• Maximilian Winhard and Julinda Mehilli.
• Medizinische Klinik I für Kardiologie, Pneumologie, internistische Intensivmedizin, Krankenhaus Landshut-Achdorf, Landshut.
• Dtsch. Med. Wochenschr. 2023 Sep 1; 148 (17): 111811221118-1122.

AbstractIn August 2022, the European Society of Cardiology (ESC) published new guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery. In order to cope with the complexity of the patients and the multidisciplinary, representatives of the European Society of Anesthesia and Intensive Care Medicine as well as 2 patient representatives were involved in the development of the published document in addition to authors from the European Society of Cardiology. As a result, the document contains 147 recommendations on this complex topic, with more than half of them being grade I recommendations.The interdisciplinarity and the need for interdisciplinary cooperation in this context is particularly emphasized. Particular attention was also paid to recommendations for action for a structured preoperative risk stratification. The new guidelines also focus on increasing vigilance for perioperative myocardial damage and identifying it at an early stage.In the following article, some of the essential innovations and revisions will be highlighted using practical clinical case studies.Thieme. All rights reserved.

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