2024 ESC Guidelines for the management of peripheral arterial and aortic diseases

ESC Clinical Practice Guidelines

30 Aug 2024

The 2024 ESC Guidelines for peripheral arterial and aortic diseases (PAAD) represent the first instance where recommendations for these two conditions have been merged, updating and consolidating the 2017 guidelines for peripheral arterial diseases and the 2014 guidelines for aortic diseases. The focus is primarily on atherosclerotic arterial diseases, though non-atherosclerotic genetic conditions are also considered. These guidelines provide a comprehensive framework for healthcare professionals, covering the entire PAAD patient journey — from diagnosis and risk stratification at initial presentation to long-term management post-hospitalisation. Emphasising patient-centred care, the guidelines also stress the importance of preventive strategies, lifestyle modifications, and physical activity recommendations to prevent disease progression and complications. While not exhaustive, they offer practical recommendations on diagnosis, surveillance, and treatment, with new and revised recommendations highlighted at the beginning of the document. Healthcare providers are encouraged to consider non-atherosclerotic conditions and consult specific documents as needed. The objective is to equip healthcare professionals with the best available evidence to manage patients of all ages with PAAD effectively.

Guidelines and related materials are for use by individuals for personal or educational purposes. No commercial use is allowed. Re-use permission must be correctly obtained from the publisher.

ESC Guidelines are protected by copyright. As per opt out option under Article 4 §3 of EU Directive 2019/790, the ESC reserves all rights to license uses of ESC Guidelines to train or develop generative artificial intelligence (AI) models, large language models or other deep learning or machine learning models. Any use of ESC Guidelines in software tools, generative AI models, computational models, or algorithms in which ESC Guideline content is included, cited, or transformed in any way requires a formal license agreement.

Topic(s):

Diseases of the Aorta

Prevention

Peripheral Vascular and Cerebrovascular Disease

Interventional Cardiology and Cardiovascular Surgery

Rehabilitation and Sports Cardiology

Imaging

History of Cardiology

Cardiac Computed Tomography

Clinical

Pathophysiology and Mechanisms

Hypertension

Echocardiography

Clinical Skills

Nuclear Imaging

Peripheral Artery Disease

Pharmacology and Pharmacotherapy

Epidemiology, Prognosis, Outcome

Stroke

Risk Factors and Prevention

Diagnostic Methods

Cardiac Magnetic Resonance

Diseases of the Aorta, Peripheral Vascular Disease, Stroke

Treatment

Non-coronary Cardiac Intervention

Endorsed by cardiac societies

Armenian Cardiologists Association , Austrian Society of Cardiology , Azerbaijan Society of Cardiology , Belgian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Danish Society of Cardiology , Egyptian Society of Cardiology , Estonian Society of Cardiology , Finnish Cardiac Society , French Society of Cardiology , German Cardiac Society , Hellenic Society of Cardiology , Hungarian Society of Cardiology , Irish Cardiac Society , Italian Federation of Cardiology , Israel Heart Society , Kyrgyz Society of Cardiology , Libyan Cardiac Society , Luxembourg Society of Cardiology , Maltese Cardiac Society , National Society of Cardiology of North Macedonia , Polish Cardiac Society , Portuguese Society of Cardiology , Cardiology Society of Serbia , San Marino Society of Cardiology , Slovak Society of Cardiology , Slovenian Society of Cardiology , Spanish Society of Cardiology , Swiss Society of Cardiology , Turkish Society of Cardiology

Main resources

: Full text and related materials

Full text

https://doi.org/10.1093/eurheartj/ehae179

Declarations of interest

Read the full text

: Scientific Presentation at ESC Congress 2024

Watch the video or consult the slides

Don't miss

More resources

: Slide set

Educational material.

Download

: ESC TV Interview

The essentials of the Guidelines in less than four minutes.

Watch

: Congress News Article

Insights from the Chairs of the Guidelines Task Force.

Read

: ESC Pocket Guidelines App

Have the ESC Pocket Guidelines with you all the time.

Download for free

Back to ESC Guidelines list