June 18, 2026Journal of the American College of Cardiology
ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery
Authors
Discussion
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Key expert perspectives
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Make sure that you're giving the right amount and monitoring their blood pressure and heart rate. Really think once, twice, and thrice about starting a protocol.”
“In this update, a Class I indication for perioperative beta-blocker use exists for continuation of a beta-blocker in patients already taking the drug.”
AAAndy AuerbachHospitalist physician, University of California San Francisco
“How is my practice today different than it was before last week? I'll continue the beta blockers for my patient who was on them previously, I'm more likely to recommend starting beta blockers a couple of weeks before surgery in high risk patients, and I'm less likely to prescribe perioperative beta blockers in the intermediate risk pre-op patient.”
Overview
Guidelines evaluate cardiovascular risk in noncardiac surgery, suggesting improvements in patient outcomes.
Key Points
- To provide updated guidelines for evaluating and managing cardiovascular risk in patients undergoing noncardiac surgery.
- Review of existing literature on cardiovascular assessment and management in surgical settings.
- Development of recommendations based on evidence and expert consensus.
- Improved risk stratification in patients undergoing noncardiac surgery is recommended.
- Optimized management strategies can reduce postoperative cardiovascular complications.
Cite This Study
Fleisher et al. (2007) studied this question.