2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

J Am Coll Cardiol. 2024 Nov 5;84(19):1869-1969. doi: 10.1016/j.jacc.2024.06.013. Epub 2024 Sep 24.

Abstract

Aim: The "2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery" provides recommendations to guide clinicians in the perioperative cardiovascular evaluation and management of adult patients undergoing noncardiac surgery.

Methods: A comprehensive literature search was conducted from August 2022 to March 2023 to identify clinical studies, reviews, and other evidence conducted on human subjects that were published in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline.

Structure: Recommendations from the "2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery" have been updated with new evidence consolidated to guide clinicians; clinicians should be advised this guideline supersedes the previously published 2014 guideline. In addition, evidence-based management strategies, including pharmacological therapies, perioperative monitoring, and devices, for cardiovascular disease and associated medical conditions, have been developed.

Keywords: ACC/AHA clinical practice guideline; anesthetics; biomarkers; cardiac preoperative evaluation; cardiovascular diagnostic testing; cardiovascular diseases; cardiovascular risk score; heart failure; heart valve diseases; intraoperative period; major adverse cardiovascular events; myocardial protection; noncardiac surgery; perioperative management; postoperative complications; preoperative care; revascularization; risk assessment; treatment outcome.

Publication types

  • Practice Guideline

MeSH terms

  • American Heart Association*
  • Cardiology / standards
  • Cardiovascular Diseases* / prevention & control
  • Cardiovascular Diseases* / therapy
  • Humans
  • Perioperative Care* / methods
  • Perioperative Care* / standards
  • Surgical Procedures, Operative / standards
  • Vereinigte Staaten