@article{10902/32996, year = {2024}, url = {https://hdl.handle.net/10902/32996}, abstract = {Acute coronary syndromes (ACS), encompassing conditions like ST-elevation myocardial infarction (STEMI) and non-ST-elevation acute coronary syndromes (NSTE-ACS), represent a significant challenge in cardiovascular care due to their complex pathophysiology and substantial impact on morbidity and mortality. The 2023 European Society of Cardiology (ESC) guidelines for ACS management introduce several updates in key areas such as invasive treatment timing in NSTE-ACS, pre-treatment strategies, approaches to multivessel disease, and the use of imaging modalities including computed tomography (CT) coronary angiography, magnetic resonance imaging (MRI), and intracoronary imaging techniques, such as optical coherence tomography (OCT) and intravascular ultrasound (IVUS). They also address a modulation of antiplatelet therapy, taking into consideration different patient risk profiles, and introduce new recommendations for low-dose colchicine. These guidelines provide important evidence-based updates in practice, reflecting an evolution in the understanding and management of ACS, yet some potentially missed opportunities for more personalized care and technology adoption are discussed.}, organization = {Funding: This research received no external funding. Acknowledgments: F.C.: institutional support with research funding from the Italian Ministry of Health RFGR-2021-12374500 and the Italian Ministry of University and Research—PRIN P2022RJS7X. RP: institutional support with research funding from the Italian Ministry of University and Research— PRIN P2022RJS7X.}, publisher = {MDPI}, publisher = {Journal of Clinical Medicine, 2024, 13, 1885}, title = {The evolving field of acute coronary syndrome management: a critical appraisal of the 2023 European Society of Cardiology guidelines for the management of acute coronary syndrome}, author = {Licordari, Roberto and Costa, Francesco and Garcia-Ruiz, Victoria and Mamas, A. Mamas and Marquis-Gravel, Guillaume and Torre Hernandez, Jose M. de la and Gomez Doblas, Juan Jose and Jimenez-Navarro, Manuel and Rodriguez-Capitan, Jorge and Urbano-Carrillo, Cristobal and Ortega-Paz, Luis and Piccolo, Raffaele and Versace, Antonio Giovanni and Di Bella, Gianluca and Andò, Giuseppe and Angiolillo, Dominick J. and Valgimigli, Marco and Micari, Antonio}, }