What are the updated Canadian Cardiovascular Society guidelines for perioperative cardiac risk assessment and management in patients undergoing noncardiac surgery?
Can J Cardiol · 2016 · PMID 27865641 · DOI 10.1016/j.cjca.2016.09.008
New Canadian guidelines recommend using NT-proBNP before noncardiac surgery for risk assessment and outline specific pre- and post-operative cardiac management strategies.
The question
What are the updated Canadian Cardiovascular Society guidelines for perioperative cardiac risk assessment and management in patients undergoing noncardiac surgery?
What they tested
The Canadian Cardiovascular Society Guidelines Committee and key Canadian opinion leaders believed there was a need for updated guidelines using the GRADE system for perioperative cardiac risk assessment and management.
How they did it
The Canadian Cardiovascular Society Guidelines Committee, along with key Canadian opinion leaders, developed updated guidelines using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system of evidence assessment.
What they found
Strong recommendations were made for: 1) measuring BNP or NT-proBNP before surgery in specific patient groups; 2) against several preoperative cardiac tests; 3) against routine acetylsalicylic acid for perioperative cardiac event prevention, with exceptions; 4) against initiating α-agonist or β-blocker within 24 hours before surgery; 5) withholding ACE inhibitor and ARB starting 24 hours before surgery; 6) facilitating smoking cessation before surgery; 7) measuring daily troponin for 48-72 hours after surgery in specific patient groups; and 8) initiating long-term acetylsalicylic acid and statin therapy in patients with postoperative myocardial injury/infarction.
What it means
The updated Canadian Cardiovascular Society guidelines provide strong recommendations for perioperative cardiac risk estimation and management, including the use of natriuretic peptides and specific interventions, while advising against certain common practices.
Limitations
The abstract does not explicitly state any limitations of the guideline development process or the recommendations themselves.
Where the published abstract does not list limitations, we say so rather than inventing them. Read the full paper on PubMed before drawing conclusions.
The paper at a glance
| Magellan’s evidence label | NT-proBNP natriuretic peptide (our label for this citation — see PubMed for the paper’s own title and authors) |
|---|---|
| Journal | Can J Cardiol |
| Year | 2016 |
| PMID | 27865641 ↗ |
| DOI | 10.1016/j.cjca.2016.09.008 ↗ |
| Topic | General aging biology & healthspan |
Read the source: PubMed record (authors, abstract, full citation) ↗ · Publisher via doi.org ↗
Where Magellan uses this paper
This citation sits behind the evidence grade on the pages below. Grades are set from the research and are independent of affiliate commissions.
NT-proBNP Cardiac Test
Improves cardiovascular risk estimation. Research relevant to this mechanism is indexed on PubMed and linked below; it describes the mechanism rather than this specific product.
Cite this page
These citations point at this summary. To cite the original paper with its full author list, use the PubMed record or doi.org.
Magellan Longevity. (2026). What are the updated Canadian Cardiovascular Society guidelines for perioperative cardiac risk assessment and management in patients undergoing noncardiac surgery? [Plain-English summary of Can J Cardiol 2016, PMID 27865641, DOI 10.1016/j.cjca.2016.09.008]. Magellan Longevity. https://magellanlongevity.com/study/s158.html@misc{magellan_s158,
title = {What are the updated Canadian Cardiovascular Society guidelines for perioperative cardiac risk assessment and management in patients undergoing noncardiac surgery?},
author = {{Magellan Longevity}},
year = {2026},
howpublished = {\url{https://magellanlongevity.com/study/s158.html}},
note = {Plain-English summary of PubMed PMID 27865641; DOI 10.1016/j.cjca.2016.09.008; Can J Cardiol 2016. Reviewed by Gabriel Radu, DO},
urldate = {2026-08-11}
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