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Clinical Practice Guidelines on Perioperative Cardiovascular Evaluation

2014; Lippincott Williams & Wilkins; Volume: 130; Issue: 24 Linguagem: Romeno

10.1161/cir.0000000000000103

1524-4539

Jeffrey L. Anderson, Elliott M. Antman, John Harold, Mariell Jessup, Patrick T. O’Gara, Fausto J. Pinto, Panos Vardas, José Luis Zamorano,

Cardiac Imaging and Diagnostics

HomeCirculationVol. 130, No. 24Clinical Practice Guidelines on Perioperative Cardiovascular Evaluation Free AccessResearch ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticlePDF/EPUBClinical Practice Guidelines on Perioperative Cardiovascular EvaluationCollaborative Efforts Among the ACC, AHA, and ESC Jeffrey L. Anderson, MD, Elliott M. Antman, MD, John G. Harold, MD, Mariell Jessup, MD, Patrick T. O'Gara, MD, Fausto J. Pinto, MD, Panos E. Vardas, MD and Jose L. Zamorano, MD Jeffrey L. AndersonJeffrey L. Anderson , Elliott M. AntmanElliott M. Antman , John G. HaroldJohn G. Harold , Mariell JessupMariell Jessup , Patrick T. O'GaraPatrick T. O'Gara , Fausto J. PintoFausto J. Pinto , Panos E. VardasPanos E. Vardas and Jose L. ZamoranoJose L. Zamorano Originally published1 Aug 2014https://doi.org/10.1161/CIR.0000000000000103Circulation. 2014;130:2213–2214Other version(s) of this articleYou are viewing the most recent version of this article. Previous versions: January 1, 2014: Previous Version 1 The American College of Cardiology (ACC), the American Heart Association (AHA), and the European Society of Cardiology (ESC) are pleased to announce the publication of 2 new versions of clinical practice guidelines (CPGs) on perioperative cardiovascular evaluation from our respective organizations.1–3These revisions were begun independently, dictated both by emerging, new information regarding the topic and the controversy regarding the legitimacy of data from previously published pivotal trials. Accordingly, the leadership of these international organizations recognized the importance of scientific collaboration and writing committee coordination for the benefit of the worldwide cardiology community. A joint statement was therefore posted in August 20134–6 to indicate that the respective CPGs were under revision and to provide some guidance regarding perioperative beta-blockade therapy in the interim.Since then, the members of both the ESC and ACC/AHA guideline writing committees have reviewed the evidence thoroughly and systematically. The writing committees and the 2 supervisory task force groups decided to analyze separately the evidence about beta-blocker therapy used in the perioperative period and to develop specific treatment recommendations as a first step in the process of revision. After this independent work, the revised recommendations were shared between the 2 writing committees so that the rationales for any differences in recommendations could be articulated clearly. As a result of this process, we are confident that the evidence base has been objectively reviewed by 2 independent expert writing committees. The development of the 2 revised CPGs on perioperative cardiovascular care underscores the benefits of collaboration. Although the writing committees compiled and reviewed the evidence separately, they subsequently came together to validate their analyses, finding that they had both drawn on the same data and reached similar conclusions. Additionally, discussions are ongoing among the ACC, AHA, and ESC about sharing resources related to the systematic review of evidence. The potential advantages of more highly structured joint CPG initiatives are under active consideration.The CPGs on cardiovascular care in the perioperative period represent a fresh and objective review of old and new evidence in this important clinical arena. Features of the CPGs include the latest synthesis of the data on the use of beta blockers in patients who have taken them chronically, considerations regarding selection of patients who are potential candidates to receive beta blockers preoperatively, and guidance regarding how to use this important and powerful class of drugs in the perioperative period. Clinicians will find the recommendations in these revised CPGs useful in their daily work and can be reassured that the recommendations have been vetted thoroughly by the most rigorous scientific process. Furthermore, the recommendations in both documents are fundamentally aligned, so that cardiovascular clinicians worldwide may deliver optimal, standardized care.FootnotesThe American Heart Association requests that this document be cited as follows: Anderson JL, Antman EM, Harold JG, Jessup M, O'Gara PT, Pinto FJ, Vardas PE, Zamorano JL. Clinical practice guidelines on perioperative cardiovascular evaluation: collaborative efforts among the ACC, AHA, and ESC. Circulation. 