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The new American Heart Association algorithm: is it progress?

Bruce Biccard
Southern African Journal of Anaesthesia and Analgesia | Vol 21, No 1 | a807 | | © 2015 Bruce Biccard | This work is licensed under CC Attribution 4.0
Submitted: 03 November 2025 | Published: 01 January 2015

About the author(s)

Bruce Biccard, Discipline of Anaesthesiology and Critical Care, School of Clinical Medicine, University of KwaZulu-Natal, South Africa

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Abstract

The new 2014 American College of Cardiology (ACC) and American Heart Association (AHA) guideline for the perioperative cardiovascular evaluation and management of patients undergoing non-cardiac surgery was published in 2014.1 There are a number of fundamental changes to this guideline, of which the practising anaesthetist should be aware. Furthermore, the changes in the guideline give an idea of the change in the philosophy of cardiovascular risk stratification and risk reduction in the USA. This paper reviews the changes to the algorithm, and the publications that resulted in these recommendations.

Keywords

AHA algorithm; ACC; guideline; non-cardiac surgery; acute coronary syndromes

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