Byrne Robert, Coughlan J J, Rossello Xavier, Ibanez Borja
Cardiovascular Research Institute, Mater Private Network, Eccles Street 73, Dublin 7, D07 WKW8, Ireland.
School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin D02 VN51, Ireland.
Eur Heart J Qual Care Clin Outcomes. 2025 Mar 28. doi: 10.1093/ehjqcco/qcae107.
ESC Guidelines provide best practice, evidence-based recommendations for diagnosing and treating patients with cardiovascular diseases. It is not always possible for best practices to be followed, however, particularly in low-resource settings. To address this issue, a set of guideline-related documents were created to identify key priorities for users in these settings. The documents highlight the related recommendations and describe key strategies for clinicians to approach implementation of these recommendations or discuss alternatives which are in line with the intention of the recommendations, if not having all of the same advantages. The suggestions cannot be used as exact substitutes for the original recommendations in the guidelines, which have not been altered and continue to reflect best practice. This document on key priorities for low-resource settings was developed by the task force Chairs and other members of the task force who produced the 2023 ESC Guidelines for the management of acute coronary syndromes, which are freely available on the ESC website (https://www.escardio.org/Guidelines). This document also underwent external review including international experts from within and beyond Europe and ESC partner organizations, including the Interamerican Society of Cardiology (IASC), the Pan-African Society of Cardiology (PASCAR), the Asian Pacific Society of Cardiology (APSC), and the ASEAN Federation of Cardiology (AFC).
欧洲心脏病学会（ESC）指南为心血管疾病患者的诊断和治疗提供了基于证据的最佳实践建议。然而，尤其是在资源匮乏地区，最佳实践并非总能得到遵循。为解决这一问题，制定了一套与指南相关的文件，以确定这些地区用户的关键优先事项。这些文件突出了相关建议，并描述了临床医生实施这些建议的关键策略，或者在没有所有相同优势的情况下，讨论符合建议意图的替代方案。这些建议不能完全替代指南中的原始建议，原始建议未作更改，仍反映最佳实践。这份关于资源匮乏地区关键优先事项的文件由撰写2023年ESC急性冠状动脉综合征管理指南的特别工作组主席和其他成员制定，该指南可在ESC网站（https://www.escardio.org/Guidelines）上免费获取。本文还经过了外部评审，评审专家包括来自欧洲内外的国际专家以及ESC合作伙伴组织的专家，其中包括美洲心脏病学会（IASC）、泛非心脏病学会（PASCAR）、亚太心脏病学会（APSC）和东盟心脏病学会联合会（AFC）。