2014;130:2213–2214.This article has been copublished in the Journal of the American College of Cardiology and the European Heart Journal.Copies: This document is available on the World Wide Web sites of the American College of Cardiology (www.cardiosource.org) and the American Heart Association (my.americanheart.org). A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail [email protected].Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at http://www.heart.org/HEARTORG/General/Copyright-Permission-Guidelines_UCM_300404_Article.jsp. A link to the "Copyright Permissions Request Form" appears on the right side of the page.References1. Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.J Am Coll Cardiol. 2014; 64:e77–137.CrossrefMedlineGoogle Scholar2. Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.Circulation. 2014; 130:e278–333.LinkGoogle Scholar3. Kristensen SD, Knuuti J, Saraste A, et al. 2014 ESC/ESA guidelines on noncardiac surgery: cardiovascular assessment and management.Eur Heart J. 2014; 35:2383–431.CrossrefMedlineGoogle Scholar4. Joint Statement: issued by the American College of Cardiology, American Heart Association, and the European Society of Cardiology. American College of Cardiology.2013. Available at: http://www.cardiosource.org/News-Media/Publications/Cardiology-Magazine/2013/08/Joint-Statement.aspx. Accessed June 27, 2014.Google Scholar5. Joint Statement: issued by the American College of Cardiology, American Heart Association and the European Society of Cardiology. American Heart Association.2013. Available at: http://newsroom.heart.org/news/joint-statement:-issued-by-the-american-college-of-cardiology-american-heart-association-and-the-european-society-of-cardiology. Accessed June 27, 2014.Google Scholar6. Joint Statement: issued by the American College of Cardiology, American Heart Association and the European Society of Cardiology. European Society of Cardiology.2013. Available at: http://www.escardio.org/about/press/press-releases/pr-13/Pages/joint-statement-perioperative-guidelines.aspx. Accessed June 27, 2014.Google Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Melzer A, Begnaud A, Lindgren B, Schertz K, Fu S, Vock D, Rothman A and Joseph A (2021) Self-reported exercise capacity among current smokers eligible for lung cancer screening: Distribution and association with key comorbidities, Cancer Treatment and Research Communications, 10.1016/j.ctarc.2021.100443, 28, (100443), . Chioncel V, Brezeanu R and Sinescu C (2019) New Directions in the Management of Peripheral Artery Disease, American Journal of Therapeutics, 10.1097/MJT.0000000000000916, 26:2, (e284-e293), Online publication date: 1-Mar-2019. Aboyans V, Ricco J, Bartelink M, Björck M, Brodmann M, Cohnert T, Collet J, Czerny M, De Carlo M, Debus S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylor A, Roffi M, Röther J, Sprynger M, Tendera M, Tepe G, Venermo M, Vlachopoulos C, Desormais I, Widimsky P, Kolh P, Agewall S, Bueno H, Coca A, De Borst G, Delgado V, Dick F, Erol C, Ferrini M, Kakkos S, Katus H, Knuuti J, Lindholt J, Mattle H, Pieniazek P, Piepoli M, Scheinert D, Sievert H, Simpson I, Sulzenko J, Tamargo J, Tokgozoglu L, Torbicki A, Tsakountakis N, Tuñón J, de Ceniga M, Windecker S, Zamorano J, Windecker S, Aboyans V, Agewall S, Barbato E, Bueno H, Coca A, Collet J, Coman I, Dean V, Delgado V, Fitzsimons D, Gaemperli O, Hindricks G, Iung B, Juni P, Katus H, Knuuti J, Lancellotti P, Leclercq C, McDonagh T, Piepoli M, Ponikowski P, Richter D, Roffi M, Shlyakhto E, Simpson I, Zamorano J, Zelveian P, Haumer M, Isachkin D, De Backer T, Dilic M, Petrov I, Kirhmajer M, Karetova D, Prescott E, Soliman H, Paapstel A, Makinen K, Tosev S, Messas E, Pagava Z, Müller O, Naka K, Járai Z, Gudjonsson T, Jonas M, Novo S, Ibrahimi P, Lunegova O, Dzerve V, Misonis N, Beissel J, Pllaha E, Taberkant M, Bakken T, Teles R, Lighezan D, Konradi A, Zavatta M, Madaric J, Fras Z, Melchor L, Näslund U, Amann-Vesti B and Obiekezie A (2017) 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS), European Heart Journal, 10.1093/eurheartj/ehx095, 39:9, (763-816), Online publication date: 1-Mar-2018. Aboyans V, Ricco J, Bartelink M, Björck M, Brodmann M, Cohnert T, Collet J, Czerny M, De Carlo M, Debus S, Espinola-Klein C, Kahan T, Kownator