Updated Multisociety Guideline for Chronic Coronary Disease

The guideline includes extensive pharmacological and nonpharmacological updates but misses endorsement from surgical societies.

Sponsoring Organizations: American Heart Association (AHA) and American College of Cardiology (ACC)

Background

The AHA and ACC, along with other organizations, have released a new guideline for management of chronic coronary disease, which former guidelines referred to as “stable ischemic heart disease” (NEJM JW Cardiol Dec 19 2012 and Circulation 2012; 60:e44).

Key Recommendations

The document emphasizes shared decision making, a team-based approach, and consideration of social determinants of health, including health literacy, as well as impacts of race and sex on patient perceptions and disease presentation.
The Mediterranean diet is highly recommended to improve cardiovascular outcomes. However, routine use of supplements including omega-3 f…

Reviewing Author

Behnood Bikdeli, MD, MS

Disclosures

Grant/Research SupportBrigham and Women’s Hospital; American Heart Association and VIVA Physicians

Editorial BoardsThrombosis Research; Thrombosis and Haemostasis; Journal of the American College of Cardiology

Leadership Positions in Professional SocietiesSociety for Vascular Medicine (Research, Quality, and Publications Committee member); International Society on Thrombosis and Haemostasis