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2024 年美国心脏协会/美国心脏病学会/美国心血管造影和介入学会/美国核医学学会/心律学会/心血管计算机断层成像学会/心血管磁共振学会/心血管超声学会非心脏手术围术期心血管管理临床实践指南:美国心脏病学会/美国心脏协会联合委员会的报告。

2024 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.

出版信息

J Am Coll Cardiol. 2024 Nov 5;84(19):1869-1969. doi: 10.1016/j.jacc.2024.06.013. Epub 2024 Sep 24.

Abstract

AIM

The "2024 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.

摘要

目的

“2024 年美国心脏协会/美国心脏病学会/美国胸外科医师学会/美国核医学学会/美国心律学会/心血管造影与介入学会/心血管计算机断层成像学会/心血管磁共振学会/心血管超声心动图学会/心血管血管造影与介入学会指南:非心脏手术围手术期心血管管理”为指导临床医生对接受非心脏手术的成年患者进行围手术期心血管评估和管理提供了建议。

方法

从 2022 年 8 月至 2023 年 3 月,进行了全面的文献检索,以确定在人类受试者中进行的、发表于英文文献的临床研究、综述和其他证据,这些证据来源于 MEDLINE(通过 PubMed)、EMBASE、Cochrane 图书馆、美国医疗保健研究与质量局以及与本指南相关的其他选定数据库。

结构

对“2014 年美国心脏协会/美国心脏病学会非心脏手术围手术期心血管评估和管理患者指南”中的建议进行了更新,纳入了新的证据以指导临床医生;应告知临床医生,本指南取代了之前发布的 2014 年指南。此外,还制定了心血管疾病和相关医学病症的基于证据的管理策略,包括药物治疗、围手术期监测和器械。

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