In 2024,the European Society of Cardiology(ESC)released an updated management guideline for chronic coronary syndromes(CCS)after a five-year interval.Building on the 2019 version,the new guideline incorporates the latest evidence from the field of evidence-based medicine and clinical experience,providing comprehensive and up-to-date recommendations on the definition,assessment,diagnosis,treatment,and follow-up of CCS.This article will detail the significant updates in recommendations by comparing with the old ESC guidelines and the latest CCS management guidelines released in 2024 in China,aiming to provide valuable guidance for current clinical practice in the management of CCS.