2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery

Thompson, Annemarie; Fleischmann, Kirsten E.; Smilowitz, Nathaniel R.; de las Fuentes, Lisa; Mukherjee, Debabrata; Aggarwal, Niti R.; Ahmad, Faraz S.; Allen, Robert B.; Altin, S. Elissa; Auerbach, Andrew; Berger, Jeffrey S.; Chow, Benjamin; Dakik, Habib A.; Eisenstein, Eric L.; Gerhard-Herman, Marie; Ghadimi, Kamrouz; Kachulis, Bessie; Leclerc, Jacinthe; Lee, Christopher S.; Macaulay, Tracy E.; Mates, Gail; Merli, Geno J.; Parwani, Purvi; Poole, Jeanne E.; Rich, Michael W.; Ruetzler, Kurt; Stain, Steven C.; Sweitzer, BobbieJean; Talbot, Amy W.; Vallabhajosyula, Saraschandra; Whittle, John; Williams, Kim Allan

doi:10.1016/j.jacc.2024.06.013

Journal of the American College of Cardiology

2024

DOI: 10.1016/j.jacc.2024.06.013

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2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery

Annemarie Thompson,

Kirsten E. Fleischmann,

Nathaniel R. Smilowitz

et al.

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Cited by 2 publications

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2024 Perioperative Cardiovascular Management for Noncardiac Surgery Guideline-at-a-Glance

Bhave,

Cibotti-Sun,

Moore

2024

Journal of the American College of Cardiology

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2024 Perioperative Cardiovascular Management for Noncardiac Surgery Guideline-at-a-Glance

Bhave,

Cibotti-Sun,

Moore

2024

Journal of the American College of Cardiology

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Preventing, identifying and managing myocardial injury after non cardiac surgery – a narrative review

Wittmann,

Dinc,

Kunsorg

et al. 2024

Current Opinion in Anaesthesiology

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Purpose of review There is mounting and convincing evidence that patients with postoperative troponin elevation, with or without any clinical symptoms, are at higher risk for both, short- and long-term morbidity and mortality. Myocardial injury after noncardiac surgery (MINS) is a relatively newly described syndrome, and the pathogenesis is not fully understood yet. MINS is now an established syndrome and multiple guidelines address potential etiologies, triggers, as well as preventive and management strategies. Recent findings Surveillance in high-risk patients is required, as most MINS would otherwise be missed. There is no reliable and established preventive strategy, but several potentially avoidable triggers like hypotension, pain and anemia have been identified. Managing patients with MINS postoperatively includes minimizing triggers (such as hemodynamic abnormalities and anemia) that can continue the damage. Long-term pharmacologic strategies include beta-blockers, statins, antiplatelet agents, and anticoagulation. Summary MINS affects up to 20% of surgical patients, remains clinically mostly silent, but is associated with elevated morbidity and mortality. A multidisciplinary approach, that includes involvement of anesthesiologists, for the prevention, diagnosis, and treatment of MINS is recommended.

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2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery

Cited by 2 publications

References 737 publications

2024 Perioperative Cardiovascular Management for Noncardiac Surgery Guideline-at-a-Glance

2024 Perioperative Cardiovascular Management for Noncardiac Surgery Guideline-at-a-Glance

Preventing, identifying and managing myocardial injury after non cardiac surgery – a narrative review

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