"name":"Pavel Svitil","orcid":null,"position":15,"is_corresponding":false},{"id":49620,"name":"Martine Gilard","orcid":"0000-0002-2794-7953","position":16,"is_corresponding":false},{"id":2640,"name":"David Hasdai","orcid":null,"position":17,"is_corresponding":false},{"id":70519,"name":"Robert Hatala","orcid":null,"position":18,"is_corresponding":false},{"id":84513,"name":"Felix Mahfoud","orcid":"0000-0002-4425-549X","position":19,"is_corresponding":false},{"id":50031,"name":"Josep Masip","orcid":null,"position":20,"is_corresponding":false},{"id":49629,"name":"Claudio Muneretto","orcid":"0000-0003-2656-4544","position":21,"is_corresponding":false},{"id":70455,"name":"Marco Valgimigli","orcid":"0000-0002-4353-7110","position":22,"is_corresponding":false},{"id":72495,"name":"Stephan Achenbach","orcid":null,"position":23,"is_corresponding":false},{"id":2635,"name":"Jeroen J. Bax","orcid":"0000-0001-7368-0500","position":24,"is_corresponding":false},{"id":50022,"name":"ESC Scientific Document Group","orcid":null,"position":25,"is_corresponding":false},{"id":79680,"name":"Franz-Josef Neumann","orcid":null,"position":26,"is_corresponding":false},{"id":2648,"name":"Udo Sechtem","orcid":"0000-0003-4549-9901","position":27,"is_corresponding":false},{"id":84514,"name":"Adrian Paul Banning","orcid":null,"position":28,"is_corresponding":false},{"id":84515,"name":"Nikolaos Bonaros","orcid":"0000-0002-7656-5812","position":29,"is_corresponding":false},{"id":3777,"name":"Héctor Bueno","orcid":"0000-0003-0277-7596","position":30,"is_corresponding":false},{"id":84516,"name":"Raffaele Bugiardini","orcid":"0000-0002-6819-6818","position":31,"is_corresponding":false},{"id":84517,"name":"Alaide Chieffo","orcid":"0000-0002-3505-9112","position":32,"is_corresponding":false},{"id":84518,"name":"Filippo Crea","orcid":null,"position":33,"is_corresponding":false},{"id":84859,"name":"Peter W. de Leeuw","orcid":"0000-0002-4949-5812","position":34,"is_corresponding":false},{"id":50010,"name":"Victoria Delgado","orcid":"0000-0002-9841-2737","position":35,"is_corresponding":false},{"id":56147,"name":"Hans-Christoph Diener","orcid":null,"position":36,"is_corresponding":false},{"id":84521,"name":"Frank Arnold Flachskampf","orcid":null,"position":37,"is_corresponding":false},{"id":84522,"name":"Helmut Gohlke","orcid":null,"position":38,"is_corresponding":false},{"id":84523,"name":"Erik Lerkevang Grove","orcid":"0000-0002-1466-0865","position":39,"is_corresponding":false},{"id":70469,"name":"Julia Mascherbauer","orcid":"0000-0001-7478-1450","position":42,"is_corresponding":false},{"id":50058,"name":"Maddalena Lettino","orcid":"0000-0003-0146-9196","position":43,"is_corresponding":false},{"id":84524,"name":"Christian M. Matter","orcid":"0000-0002-8124-1767","position":44,"is_corresponding":false},{"id":84525,"name":"Hendrik Nathoe","orcid":null,"position":45,"is_corresponding":false},{"id":84526,"name":"Alexander Niessner","orcid":"0000-0001-8888-0935","position":46,"is_corresponding":false},{"id":84527,"name":"Steffen E Pettersen","orcid":null,"position":49,"is_corresponding":false},{"id":84528,"name":"Raffaele Piccolo","orcid":"0000-0002-3124-9912","position":50,"is_corresponding":false},{"id":40683,"name":"Piotr Jankowski","orcid":"0000-0001-6223-8821","position":51,"is_corresponding":false},{"id":2625,"name":"Bogdan A. Popescu","orcid":"0000-0001-6122-8533","position":52,"is_corresponding":false},{"id":50036,"name":"Lorenz Räber","orcid":"0000-0003-0824-3026","position":53,"is_corresponding":false},{"id":50018,"name":"Dimitrios