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April 1, 2025Cleveland Clinic Journal of Medicine10 citationsOpen Access

2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?

SCSteven L. Cohn

Key Result

The 2024 ACC/AHA guidelines update perioperative cardiovascular management before noncardiac surgery, introducing a modified algorithm for risk assessment and judicious use of preoperative testing.

Structured PICO

P
Population
Patients undergoing noncardiac surgery requiring perioperative cardiovascular evaluation and management.
I
Intervention
Perioperative cardiovascular evaluation and management (including risk assessment, perioperative medications, cardiac devices, anesthesia, and monitoring)

This overview summarizes the 2024 ACC/AHA guidelines on perioperative cardiovascular management for noncardiac surgery, highlighting updates in risk assessment and perioperative care.

Limitations

  • Guidelines cannot address all clinical scenarios and nuances, requiring individualized decisions.
  • Many recommendations are class 2, giving the clinician the option to do something or not based on clinical experience.

Abstract

In September 2024, the American College of Cardiology and American Heart Association updated their 2014 guidelines on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. This comprehensive document reinforces many previous recommendations and provides new evidence and expert opinion that is useful to the perioperative team, including information on risk assessment of ischemic heart disease and associated medical conditions, perioperative medications, cardiac devices, anesthesia, and monitoring. This overview summarizes the major concepts and changes in the new guidelines.

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Cite This Study

Steven L. Cohn (2025) conducted a review in Noncardiac surgery. 2024 ACC/AHA perioperative cardiovascular management guidelines was evaluated. The 2024 ACC/AHA guidelines update perioperative cardiovascular management before noncardiac surgery, introducing a modified algorithm for risk assessment and judicious use of preoperative testing.

synapsesocial.com/papers/6a56ce307d812fb23aa362adhttps://doi.org/10.3949/ccjm.92a.24125
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 12024 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 Guidelines2024 · 333 citations
  2. 2ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery—Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)2002 · 411 citations
  3. 3Update on perioperative care of the cardiac patient for noncardiac surgery2015 · 12 citations
  4. 4After ACC/AHA and ESC Guidelines Pre-operative cardiological evaluation in non-cardiac surgery: certainties, controversial areas and opportunities for a team approach2015
  5. 5Preoperative Assessment of the Patient with Cardiac Disease2005 · 1 citations