Sunil V Rao, Michelle L O'Donoghue, Marc Ruel, Tanveer Rab, Jaqueline E Tamis-Holland, John H Alexander, Usman Baber, Heather Baker, Mauricio G Cohen, Mercedes Cruz-Ruiz, Leslie L Davis, James A de Lemos, Tracy A DeWald, Islam Y Elgendy, Dmitriy N Feldman, Abhinav Goyal, Ijeoma Isiadinso, Venu Menon, David A Morrow, Debabrata Mukherjee, Elke Platz, Susan B Promes, Sigrid Sandner, Yader Sandoval, Rachel Schunder, Binita Shah, Jason P Stopyra, Amy W Talbot, Pam R Taub, Marlene S Williams
{"title":"2025 ACC/AHA/ACEP/NAEMSP/SCAI急性冠脉综合征患者管理指南：美国心脏病学会/美国心脏协会临床实践指南联合委员会报告","authors":"Sunil V Rao, Michelle L O'Donoghue, Marc Ruel, Tanveer Rab, Jaqueline E Tamis-Holland, John H Alexander, Usman Baber, Heather Baker, Mauricio G Cohen, Mercedes Cruz-Ruiz, Leslie L Davis, James A de Lemos, Tracy A DeWald, Islam Y Elgendy, Dmitriy N Feldman, Abhinav Goyal, Ijeoma Isiadinso, Venu Menon, David A Morrow, Debabrata Mukherjee, Elke Platz, Susan B Promes, Sigrid Sandner, Yader Sandoval, Rachel Schunder, Binita Shah, Jason P Stopyra, Amy W Talbot, Pam R Taub, Marlene S Williams","doi":"10.1161/CIR.0000000000001309","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>The \"2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes\" incorporates new evidence since the \"2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction\" and the corresponding \"2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes\" and the \"2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction.\" The \"2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes\" and the \"2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization\" retire and replace, respectively, the \"2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease.\"</p><p><strong>Methods: </strong>A comprehensive literature search was conducted from July 2023 to April 2024. Clinical studies, systematic reviews and meta-analyses, and other evidence conducted on human participants were identified that were published in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline.</p><p><strong>Structure: </strong>Many recommendations from previously published guidelines have been updated with new evidence, and new recommendations have been created when supported by published data.</p>","PeriodicalId":10331,"journal":{"name":"Circulation","volume":" ","pages":"e771-e862"},"PeriodicalIF":35.5000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.\",\"authors\":\"Sunil V Rao, Michelle L O'Donoghue, Marc Ruel, Tanveer Rab, Jaqueline E Tamis-Holland, John H Alexander, Usman Baber, Heather Baker, Mauricio G Cohen, Mercedes Cruz-Ruiz, Leslie L Davis, James A de Lemos, Tracy A DeWald, Islam Y Elgendy, Dmitriy N Feldman, Abhinav Goyal, Ijeoma Isiadinso, Venu Menon, David A Morrow, Debabrata Mukherjee, Elke Platz, Susan B Promes, Sigrid Sandner, Yader Sandoval, Rachel Schunder, Binita Shah, Jason P Stopyra, Amy W Talbot, Pam R Taub, Marlene S Williams\",\"doi\":\"10.1161/CIR.0000000000001309\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Aim: </strong>The \\\"2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes\\\" incorporates new evidence since the \\\"2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction\\\" and the corresponding \\\"2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes\\\" and the \\\"2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction.\\\" The \\\"2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes\\\" and the \\\"2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization\\\" retire and replace, respectively, the \\\"2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease.\\\"</p><p><strong>Methods: </strong>A comprehensive literature search was conducted from July 2023 to April 2024. 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引用次数: 0
摘要
目的：2025 年 ACC/AHA/ACEP/NAEMSP/SCAI 急性冠状动脉综合征患者管理指南 "纳入了自 "2013 年 ACCF/AHA ST-抬高心肌梗死患者管理指南 "和相应的 "2014 AHA/ACC 非 ST 期抬高急性冠状动脉综合征患者管理指南 "以及 "2015 ACC/AHA/SCAI 关于 ST 期抬高心肌梗死患者经皮冠状动脉介入治疗的重点更新 "以来的新证据。"2025年ACC/AHA/ACEP/NAEMSP/SCAI急性冠状动脉综合征患者管理指南 "和 "2021年ACC/AHA/SCAI冠状动脉血运重建指南 "分别退役并取代了 "2016年ACC/AHA指南关于冠状动脉疾病患者双重抗血小板疗法持续时间的重点更新"：从 2023 年 7 月到 2024 年 4 月进行了全面的文献检索。从MEDLINE（通过PubMed）、EMBASE、Cochrane图书馆、Agency for Healthcare Research and Quality以及与本指南相关的其他选定数据库中，确定了以人类参与者为对象的临床研究、系统综述和荟萃分析以及其他证据：结构：根据新的证据更新了之前发布的指南中的许多建议，并在已发表数据的支持下制定了新的建议。
2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Aim: The "2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes" incorporates new evidence since the "2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction" and the corresponding "2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes" and the "2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction." The "2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes" and the "2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization" retire and replace, respectively, the "2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease."
Methods: A comprehensive literature search was conducted from July 2023 to April 2024. Clinical studies, systematic reviews and meta-analyses, and other evidence conducted on human participants were identified that were published in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline.
Structure: Many recommendations from previously published guidelines have been updated with new evidence, and new recommendations have been created when supported by published data.
期刊介绍：
Circulation is a platform that publishes a diverse range of content related to cardiovascular health and disease. This includes original research manuscripts, review articles, and other contributions spanning observational studies, clinical trials, epidemiology, health services, outcomes studies, and advancements in basic and translational research. The journal serves as a vital resource for professionals and researchers in the field of cardiovascular health, providing a comprehensive platform for disseminating knowledge and fostering advancements in the understanding and management of cardiovascular issues.
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