2024 ACC/AHA guideline on perioperative cardiovascular management before noncardiac surgery: What’s new?

CAD algorithm.

ACS = acute coronary syndrome; ACS-SRC = American College of Surgeons Surgical Risk Calculator; BMS = bare-metal stent; CABG = coronary artery bypass grafting; CAD = coronary artery disease; CCTA = computed tomography angiography; DASI = Duke Activity Status Index; DES = drug-eluting stent; GDMT = guideline-directed medical therapy; ICA = invasive coronary angiography; MACE = major adverse cardiac event; METs = metabolic equivalent of task; MI = myocardial infarction; MICA = Myocardial Infarction or Cardiac Arrest; NT-proBNP = N-terminal brain-type natriuretic peptide; OR = operating room; PCI = percutaneous coronary intervention; RCRI = Revised Cardiac Risk Index; Rx = prescriptions; ULN = upper limit of normal

Reprinted from Cohn SL. Ischemic heart disease. In: Cohn SL, ed. Decision Making in Perioperative Medicine: Clinical Pearls. 2nd ed. McGraw Hill; 2025, with permission of McGraw Hill. Copyright 2025.