Perioperative medicine & outcomes

Reading Between the Guidelines: Perioperative Implications of the 2025 American Heart Association/American College of Cardiology Hypertension Update

J Cardiothorac Vasc AnesthPublished Narrative review

Authors' conclusion

Yet these updates have limited direct application to the perioperative setting.

Study context

Population
Perioperative patients with hypertension (implications of the 2025 AHA/American College of Cardiology Hypertension Guideline)
Outcome
Key updates of the 2025 Hypertension Guideline and perioperative implications

Main finding

As reported in the abstract

  • Notable changes: adoption of the PREVENT CVD risk calculator, revised criteria for initiating pharmacotherapy, lower treated BP targets
  • Updates have limited direct application to the perioperative setting
  • Recommendations for surgical patients largely unchanged, still dependent on expert opinion and low-certainty evidence
  • Recent trials show no benefit from preoperative BP optimization in noncardiac surgery

Original publication

Reading Between the Guidelines: Perioperative Implications of the 2025 American Heart Association/American College of Cardiology Hypertension Update. J Cardiothorac Vasc Anesth. Published 13 May 2026. doi:10.1053/j.jvca.2026.05.008

Composed by AI from the published abstract and checked against it. How Briefs are made →

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