J Richter","orcid":null,"position":54,"is_corresponding":false},{"id":50039,"name":"Marco Roffi","orcid":"0000-0002-3051-0170","position":55,"is_corresponding":false},{"id":84529,"name":"Franz X Roithinger","orcid":null,"position":56,"is_corresponding":false},{"id":84530,"name":"Dirk Sibbing","orcid":"0000-0002-0698-2696","position":58,"is_corresponding":false},{"id":84531,"name":"Sigmund Silber","orcid":null,"position":59,"is_corresponding":false},{"id":50042,"name":"Iain A Simpson","orcid":"0000-0002-7717-141X","position":60,"is_corresponding":false},{"id":21828,"name":"Karri Silventoinen","orcid":"0000-0003-1759-3079","position":61,"is_corresponding":false},{"id":84532,"name":"Panos Vardas","orcid":"0000-0002-4499-0806","position":62,"is_corresponding":false},{"id":84533,"name":"Adam Witkowski","orcid":null,"position":63,"is_corresponding":false},{"id":58231,"name":"Jose Luis Zamorano","orcid":null,"position":64,"is_corresponding":false},{"id":2652,"name":"Stephan Windecker","orcid":"0000-0003-2653-6762","position":88,"is_corresponding":false},{"id":22928,"name":"Victor Aboyans","orcid":"0000-0002-0322-9818","position":89,"is_corresponding":false},{"id":40674,"name":"Colin Baigent","orcid":"0000-0003-4856-7420","position":90,"is_corresponding":false},{"id":50050,"name":"Jean-Philippe Collet","orcid":null,"position":91,"is_corresponding":false},{"id":40680,"name":"Donna Fitzsimons","orcid":"0000-0002-8299-682X","position":94,"is_corresponding":false},{"id":84534,"name":"Christopher P Gale","orcid":null,"position":95,"is_corresponding":false},{"id":79658,"name":"Pantaleo Giannuzzi","orcid":"0000-0002-2313-9115","position":96,"is_corresponding":false},{"id":50054,"name":"Sigrun Halvorsen","orcid":"0000-0001-7561-7644","position":97,"is_corresponding":false},{"id":50055,"name":"Gerhard Hindricks","orcid":"0000-0002-0132-0773","position":98,"is_corresponding":false},{"id":2663,"name":"Bernard Iung","orcid":"0000-0002-9127-348X","position":99,"is_corresponding":false},{"id":50056,"name":"Hugo A. Katus","orcid":"0000-0002-2293-2314","position":101,"is_corresponding":false},{"id":50057,"name":"Christophe Leclercq","orcid":"0000-0002-4399-5568","position":103,"is_corresponding":false},{"id":50030,"name":"Basil S. Lewis","orcid":"0000-0001-5604-6399","position":105,"is_corresponding":false},{"id":50059,"name":"Bela Merkely","orcid":null,"position":106,"is_corresponding":false},{"id":70467,"name":"Thierry Folliguet","orcid":"0000-0003-0009-6543","position":107,"is_corresponding":false},{"id":50033,"name":"Steffen Petersen","orcid":null,"position":108,"is_corresponding":false},{"id":50061,"name":"Rhian M. Touyz","orcid":"0000-0003-0670-0887","position":115,"is_corresponding":false},{"id":84535,"name":"Salim Benkhedda","orcid":"0000-0002-6036-0329","position":116,"is_corresponding":false},{"id":84536,"name":"Bernhard Metzler","orcid":"0000-0002-5240-2453","position":117,"is_corresponding":false},{"id":84537,"name":"Volha Sujayeva","orcid":null,"position":118,"is_corresponding":false},{"id":84538,"name":"Bernard Cosyns","orcid":"0000-0001-9419-8019","position":119,"is_corresponding":false},{"id":84539,"name":"Zumreta Kusljugic","orcid":null,"position":120,"is_corresponding":false},{"id":84540,"name":"Vasil Velchev","orcid":"0009-0008-2550-835X","position":121,"is_corresponding":false},{"id":84541,"name":"Georgios Panayi","orcid":null,"position":122,"is_corresponding":false},{"id":79678,"name":"Petr Kala","orcid":"0000-0002-4416-9065","position":123,"is_corresponding":false},{"id":84542,"name":"Sune