Gencer, Baris FarukBaris FarukGencerGale, Chris PChris PGaleAktaa, SulemanSulemanAktaaHalvorsen, SigrunSigrunHalvorsenBeska, BenBenBeskaAbdelhamid, MagdyMagdyAbdelhamidMueller, ChristianChristianMuellerTutarel, OktayOktayTutarelMcGreavy, PaulPaulMcGreavySchirmer, HenrikHenrikSchirmerGeissler, TobiasTobiasGeisslerSillesen, HenrikHenrikSillesenNiessner, AlexanderAlexanderNiessnerZacharowski, KaiKaiZacharowskiMehilli, JulindaJulindaMehilliPotpara, TatjanaTatjanaPotpara2024-10-112024-10-112023-06-21https://boris-portal.unibe.ch/handle/20.500.12422/87498AIMS To establish a set of quality indicators (QIs) for the cardiovascular (CV) assessment and management of patients undergoing non-cardiac surgery. METHODS AND RESULTS The Quality Indicator Committee of the European Society of Cardiology (ESC) and European Society of Anaesthesiology & Intensive Care (ESAIC) in collaboration with Task Force members of the 2022 ESC Guidelines on CV assessment and management of patients undergoing non-cardiac surgery followed the ESC methodology for QI development. This included 1) identification, by constructing a conceptual framework of care, of domains of the CV assessment and management of patients with risk factors or established cardiovascular disease (CVD) who are considered for or undergoing non-cardiac surgery, 2) development of candidate QIs following a systematic literature review, 3) selection of the final set of QIs using a modified Delphi method, 4) evaluation of the feasibility of the developed QIs. In total, eight main and nine secondary QIs were selected across six domains: 1) Structural framework (written policy), 2) Patient education and quality of life (CV risk discussion), 3) Peri-operative risk assessment (indication for diagnostic tests), 4) Peri-operative risk mitigation (use of hospital therapies), 5) Follow-up (post-discharge assessment) and 6) Outcomes (major CV events). CONCLUSION We present the 2022 ESC/ESAIC QIs for the CV assessment and management of patients with risk factors or established CVD who are considered for or are undergoing non-cardiac surgery. These indicators are supported by evidence from the literature, underpinned by expert consensus and align with 2022 ESC Guidelines on CV assessment and management of patients undergoing non-cardiac surgery.enAnAestHesiOlogY Clinical Practice Guidelines GuidElinEs Non-CardIac SurgEry POst-OperAtivE caRdiaC suRveiLlanCe PRe-oPeraTive corOnarY arTery revAscuLariZatiOn PeriOperAtivE caRdiaC maNageMent Pre-OperAtivE caRdiaC teStinG Pre-opeRatiVe cArdiAc rIsk AsseSsmeNt Quality Indicators600 - Technology::610 - Medicine & health300 - Social sciences, sociology & anthropology::360 - Social problems & social servicesarticle10.48350/1729793606990510.1093/ehjqcco/qcac057