Disclaimer
is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care practitioners, and providers at all levels. is
Guideline should not be considered exclusive of other methods of care reasonably directed at
obtaining the same results. e ultimate judgment concerning the propriety of any course of
conduct must be made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
Abbreviations
ACE, angiotensin-converting enzyme; ACS, acute coronary syndrome; AR, aortic
regurgitation; ARB, angiotensin-receptor blocker; ASA, aspirin; ASAP, as soon as
possible; BMI, body mass index; BMS, bare-metal stent; CAD, coronary artery disease;
CIED, cardiovascular implantable electronic device; COPD, chronic obstructive
pulmonary disease; COR, Class of Recommendation; CPG, clinical practice guideline;
CPT, current procedural terminolog y; DAPT, dual antiplatelet therapy; DES, drug-
eluting stent; DSE, dobutamine stress echocardiogram; ECG, electrocardiogram; ENT,
ear, nose, and throat; ERC, Evidence Review Committee; GDMT, guideline-directed
medical therapy; HF, heart failure; ICD, implantable cardioverter-defibrillator; LOE,
Level of Evidence; LV, le ventricular; LVEF, le ventricular ejection fraction; MACE,
major adverse cardiac event; MET, metabolic equivalent; MI, myocardial infarction;
MICA, Myocardial Infarction and Cardiac Arrest; MPI, myocardial perfusion
imaging ; MR, mitral regurgitation; NB, No Benefit; NSQIP, National Surgical Quality
Improvement Program; PCI, percutaneous coronary intervention; RCRI, Revised
Cardiac Risk Index; RV, right ventricular; SR, systematic review; TEE, transesophageal
echocardiogram; TIA, transient ischemic attack
Source
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 Cardiolog y/American Heart
Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014 Jul 29. doi:
10.1016/j.jacc.2014.07.944. [Epub ahead of print] Copublished in Circulation. 2014
Aug 1. pii: CIR.0000000000000105. [Epub ahead of print]
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