Chronic coronary syndrome

Chronic coronary syndrome

Chronic coronary syndrome (CCS) is the new name representing stable coronary artery disease as per the new European Society of Cardiology guideline [1].

Six important subcategories of CCS have been outlined:

  1. Suspected coronary artery disease with stable anginal symptoms and or dyspnea (anginal equivalent)
  2. New onset heart failure or left ventricular dysfunction and suspected coronary artery disease
  3. Asymptomatic and symptomatic patients with stabilized symptoms less than 1 year after an acute coronary syndrome or patients with recent revascularization
  4. Asymptomatic and symptomatic patient more than 1 year after initial diagnosis or revascularization
  5. Patients with angina and suspected microvascular disease or vasospastic angina
  6. Asymptomatic persons in whom coronary artery disease was detected at screening


  1. Knuuti J, Wijns W, Saraste A, Capodanno D, Barbato E, Funck-Brentano C, Prescott E, Storey RF, Deaton C, Cuisset T, Agewall S, Dickstein K, Edvardsen T, Escaned J, Gersh BJ, Svitil P, Gilard M, Hasdai D, Hatala R, Mahfoud F, Masip J, Muneretto M, Valgimigli M, Achenbach S, Bax JJ, ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: The Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC). Eur Heart J. 2019. ehz425,