Ammentorp Haahr-Pedersen","orcid":null,"position":124,"is_corresponding":false},{"id":84543,"name":"Hamza Kabil","orcid":null,"position":125,"is_corresponding":false},{"id":84544,"name":"Tiia Ainla","orcid":null,"position":126,"is_corresponding":false},{"id":84545,"name":"Tomi Kaukonen","orcid":null,"position":127,"is_corresponding":false},{"id":84546,"name":"Guillaume Cayla","orcid":"0000-0002-6449-4826","position":128,"is_corresponding":false},{"id":84547,"name":"Zurab Pagava","orcid":null,"position":129,"is_corresponding":false},{"id":84548,"name":"Jochen Woehrle","orcid":null,"position":130,"is_corresponding":false},{"id":84549,"name":"John Kanakakis","orcid":"0000-0002-7533-2945","position":131,"is_corresponding":false},{"id":84550,"name":"Kálmán Tóth","orcid":"0000-0002-0114-5231","position":132,"is_corresponding":false},{"id":84551,"name":"Thorarinn Gudnason","orcid":null,"position":133,"is_corresponding":false},{"id":84552,"name":"Aaron Peace","orcid":"0000-0001-9556-7509","position":134,"is_corresponding":false},{"id":84553,"name":"Doron Aronson","orcid":"0000-0002-7177-843X","position":135,"is_corresponding":false},{"id":84554,"name":"Carmine Riccio","orcid":"0000-0003-0160-3674","position":136,"is_corresponding":false},{"id":84555,"name":"Shpend Elezi","orcid":"0000-0002-0426-0243","position":137,"is_corresponding":false},{"id":84556,"name":"Silvija Hansone","orcid":null,"position":139,"is_corresponding":false},{"id":84557,"name":"Antoine Sarkis","orcid":null,"position":140,"is_corresponding":false},{"id":84558,"name":"Ruta Babarskiene","orcid":null,"position":141,"is_corresponding":false},{"id":84559,"name":"Jean Beissel","orcid":null,"position":142,"is_corresponding":false},{"id":84560,"name":"Andrew J Cassar Maempel","orcid":null,"position":143,"is_corresponding":false},{"id":84561,"name":"Valeriu Revenco","orcid":"0000-0002-9419-025X","position":144,"is_corresponding":false},{"id":84562,"name":"G J de Grooth","orcid":null,"position":145,"is_corresponding":false},{"id":84563,"name":"Hristo Pejkov","orcid":"0000-0003-4957-020X","position":146,"is_corresponding":false},{"id":84564,"name":"Vibeke Juliebø","orcid":null,"position":147,"is_corresponding":false},{"id":84565,"name":"Piotr Lipiec","orcid":"0000-0001-5959-2109","position":148,"is_corresponding":false},{"id":84566,"name":"José Santos","orcid":"0009-0004-0397-0958","position":149,"is_corresponding":false},{"id":84567,"name":"Dmitry Duplyakov","orcid":null,"position":151,"is_corresponding":false},{"id":50096,"name":"Marina Foscoli","orcid":null,"position":152,"is_corresponding":false},{"id":84568,"name":"Ana Djordjevic Dikic","orcid":null,"position":153,"is_corresponding":false},{"id":84569,"name":"Martin Studenčan","orcid":"0000-0002-1678-3420","position":154,"is_corresponding":false},{"id":84570,"name":"Matjaz Bunc","orcid":null,"position":155,"is_corresponding":false},{"id":84571,"name":"Fernando Alfonso","orcid":null,"position":156,"is_corresponding":false},{"id":84572,"name":"Magnus Bäck","orcid":"0000-0003-0853-5141","position":157,"is_corresponding":false},{"id":84573,"name":"Michael Zellweger","orcid":null,"position":158,"is_corresponding":false},{"id":84574,"name":"Faouzi Addad","orcid":null,"position":159,"is_corresponding":false},{"id":72525,"name":"Yuriy Sirenko","orcid":null,"position":161,"is_corresponding":false},{"id":84576,"name":"Brian Clapp","orcid":null,"position":162,"is_corresponding":false},{"id":2639,"name":"Christian