Updated Guidelines for Perioperative Cardiovascular Management for Noncardiac Surgery

Guest: Michael Cullen, M.D.

Host: Kyle Klarich, M.D.

This episode of Mayo Clinic’s “Interviews With the Experts” reviews the assessment of patients with known or suspected cardiovascular disease undergoing noncardiac surgery.  Dr. Michael Cullen discusses recommendations from 2024 ACC/AHA perioperative guidelines regarding medication management before and after noncardiac surgery, including recommendations for antiplatelet therapy and bridging anticoagulation.  Finally, he highlights new recommendations in the recent 2024 ACC/AHA perioperative guidelines and compare these guidelines to the 2022 European Society of Cardiology perioperative guidelines.

Topics Discussed:

• How should clinicians approach the assessment of a patient prior to noncardiac surgery?


• How should physicians and APPs manage cardiac medications around the time of noncardiac surgery?


• What are some of the new recommendations in the 2024 ACC/AHA guidelines for perioperative management prior to noncardiac surgery?


• How do the 2024 ACC/AHA perioperative guidelines differ from the 2022 ESC noncardiac surgery guidelines?

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Podcast episode transcript found here.