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Circulation Circulation. 2023;148:e9–e119. DOI: 10.1161/CIR.0000000000001168 August 29, 2023 Circulation is available at www.ahajournals.org/journal/circ *Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry may apply; see Appendix 1 for detailed information. †ACC/AHA representative. ‡National Lipid Association representative. §Preventive Cardiovascular Nurses Association representative. ‖Former Joint Committee on Clinical Practice Guideline member; current member during the writing effort. ¶Society for Cardiovascular Angiography and Interventions representative. #Patient representative/lay stakeholder. **American Society for Preventive Cardiology representative. ††AHA/ACC Joint Committee on Clinical Data Standards. ‡‡American College of Clinical Pharmacy representative. §§AHA/ACC Joint Committee on Performance Measures. Peer Review Committee Members and AHA/ACC Joint Committee on Clinical Practice Guidelines Members, see page e82. The American Heart Association requests that this document be cited as follows: Virani SS, Newby LK, Arnold SV, Bittner V, Brewer LC, Demeter SH, Dixon DL, Fearon WF, Hess B, Johnson HM, Kazi DS, Kolte D, Kumbhani DJ, LoFaso J, Mahtta D, Mark DB, Minissian M, Navar AM, Patel AR, Piano MR, Rodriguez F, Talbot AW, Taqueti VR, Thomas RJ, van Diepen S, Wiggins B, Williams MS. 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of patients with chronic coronary disease: a report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2023;148:e9–e119. doi: 10.1161/CIR.0000000000001168 © 2023 by the American Heart Association, Inc., and the American College of Cardiology Foundation. CLINICAL PRACTICE GUIDELINE 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines Developed in Collaboration With and Endorsed by the American College of Clinical Pharmacy, American Society for Preventive Cardiology, National Lipid Association, and Preventive Cardiovascular Nurses Association Endorsed by the Society for Cardiovascular Angiography and Interventions Writing Committee Members* Salim S. Virani, MD, PhD, FACC, FAHA, FASPC, Chair†; L. Kristin Newby, MD, MHS, FACC, FAHA, Vice Chair†; Suzanne V. Arnold, MD, MHA, FAHA; Vera Bittner, MD, MSPH, FACC, FAHA, MNLA‡; LaPrincess C. Brewer, MD, MPH, FACC, FASPC; Susan Halli Demeter, DNP, FNLA, FPCNA§; Dave L. Dixon, PharmD, FAHA, FACC, FCCP, FNLA||; William F. Fearon, MD, FAHA, FACC, FSCAI¶; Beverly Hess, MSW#; Heather M. Johnson, MD, MS, FAHA, FACC, FASPC**; Dhruv S. Kazi, MD, MSc, MS, FAHA, FACC; Dhaval Kolte, MD, PhD, FACC, FSCAI††; Dharam J. Kumbhani, MD, SM, FAHA, FACC, FSCAI; Jim LoFaso#; Dhruv Mahtta, DO, MBA; Daniel B. Mark, MD, MPH, FACC, FAHA||; Margo Minissian, PhD, ACNP, FAHA; Ann Marie Navar, MD, PhD, FAHA, FACC, FASPC; Amit R. Patel, MD, FACC; Mariann R. Piano, RN, PhD, FAHA||; Fatima Rodriguez, MD, MPH, FACC, FAHA; Amy W. Talbot, MPH†; Viviany R. Taqueti, MD, MPH, FACC, FAHA; Randal J. Thomas, MD, MS, FACC, FAHA; Sean van Diepen, MD, MSc, FAHA; Barbara Wiggins, PharmD, MBA, FACC, FNLA, FCCP‡‡; Marlene S. Williams, MD, FACC§§ AIM: The “2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease” provides an update to and consolidates new evidence since the “2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease” and the corresponding “2014 ACC/AHA/AATS/PCNA/SCAI/STS Focused Update of the Guideline for the Diagnosis and Management of Patients With Stable Ischemic Heart Disease.” METHODS: A comprehensive literature search was conducted from September 2021 to May 2022. Clinical studies, systematic reviews and meta-analyses, and other evidence conducted on human participants were identified that were published in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline. Downloaded from http://ahajournals.org by on October 7, 2026