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Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome

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Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome. / Giannitsis, Evangelos; Blankenberg, Stefan; Christenson, Robert H; Frey, Norbert; von Haehling, Stephan; Hamm, Christian W; Inoue, Kenji; Katus, Hugo A; Lee, Chien-Chang; McCord, James; Möckel, Martin; Chieh, Jack Tan Wei; Tubaro, Marco; Wollert, Kai C; Huber, Kurt.

in: CLIN RES CARDIOL, Jahrgang 110, Nr. 9, 09.2021, S. 1353-1368.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Giannitsis, E, Blankenberg, S, Christenson, RH, Frey, N, von Haehling, S, Hamm, CW, Inoue, K, Katus, HA, Lee, C-C, McCord, J, Möckel, M, Chieh, JTW, Tubaro, M, Wollert, KC & Huber, K 2021, 'Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome', CLIN RES CARDIOL, Jg. 110, Nr. 9, S. 1353-1368. https://doi.org/10.1007/s00392-021-01821-2

APA

Giannitsis, E., Blankenberg, S., Christenson, R. H., Frey, N., von Haehling, S., Hamm, C. W., Inoue, K., Katus, H. A., Lee, C-C., McCord, J., Möckel, M., Chieh, J. T. W., Tubaro, M., Wollert, K. C., & Huber, K. (2021). Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome. CLIN RES CARDIOL, 110(9), 1353-1368. https://doi.org/10.1007/s00392-021-01821-2

Vancouver

Giannitsis E, Blankenberg S, Christenson RH, Frey N, von Haehling S, Hamm CW et al. Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome. CLIN RES CARDIOL. 2021 Sep;110(9):1353-1368. https://doi.org/10.1007/s00392-021-01821-2

Bibtex

@article{0cdd0cdebcdc43759a5340fa2cbe096e,
title = "Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome",
abstract = "Multiple new recommendations have been introduced in the 2020 ESC guidelines for the management of acute coronary syndromes with a focus on diagnosis, prognosis, and management of patients presenting without persistent ST-segment elevation. Most recommendations are supported by high-quality scientific evidence. The guidelines provide solutions to overcome obstacles presumed to complicate a convenient interpretation of troponin results such as age-, or sex-specific cutoffs, and to give practical advice to overcome delays of laboratory reporting. However, in some areas, scientific support is less well documented or even missing, and other areas are covered rather by expert opinion or subjective recommendations. We aim to provide a critical appraisal on several recommendations, mainly related to the diagnostic and prognostic assessment, highlighting the discrepancies between Guideline recommendations and the existing scientific evidence.",
keywords = "Acute Coronary Syndrome/diagnosis, Europe, Female, Humans, Male, Non-ST Elevated Myocardial Infarction/diagnosis, Practice Guidelines as Topic, Prognosis, Risk Assessment, Troponin/metabolism",
author = "Evangelos Giannitsis and Stefan Blankenberg and Christenson, {Robert H} and Norbert Frey and {von Haehling}, Stephan and Hamm, {Christian W} and Kenji Inoue and Katus, {Hugo A} and Chien-Chang Lee and James McCord and Martin M{\"o}ckel and Chieh, {Jack Tan Wei} and Marco Tubaro and Wollert, {Kai C} and Kurt Huber",
note = "{\textcopyright} 2021. The Author(s).",
year = "2021",
month = sep,
doi = "10.1007/s00392-021-01821-2",
language = "English",
volume = "110",
pages = "1353--1368",
journal = "CLIN RES CARDIOL",
issn = "1861-0684",
publisher = "D. Steinkopff-Verlag",
number = "9",

}

RIS

TY - JOUR

T1 - Critical appraisal of the 2020 ESC guideline recommendations on diagnosis and risk assessment in patients with suspected non-ST-segment elevation acute coronary syndrome

AU - Giannitsis, Evangelos

AU - Blankenberg, Stefan

AU - Christenson, Robert H

AU - Frey, Norbert

AU - von Haehling, Stephan

AU - Hamm, Christian W

AU - Inoue, Kenji

AU - Katus, Hugo A

AU - Lee, Chien-Chang

AU - McCord, James

AU - Möckel, Martin

AU - Chieh, Jack Tan Wei

AU - Tubaro, Marco

AU - Wollert, Kai C

AU - Huber, Kurt

N1 - © 2021. The Author(s).

PY - 2021/9

Y1 - 2021/9

N2 - Multiple new recommendations have been introduced in the 2020 ESC guidelines for the management of acute coronary syndromes with a focus on diagnosis, prognosis, and management of patients presenting without persistent ST-segment elevation. Most recommendations are supported by high-quality scientific evidence. The guidelines provide solutions to overcome obstacles presumed to complicate a convenient interpretation of troponin results such as age-, or sex-specific cutoffs, and to give practical advice to overcome delays of laboratory reporting. However, in some areas, scientific support is less well documented or even missing, and other areas are covered rather by expert opinion or subjective recommendations. We aim to provide a critical appraisal on several recommendations, mainly related to the diagnostic and prognostic assessment, highlighting the discrepancies between Guideline recommendations and the existing scientific evidence.

AB - Multiple new recommendations have been introduced in the 2020 ESC guidelines for the management of acute coronary syndromes with a focus on diagnosis, prognosis, and management of patients presenting without persistent ST-segment elevation. Most recommendations are supported by high-quality scientific evidence. The guidelines provide solutions to overcome obstacles presumed to complicate a convenient interpretation of troponin results such as age-, or sex-specific cutoffs, and to give practical advice to overcome delays of laboratory reporting. However, in some areas, scientific support is less well documented or even missing, and other areas are covered rather by expert opinion or subjective recommendations. We aim to provide a critical appraisal on several recommendations, mainly related to the diagnostic and prognostic assessment, highlighting the discrepancies between Guideline recommendations and the existing scientific evidence.

KW - Acute Coronary Syndrome/diagnosis

KW - Europe

KW - Female

KW - Humans

KW - Male

KW - Non-ST Elevated Myocardial Infarction/diagnosis

KW - Practice Guidelines as Topic

KW - Prognosis

KW - Risk Assessment

KW - Troponin/metabolism

U2 - 10.1007/s00392-021-01821-2

DO - 10.1007/s00392-021-01821-2

M3 - SCORING: Journal article

C2 - 33635437

VL - 110

SP - 1353

EP - 1368

JO - CLIN RES CARDIOL

JF - CLIN RES CARDIOL

SN - 1861-0684

IS - 9

ER -