Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines

Eric M. Isselbacher, Ourania Preventza, James H. Black, John Augoustides, Adam W. Beck, Michael A. Bolen, Alan C. Braverman, Bruce E. Bray, Maya M. Brown-Zimmerman, Edward P. Chen, Tyrone J. Collins, Abe DeAnda, Christina Fanola, Leonard N. Girardi, Caitlin W. Hicks, Dawn S. Hui, W. Schuyler Jones, Vidyasagar Kalahasti, Karen M. Kim, Dianna M. Milewicz, Gustavo S. Oderich, Laura Ogbechie, Susan B. Promes, Elsie Ross, Marc L. Schermerhorn, Sabrina Times, Elaine E. Tseng, Grace J. Wang, Young Woo, David P. Faxon, Gilbert R. Upchurch, Aaron W. Aday, Ali Azizzadeh, Michael L. Boisen, Beau Hawkins, Christopher M. Kramer, Jessica G.Y. Luc, Thomas E. MacGillivray, S. Chris Malaisrie, Kathryn Osteen, Himanshu J. Patel, Parag J. Patel, Wanda M. Popescu, Evelio Rodríguez, Rebecca Sorber, Philip S. Tsao, Annabelle Santos Volgman

Circulation · 2022

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Summary

This 2022 ACC/AHA joint guideline synthesises evidence through systematic review of literature from January 2021 to June 2022 to provide comprehensive recommendations for the diagnosis, evaluation, and management of aortic disease. The guideline updates prior guidance on thoracic aortic disease, peripheral artery disease, and bicuspid aortic valve disease, with new emphasis on shared decision-making, pregnancy-related considerations, and the importance of institutional expertise and multidisciplinary team approaches in patient care.

UK applicability

Whilst published by American organisations, the clinical evidence base and diagnostic/management principles are applicable to UK practice, though UK practitioners would refer to corresponding National Institute for Health and Care Excellence (NICE) guidance and local institutional protocols. The emphasis on multidisciplinary aortic teams and institutional volume thresholds aligns with UK NHS best-practice recommendations for complex cardiovascular conditions.

Key measures

Clinical recommendations for aortic disease management across asymptomatic, stable symptomatic, and acute aortic syndrome presentations

Outcomes reported

The guideline provides evidence-based recommendations for diagnosis, genetic evaluation, medical therapy, endovascular and surgical treatment, and long-term surveillance of aortic disease across multiple clinical presentations. It emphasises shared decision-making, institutional volume requirements, and multidisciplinary team expertise in aortic care.

Theme
General food systems / other
Subject
Other / interdisciplinary
Study type
Guideline
Study design
Guideline
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1161/cir.0000000000001106
Catalogue ID
SNmojad7jr-26y1w3

Topic tags

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