Proactive and evidence-based decision-making

The clinical management of chronic coronary syndrome requires precise risk stratification by means of symptom analysis, imaging and invasive diagnostics. An important aspect is the assessment of ischemia in non-obstructive coronary arteries (INOCA), which includes functional testing of the microcirculation in the cardiac catheterization laboratory. In the context of acute coronary syndrome, including myocardial infarction, the distinction between STEMI and NSTEMI determines the need for immediate coronary angiography. For patients with multivessel disease in STEMI, complete revascularization is recommended based on current studies.