ESC 2023 ACS

2023 ESC Guidelines for the management of acute coronary syndromes

The 2023 ESC Guidelines unify STEMI and NSTE-ACS into a single acute coronary syndrome pathway, covering reperfusion, antithrombotic therapy, revascularisation and secondary prevention. This page maps the landmark trials from our register that the guideline cites — grouped by theme.

This guideline cites 18 of the 199 landmark trials in our Cardiology register.

Source
Byrne RA, Rossello X, et al. Eur Heart J. 2023;44(38):3720–3826. · European Heart Journal

Antithrombotic & antiplatelet therapy7

  • 2019ISAR-REACT 5Cardiology · Coronary · AntiplateletsTicagrelor or Prasugrel in Patients with Acute Coronary Syndromes
  • 2019AUGUSTUSCardiology · Thrombosis · AF + PCIAntithrombotic Therapy after Acute Coronary Syndrome or PCI in Atrial Fibrillation
  • 2013WOESTCardiology · Thrombosis · AF + PCIWhat is the Optimal antiplatelet and anticoagulant therapy in patients with OAC and coronary StenTing
  • 2009PLATOCardiology · Coronary · AntiplateletsPlatelet Inhibition and Patient Outcomes
  • 2007TRITON-TIMI 38Cardiology · Coronary · AntiplateletsTrial to Assess Improvement in Therapeutic Outcomes
  • 2005COMMITCardiology · Coronary · clopidogrelClOpidogrel and Metoprolol in Myocardial Infarction Trial (Second Chinese Cardiac Study, CCS-2)
  • 2001CURECardiology · Coronary · AntiplateletsClopidogrel in Unstable Angina to Prevent Recurrent Events

Reperfusion & revascularisation3

  • 2019COMPLETECardiology · Coronary · RevascularisationComplete vs Culprit-Only Revascularisation Strategies
  • 2017CULPRIT-SHOCKICU · CS / MCS · RevascularisationCulprit-Lesion-Only versus Multivessel PCI in Cardiogenic Shock
  • 1988ISIS-2Cardiology · Coronary · ReperfusionSecond International Study of Infarct Survival

Lipid-lowering & secondary prevention6

  • 2019REDUCE-ITCardiology · Lipids · TriglyceridesReduction of Cardiovascular Events with Icosapent Ethyl
  • 2018ODYSSEY OUTCOMESCardiology · Lipids · PCSK9 inhibitorEvaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab
  • 2017FOURIERCardiology · Lipids · PCSK9iFurther Cardiovascular Outcomes Research with PCSK9 Inhibition
  • 2017COMPASSCardiology · Thrombosis · Chronic atherosclerosisCardiovascular Outcomes for People Using Anticoagulation Strategies
  • 2015IMPROVE-ITCardiology · Lipids · Non-statin LDLImproved Reduction of Outcomes: Vytorin Efficacy International Trial
  • 2004PROVE-ITCardiology · Lipids · StatinsPravastatin or Atorvastatin Evaluation and Infection Therapy — Thrombolysis in Myocardial Infarction 22 (PROVE IT-TIMI 22)

Post-cardiac-arrest care2

  • 2021TTM2Cardiology · Critical care · Temperature managementHypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest
  • 2013TTMCardiology · Critical care · Temperature managementTargeted Temperature Management