2024 ESC Guidelines on the treatment of chronic coronary syndrome — unanswered questions regarding antianginal medical therapy recommendations. A position paper of the ELECTRA-SIRIO 2 investigators
Abstract
According to the 2024 ESC guidelines for the management of chronic coronary syndrome antianginal
medical therapy aims to control symptoms while ensuring acceptable tolerability and patient adherence.
The guidelines specify the indications for particular groups of antianginal drugs, defining the class of
indications and the level of evidence based on the results of expert opinions, registries, clinical studies,
and meta-analyses. This very important document has a great impact on clinical practice as it constitutes
the basis for therapeutic decisions. Therefore, it is worth understanding the assumptions that guided the
authors when formulating specific recommendations. As the investigators of the ELCTRA -SIRIO 2 trial*,
we are monitoring new scientific evidence and new guidelines that may impact our study protocol.
Keywords: chronic coronary syndromeantianginal medication
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