Writing Committee Members, Annemarie Thompson, Kirsten E Fleischmann, Nathaniel R Smilowitz, Lisa de Las Fuentes, Debabrata Mukherjee, Niti R Aggarwal, Faraz S Ahmad, Robert B Allen, S Elissa Altin, Andrew Auerbach, Jeffrey S Berger, Benjamin Chow, Habib A Dakik, Eric L Eisenstein, Marie Gerhard-Herman, Kamrouz Ghadimi, Bessie Kachulis, Jacinthe Leclerc, Christopher S Lee, Tracy E Macaulay, Gail Mates, Geno J Merli, Purvi Parwani, Jeanne E Poole, Michael W Rich, Kurt Ruetzler, Steven C Stain, BobbieJean Sweitzer, Amy W Talbot, Saraschandra Vallabhajosyula, John Whittle, Kim Allan Williams
AIM: The "2026 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery" provides recommendations to guide clinicians in the perioperative cardiovascular evaluation and management of adult patients undergoing noncardiac surgery.
METHODS: A comprehensive literature search was conducted from August 2022 to March 2023 to identify clinical studies, reviews, and other evidence conducted on human subjects that were published in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline.
STRUCTURE: Recommendations from the "2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery" have been updated with new evidence consolidated to guide clinicians; clinicians should be advised this guideline supersedes the previously published 2014 guideline. In addition, evidence-based management strategies, including pharmacological therapies, perioperative monitoring, and devices, for cardiovascular disease and associated medical conditions, have been developed.