New Guideline for Cardiovascular Management in Noncardiac Surgery Released
TL;DR
The 2024 AHA/ACC guideline provides the latest evidence for managing cardiovascular risk in noncardiac surgery, giving clinicians an edge in patient care.
The guideline addresses preoperative, intraoperative, and postoperative cardiovascular management, including appropriate testing, screening, and medication management.
The comprehensive review of the latest research aims to inform clinicians in managing perioperative patients, with the ultimate goal of restoring health and minimizing cardiovascular complications.
The guideline includes emergent recommendations for medication management, screening, and new research needs, making it an educational resource for healthcare professionals.
Found this article helpful?
Share it with your network and spread the knowledge!
The American Heart Association (AHA) and American College of Cardiology (ACC) have jointly released a new guideline for cardiovascular management of adults undergoing noncardiac surgery, marking the first update in a decade. Published simultaneously in Circulation and JACC, the guideline provides evidence-based recommendations for assessing and managing cardiovascular disease risk before, during, and after noncardiac surgery.
With approximately 300 million noncardiac surgeries performed worldwide each year, the guideline addresses a critical need in perioperative care. It offers comprehensive guidance on patient evaluations, cardiovascular testing, and management of cardiovascular conditions and risks throughout the surgical process.
Key updates include more judicious use of preoperative cardiac stress testing, recommendations for using emergency-focused cardiac ultrasound during surgery, and guidance on managing newer medications for diabetes and obesity. The guideline also addresses emerging issues such as myocardial injury after noncardiac surgery (MINS) and postoperative atrial fibrillation.
Annemarie Thompson, M.D., M.B.A., FAHA, chair of the guideline writing group, emphasized the importance of a multidisciplinary approach to care. "A team-based approach, including surgeons, primary care physicians, cardiologists, internal medicine doctors, and other medical specialists, is needed to optimize care for patients with cardiovascular conditions and risk factors before, during, and after surgery," she stated.
The guideline provides specific recommendations for managing various cardiovascular conditions, including hypertension, coronary artery disease, and valvular heart disease. It also addresses medication management, including the discontinuation of certain diabetes medications prior to surgery to reduce risks.
This comprehensive update reflects the evolving landscape of perioperative cardiovascular care and aims to improve patient outcomes by providing healthcare professionals with the latest evidence-based recommendations. As the population ages and more people live with chronic cardiovascular conditions, these guidelines become increasingly crucial in ensuring safe and effective surgical care.
Curated from NewMediaWire
