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February 28, 2026Journal of Cardiothoracic and Vascular Anesthesia0 citations

Highlights and Perioperative Implications from the 2025 American College of Cardiology and American Heart Association Guideline for the Management of Patients with Acute Coronary Syndromes

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PKPerin KothariTFT. Robert FengAHAnne RC Hermon

Key Result

The 2025 ACC/AHA Guideline provides updated recommendations on the evaluation, medical therapies, reperfusion strategies, and management of acute coronary syndromes for perioperative clinicians.

Key Points

  • This article reviews the updated guidelines for managing acute coronary syndromes, focusing on recommendations for clinicians.
  • Summarized key recommendations from the 2025 ACC/AHA guidelines on acute coronary syndromes.
  • Highlighted specific management strategies relevant for anesthesiologists and critical care physicians.
  • Provided insights into evaluation methods, medical therapies, and reperfusion strategies for ACS.
  • Outlined approaches to manage cardiogenic shock and antiplatelet therapies.
  • Emphasized the importance of postdischarge management of ACS patients.

Structured PICO

P
Population
Patients with Acute Coronary Syndromes (ACS)
I
Intervention
Management of ACS based on 2025 ACC/AHA guidelines (evaluation, medical therapies, reperfusion strategies, cardiogenic shock management, antiplatelet approaches, and postdischarge management)

Provides a focused summary of the 2025 ACC/AHA ACS guidelines tailored for anesthesiologists and critical care physicians.

Abstract

Acute coronary syndromes (ACS) are some of the most well-studied diseases in clinical medicine. To organize this information into useful recommendations for the clinician, in 2025 the American College of Cardiology and the American Heart Association updated and compiled the data into the Guideline for the Management of Patients with Acute Coronary Syndromes. Topics covered include the evaluation of ACS, medical therapies and reperfusion strategies, management of cardiogenic shock and complications, antiplatelet approaches, and postdischarge management. Given the size and breadth of the guideline, this article summarizes key recommendations that are relevant to anesthesiologists and critical care physicians caring for these patients.

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Cite This Study

Kothari et al. (2026) conducted a review in Acute coronary syndromes. The 2025 ACC/AHA Guideline provides updated recommendations on the evaluation, medical therapies, reperfusion strategies, and management of acute coronary syndromes for perioperative clinicians.

synapsesocial.com/papers/6a025a539cddff7633412b43https://doi.org/10.1053/j.jvca.2026.02.008
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Also Consider

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  4. 4Effects of prehospital 12-lead ECG on processes of care and mortality in acute coronary syndrome: a linked cohort study from the Myocardial Ischaemia National Audit Project2014 · 126 citations
  5. 5Cardiovascular risk in post-myocardial infarction patients: nationwide real world data demonstrate the importance of a long-term perspective2015 · 883 citations