S, Mazzolai L, Naylor A, Roffi M, Röther J, Sprynger M, Tendera M, Tepe G, Venermo M, Vlachopoulos C, Desormais I, Document Reviewers , Widimsky P, Kolh P, Agewall S, Bueno H, Coca A, De Borst G, Delgado V, Dick F, Erol C, Ferrini M, Kakkos S, Katus H, Knuuti J, Lindholt J, Mattle H, Pieniazek P, Piepoli M, Scheinert D, Sievert H, Simpson I, Sulzenko J, Tamargo J, Tokgozoglu L, Torbicki A, Tsakountakis N, Tuñón J, Vega de Ceniga M, Windecker S and Zamorano J (2018) Editor's Choice – 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS), European Journal of Vascular and Endovascular Surgery, 10.1016/j.ejvs.2017.07.018, 55:3, (305-368), Online publication date: 1-Mar-2018. Miloro M, Basi D, Halpern L and Kang D (2017) Patient Assessment, Journal of Oral and Maxillofacial Surgery, 10.1016/j.joms.2017.04.026, 75:8, (e12-e33), Online publication date: 1-Aug-2017. Ooi Y, Kelleman M, Ehrlich A, Glanville M, Porter A, Kim D, Kogon B and Oster M (2016) Transcatheter Versus Surgical Closure of Atrial Septal Defects in Children, JACC: Cardiovascular Interventions, 10.1016/j.jcin.2015.09.028, 9:1, (79-86), Online publication date: 1-Jan-2016. López-Sendón J, González-Juanatey J, Pinto F, Castillo J, Badimón L, Dalmau R, Torrecilla E, Mínguez J, Maceira A, Pascual-Figal D, Moya-Prats J, Sionis A and Zamorano J (2015) Quality markers in cardiology: measures of outcomes and clinical practice—a perspective of the Spanish Society of Cardiology and of Thoracic and Cardiovascular Surgery, European Heart Journal, 10.1093/eurheartj/ehv527, 37:1, (12-23), Online publication date: 1-Jan-2016. López-Sendón J, González-Juanatey J, Pinto F, Cuenca Castillo J, Badimón L, Dalmau R, González Torrecilla E, López-Mínguez J, Maceira A, Pascual-Figal D, Pomar Moya-Prats J, Sionis A and Zamorano J (2015) Indicadores de calidad en cardiología. Principales indicadores para medir la calidad de los resultados (indicadores de resultados) y parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): Declaración de posicionamiento de consenso de SEC/SECTCV, Cirugía Cardiovascular, 10.1016/j.circv.2015.09.001, 22:6, (314.e1-314.e30), Online publication date: 1-Nov-2015. López-Sendón J, González-Juanatey J, Pinto F, Cuenca Castillo J, Badimón L, Dalmau R, González Torrecilla E, López-Mínguez J, Maceira A, Pascual-Figal D, Pomar Moya-Prats J, Sionis A and Zamorano J (2015) Quality Markers in Cardiology. Main Markers to Measure Quality of Results (Outcomes) and Quality Measures Related to Better Results in Clinical Practice (Performance Metrics). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): A SEC/SECTCV Consensus Position Paper, Revista Española de Cardiología (English Edition), 10.1016/j.rec.2015.07.003, 68:11, (976-995.e10), Online publication date: 1-Nov-2015. López-Sendón J, González-Juanatey J, Pinto F, Cuenca Castillo J, Badimón L, Dalmau R, González Torrecilla E, López-Mínguez J, Maceira A, Pascual-Figal D, Pomar Moya-Prats J, Sionis A and Zamorano J (2015) Indicadores de calidad en cardiología. Principales indicadores para medir la calidad de los resultados (indicadores de resultados) y parámetros de calidad relacionados con mejores resultados en la práctica clínica (indicadores de práctica asistencial). INCARDIO (Indicadores de Calidad en Unidades Asistenciales del Área del Corazón): Declaración de posicionamiento de consenso de SEC/SECTCV, Revista Española de Cardiología, 10.1016/j.recesp.2015.07.005, 68:11, (976-1005), Online publication date: 1-Nov-2015. López-Sendón J, González-Juanatey J, Pinto F, Castillo J, Badimón L, Dalmau R, Torrecilla E, Mínguez J, Maceira A, Pascual-Figal D, Moya-Prats J, Sionis A and Zamorano J (2015) Quality markers in cardiology: measures of outcomes and clinical practice —a perspective of the Spanish Society of Cardiology and of Thoracic and Cardiovascular Surgery1, Cirugía Cardiovascular, 10.1016/j.circv.2015.10.002, 22:6, (315-324), Online publication date: 1-Nov-2015. Chernyavsky M, Neverov V, Susanin N, Soloviev V, Belova Y and Kazantsev A (2022) Revascularization in Lesion of Arteries of the Aortoiliac Arterial Segment. Literature Review and Clinical Examples, Russian Sklifosovsky Journal "Emergency Medical Care", 10.23934/2223-9022-2021-10-4-760-768, 10:4, (760-768) December 1, 2014Vol 130, Issue 24 Advertisement Article InformationMetrics © 2014 by the American Heart Association, Inc., and the American College of Cardiology Foundation.https://doi.org/10.1161/CIR.0000000000000103PMID: 25085963 Originally publishedAugust 1, 2014 PDF download Advertisement SubjectsStatements and Guidelines