What is new in 2022 ESC guidelines on cardiovascular assessment and management of patients undergoing non‑cardiac surgery

Vnitr Lek. 2023 Winter;69(1):14-22. doi: 10.36290/vnl.2023.002.

Abstract

In 2022, the European Society of Cardiology has published updated guidelines for the cardiovascular evaluation and management of patients undergoing non-cardiac surgery. In this article we briefly summarize the most important recommendations with an emphasis on their use in everyday clinical practice - from the complex assessment of cardiovascular risk and prediction of cardiovascular complications, through the indication of basic paraclinical examinations, the importance of biomarkers, adjustments to pharmacotherapy of heart failure, adjustments to anticoagulant and antiplatelet therapy, to other specifics of individual cardiovascular and other diseases and their importance in the perioperative period. Knowledge and use of these recommendations have the potential to improve the prognosis of patients undergoing various types of surgical procedures.

Keywords: biomarker; biomarkers; cardiovascular risk; dyslipidemia; heart failure; pharmacotherapy; preoperative management.

Publication types

  • Practice Guideline

MeSH terms

  • Cardiology
  • Cardiovascular Diseases* / complications
  • Cardiovascular Diseases* / prevention & control
  • Europe
  • Humans
  • Perioperative Care*
  • Risk Assessment
  • Societies, Medical
  • Surgical Procedures, Operative*