2026 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 Guidelines
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.
Authors
- Lisa de las Fuentes (ORCID: https://orcid.org/0000-0002-4689-325X)
- Steven Charles Stain (ORCID: https://orcid.org/0000-0002-4540-7459)
- Nathaniel Rosso Smilowitz (ORCID: https://orcid.org/0000-0002-6823-2815)
- Michael W. Rich (ORCID: https://orcid.org/0000-0002-4243-9391)
- Faraz S. Ahmad (ORCID: https://orcid.org/0000-0002-2613-2541)
- Habib Abbas Dakik (ORCID: https://orcid.org/0000-0001-6436-600X)
- Kamrouz Ghadimi (ORCID: https://orcid.org/0000-0002-9287-7541)
- Jeanne E. Poole (ORCID: https://orcid.org/0000-0002-8481-7389)
- Geno J. Merli (ORCID: https://orcid.org/0000-0002-8663-6872)
- A Auerbach
- Tracy E. Macaulay (ORCID: https://orcid.org/0000-0003-0373-7748)
- Niti R. Aggarwal
- Saraschandra Vallabhajosyula (ORCID: https://orcid.org/0000-0002-1631-8238)
- Kirsten E. Fleischmann (ORCID: https://orcid.org/0000-0002-3813-4384)
- Benjamin Chow (ORCID: https://orcid.org/0000-0002-9276-3667)
- Eric L. Eisenstein (ORCID: https://orcid.org/0000-0003-0216-428X)
- Bessie Kachulis (ORCID: https://orcid.org/0000-0002-8825-9599)
- Christopher Seungkyu Lee (ORCID: https://orcid.org/0000-0002-2510-4071)
- Amy W. Talbot
- Robert B. Allen
- Debabrata Mukherjee
- Purvi Parwani
- S. Elissa Altin
- Annemarie Thompson
- Kim Allan Williams
- Marie Gerhard-Herman
- John Whittle
- Kurt Ruetzler
- Gail Mates
- BobbieJean Sweitzer
- Jeffrey S. Berger
- Jacinthe Leclerc
Institutions
- Heart Rhythm Society (US)
- American Hospital Association (US)
- Society for Cardiovascular Magnetic Resonance (US)
- Society of Cardiovascular Anesthesiologists (US)
- American College of Surgeons (US)
Publication Details
- Journal
- Circulation
- Published
- 2026-09-28
- DOI
- https://doi.org/10.1161/cir.0000000000001472
- Primary Topic
- Cardiac, Anesthesia and Surgical Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00