The guidelines from the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) provide comprehensive guidance on myocardial revascularization, including coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The guidelines emphasize the importance of risk assessment, patient information, and multidisciplinary decision-making. They cover various aspects such as pre-intervention diagnosis, imaging strategies, and treatment options for stable and acute coronary syndromes. Key recommendations include: 1. **Risk Assessment**: Use of risk stratification scores like EuroSCORE, SYNTAX, and NCDR CathPCI to guide treatment decisions. 2. **Patient Information**: Ensure patients are well-informed about treatment options, risks, and benefits, and involve them in the decision-making process. 3. **Multidisciplinary Decision Making**: Form a Heart Team to ensure balanced and evidence-based treatment choices. 4. **Pre-intervention Diagnosis**: Utilize exercise testing, cardiac imaging, and invasive tests to confirm diagnosis and assess ischaemia. 5. **Revascularization for Stable CAD**: Compare optimal medical therapy (OMT) with PCI and CABG, considering evidence from RCTs and observational registries. 6. **Revascularization in Acute Coronary Syndromes**: Address strategies for early invasive or conservative approaches, timing of intervention, and specific patient subgroups. 7. **Special Conditions**: Consider special considerations for patients with diabetes, chronic kidney disease, and other comorbidities. 8. **Procedural Aspects**: Provide detailed guidelines for PCI and CABG, including pre-operative management, surgical procedures, and post-operative care. 9. **Antithrombotic Pharmacotherapy**: Recommendations for elective PCI, non-ST-segment elevation acute coronary syndrome, and ST-segment elevation myocardial infarction. 10. **Secondary Prevention**: Emphasize the importance of ongoing medical therapy and secondary prevention strategies. The guidelines aim to assist healthcare professionals in making informed decisions and improving patient outcomes.The guidelines from the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) provide comprehensive guidance on myocardial revascularization, including coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI). The guidelines emphasize the importance of risk assessment, patient information, and multidisciplinary decision-making. They cover various aspects such as pre-intervention diagnosis, imaging strategies, and treatment options for stable and acute coronary syndromes. Key recommendations include: 1. **Risk Assessment**: Use of risk stratification scores like EuroSCORE, SYNTAX, and NCDR CathPCI to guide treatment decisions. 2. **Patient Information**: Ensure patients are well-informed about treatment options, risks, and benefits, and involve them in the decision-making process. 3. **Multidisciplinary Decision Making**: Form a Heart Team to ensure balanced and evidence-based treatment choices. 4. **Pre-intervention Diagnosis**: Utilize exercise testing, cardiac imaging, and invasive tests to confirm diagnosis and assess ischaemia. 5. **Revascularization for Stable CAD**: Compare optimal medical therapy (OMT) with PCI and CABG, considering evidence from RCTs and observational registries. 6. **Revascularization in Acute Coronary Syndromes**: Address strategies for early invasive or conservative approaches, timing of intervention, and specific patient subgroups. 7. **Special Conditions**: Consider special considerations for patients with diabetes, chronic kidney disease, and other comorbidities. 8. **Procedural Aspects**: Provide detailed guidelines for PCI and CABG, including pre-operative management, surgical procedures, and post-operative care. 9. **Antithrombotic Pharmacotherapy**: Recommendations for elective PCI, non-ST-segment elevation acute coronary syndrome, and ST-segment elevation myocardial infarction. 10. **Secondary Prevention**: Emphasize the importance of ongoing medical therapy and secondary prevention strategies. The guidelines aim to assist healthcare professionals in making informed decisions and improving patient outcomes.