Funck‐Brentano","orcid":"0000-0003-0406-5189","position":163,"is_corresponding":false},{"id":84577,"name":"Pavel Svítil","orcid":null,"position":164,"is_corresponding":false},{"id":84578,"name":"Róbert Hatala","orcid":"0000-0001-9674-2540","position":165,"is_corresponding":false},{"id":84579,"name":"Adrian Banning","orcid":"0000-0002-2842-7861","position":166,"is_corresponding":false},{"id":2661,"name":"Frank A. Flachskampf","orcid":"0000-0002-7401-278X","position":167,"is_corresponding":false},{"id":40658,"name":"Ian Graham","orcid":"0000-0002-0979-4674","position":168,"is_corresponding":false},{"id":27676,"name":"Demosthenes G. Katritsis","orcid":"0000-0002-0696-8376","position":169,"is_corresponding":false},{"id":84580,"name":"Hendrik M. Nathoe","orcid":"0000-0002-8211-8197","position":170,"is_corresponding":false},{"id":84581,"name":"S. Pettersen","orcid":null,"position":171,"is_corresponding":false},{"id":84582,"name":"Dimitrios Richter","orcid":"0000-0003-0245-4690","position":173,"is_corresponding":false},{"id":84583,"name":"Franz Xaver Roithinger","orcid":null,"position":174,"is_corresponding":false},{"id":50110,"name":"Е. V. Shlyakhto","orcid":"0000-0003-2929-0980","position":175,"is_corresponding":false},{"id":84584,"name":"Iain Simpson","orcid":"0000-0002-0570-0933","position":176,"is_corresponding":false},{"id":50115,"name":"Miguel Sousa‐Uva","orcid":"0000-0001-6353-653X","position":177,"is_corresponding":false},{"id":50052,"name":"Chris P Gale","orcid":"0000-0003-4732-382X","position":178,"is_corresponding":false},{"id":929,"name":"Diederick E. Grobbee","orcid":"0000-0003-4472-4468","position":179,"is_corresponding":false},{"id":2664,"name":"Béla Merkely","orcid":"0000-0001-6514-0723","position":180,"is_corresponding":false},{"id":31229,"name":"Steffen E. Petersen","orcid":"0000-0003-4622-5160","position":181,"is_corresponding":false},{"id":84585,"name":"V Sujayeva","orcid":null,"position":182,"is_corresponding":false},{"id":84586,"name":"Zumreta Kušljugić","orcid":"0000-0002-8565-776X","position":183,"is_corresponding":false},{"id":84587,"name":"Jochen Wöehrle","orcid":null,"position":184,"is_corresponding":false},{"id":84588,"name":"Þórarinn Guðnason","orcid":null,"position":185,"is_corresponding":false},{"id":39511,"name":"Erkin М Мirrakhimov","orcid":"0000-0003-2982-6108","position":186,"is_corresponding":false},{"id":84589,"name":"Rūta Marija Babarskienė","orcid":null,"position":187,"is_corresponding":false},{"id":84590,"name":"Greetje J. de Grooth","orcid":null,"position":188,"is_corresponding":false},{"id":84591,"name":"D. V. Duplyakov","orcid":"0000-0002-6453-2976","position":189,"is_corresponding":false},{"id":84592,"name":"Ana Djordjević Dikić","orcid":null,"position":190,"is_corresponding":false},{"id":84593,"name":"Matjaž Bunc","orcid":"0000-0001-7269-8944","position":191,"is_corresponding":false},{"id":84594,"name":"Fernándo Alfonso","orcid":"0000-0002-7480-2511","position":192,"is_corresponding":false},{"id":84595,"name":"Michael J. Zellweger","orcid":"0000-0001-7825-0470","position":193,"is_corresponding":false},{"id":84596,"name":"Aylin Yı́ldı́rı́r","orcid":"0000-0001-8750-5287","position":194,"is_corresponding":false},{"id":72521,"name":"Yu.M. Sіrenko","orcid":"0000-0002-4091-4910","position":195,"is_corresponding":false},{"id":2643,"name":"Juhani Knuuti","orcid":"0000-0003-3156-9593","position":0,"is_corresponding":true}],"reference_count":529,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-03-01T18:20:47.508186Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}