Ney Carter Borges/LinkedIn
Apr 26, 2026, 11:38
Ney Carter Borges: Perioperative Cardiovascular Medication Management in Noncardiac Surgery
Ney Carter Borges, Member Cardiologist of Global Physician Association at Cleveland Clinic Florida, shared a post on LinkedIn:
“Perioperative Cardiovascular Medication Management (Noncardiac Surgery)
Key Clinical Recommendations (AHA/ACC 2024 Guideline – JAMA 2026)
Statins
- Continue therapy perioperatively
- Initiate in high-risk patients
- Decreased mortality: 2.18% vs 3.15% (OR 0.62; 95% CI 0.58–0.67)
Aspirin
- Continue if prior PCI
- Do NOT initiate without PCI
- Increased bleeding risk: 4.6% vs 3.8% (HR 1.23; p equals 0.04)
β-blockers
- Continue if already prescribed
- Avoid initiation perioperatively
- Increased mortality: HR 1.33 (95% CI 1.03–1.74)
SGLT2 inhibitors
- Suspend before surgery
- 3 days: dapagliflozin / empagliflozin
- 4 days: ertugliflozin
- Reason: risk of euglycemic ketoacidosis
GLP-1 receptor agonists
- Consider withholding (depending on case)
- Risk: delayed gastric emptying – aspiration
- Gastric residue: 11 vs 1 (p equals 0.004).”
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