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Cardiology Guidelines Hub

Major cardiovascular guidelines organized by category — all linking directly to full-text sources. ACC · AHA · ESC · SCAI · ASE · ASNC · SCCT. Updated as new guidelines publish.

⚡ Guidelines at a Glance 📋 Full Guideline Library
⬇️ Download PDF Summary
Jump to: Preventive & Risk CAD & ACS Heart Failure Arrhythmias Valvular & Structural Vascular & PE Echo Nuclear Cardiac CT Stress Testing Other
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Preventive Cardiology & Risk Reduction
Lipids · Hypertension · Diabetes · Primary & Secondary Prevention · PAD
Core2019
ACC/AHA Guideline on Primary Prevention of Cardiovascular Disease
ACC · AHA
Comprehensive primary prevention framework — lifestyle, risk assessment, statin therapy, aspirin, BP control, diabetes management in patients without established CVD.
JACC Full Text →
Core2018 / 2022 Update
AHA/ACC/AACVPR Guideline on Management of Blood Cholesterol
AHA · ACC · AACVPR · NLA · PCNA · Multi-Society
Statin therapy intensity, LDL-C targets, PCSK9 inhibitor indications, non-statin therapies, risk-enhancing factors, and coronary calcium scoring for decision-making.
JACC Full Text →
Core2017
ACC/AHA High Blood Pressure Guideline
ACC · AHA · AAPA · ABC · ACPM · AGS · APhA · ASH · ASPC · NMA · PCNA
New BP thresholds (≥130/80 mmHg = Stage 1 HTN), treatment targets, lifestyle modification, pharmacotherapy selection, and resistant hypertension management.
AHA Full Text →
Updated 2023
ACC/AHA Guideline for Management of Chronic Coronary Disease
ACC · AHA · ACS · APhA · NLA · PCNA
Medical therapy optimization, revascularization decision-making, imaging for stable chest pain, risk stratification, and secondary prevention in established CAD.
JACC Full Text →
2023
ACC/AHA/Multi-Society Guideline for Peripheral Artery Disease
ACC · AHA · ACCP · APMA · ABC · SCAI · SVM · SVN · SVS · SIR · VESS
Diagnosis, risk stratification, medical management, and revascularization for lower extremity, renal, mesenteric, and carotid/vertebral artery disease.
Circulation Full Text →
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Coronary Artery Disease & Acute Coronary Syndromes
ACS · STEMI · NSTEMI · PCI · High-Risk PCI · Revascularization · Imaging-Guided PCI
2025 — NEWPractice Changing
ACC/AHA/ACEP/NAEMSP/SCAI Guideline for Management of Acute Coronary Syndromes
ACC · AHA · ACEP · NAEMSP · SCAI — Replaces 2013 STEMI + 2014 NSTEMI guidelines
Unified ACS guideline: STEMI and NSTEMI management, P2Y12 timing, anticoagulation, imaging-guided PCI, MCS in cardiogenic shock, and post-ACS care.
JACC Full Text →
Core2021
ACC/AHA/SCAI Guideline for Coronary Artery Revascularization
ACC · AHA · SCAI
PCI vs. CABG decision-making, SYNTAX score, left main and multivessel disease, physiologic assessment (FFR/iFR), IVUS/OCT guidance, and high-risk PCI indications.
JACC Full Text →
2022
ACC/AHA Guideline for the Diagnosis and Management of Chest Pain
ACC · AHA · Multi-Society
Risk stratification pathways, 0/1-hour hs-troponin algorithms, stress testing vs. CCTA selection, HEART score application, and management of undifferentiated chest pain.
JACC Full Text →
2019 / Updated
SCAI Expert Consensus on Operator and Institutional Requirements for High-Risk PCI
SCAI
Volume requirements, MCS availability, team composition, and institutional capabilities for protected PCI, unprotected left main, and complex coronary intervention.
SCAI Documents →
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Heart Failure & Cardiomyopathy
HFrEF · HFpEF · HFmrEF · Cardiogenic Shock · MCS · Amyloid · HCM
Core2022
AHA/ACC/HFSA Guideline for Management of Heart Failure
AHA · ACC · HFSA
Comprehensive HFrEF, HFmrEF, HFpEF management. GDMT pillars, SGLT2i as Class I in HFrEF, device therapy, advanced HF options, and staging framework.
JACC Full Text →
2022MCS Key
SCAI Clinical Expert Consensus on Management of Cardiogenic Shock
SCAI — SCAI Shock Stages A–E Classification
SCAI shock classification (A–E), hemodynamic monitoring, MCS escalation algorithms, Impella/VA-ECMO indications, shock team approach, and de-escalation strategies.
JACC Full Text →
2025 — NEW
ACC Expert Consensus on Evaluation and Management of Cardiogenic Shock
ACC — 2025 Concise Clinical Guidance
Updated standardized algorithms using SCAI classification for AMI-CS and HF-CS. Pharmacological and tMCS frameworks. Incorporates DanGer Shock trial evidence for Impella in AMI-CS.
JACC Full Text →
2020
AHA/ACC Guideline for Hypertrophic Cardiomyopathy
AHA · ACC
HCM diagnosis, SCD risk stratification, ICD indications, LVOTO management including septal reduction therapy, mavacamten era guidance, and genetic counseling.
JACC Full Text →
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Arrhythmias & Electrophysiology
AF · VT/VF · SCD Prevention · Pacing · Syncope · Pulsed Field Ablation
2023 — Key Update
ACC/AHA/ACCP/HRS Guideline for Diagnosis and Management of Atrial Fibrillation
ACC · AHA · ACCP · HRS
Early rhythm control emphasis, catheter ablation as first-line Class IIa (early persistent AF), anticoagulation updates, LAA occlusion, and integrated AF management pathway.
JACC Full Text →
Core2017
AHA/ACC/HRS Guideline for VT/VF and Prevention of Sudden Cardiac Death
AHA · ACC · HRS
ICD indications, catheter ablation for VT, antiarrhythmic drugs, SCD risk stratification in structural heart disease, channelopathies, and cardiomyopathy-specific recommendations.
JACC Full Text →
2018
ACC/AHA/HRS Guideline on Bradycardia and Cardiac Conduction Delay
ACC · AHA · HRS
Pacemaker indications for SND and AV block, evaluation of bradycardia, HV interval criteria, conduction system pacing, and perioperative pacing management.
JACC Full Text →
2017
ACC/AHA/HRS Guideline for Evaluation and Management of Syncope
ACC · AHA · HRS
Syncope classification, risk stratification (San Francisco Syncope Rule), tilt table testing, implantable loop recorder indications, and cardiac vs. neurally-mediated syncope.
JACC Full Text →
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Valvular Heart Disease & Structural Cardiology
TAVR · TMVR · TTVR · Mitral · Tricuspid · LAA · PFO · Endocarditis
Core2021
ACC/AHA Guideline for Management of Patients with Valvular Heart Disease
ACC · AHA
Comprehensive VHD guideline — TAVR/SAVR indications, mitral regurgitation surgery/TEER criteria, tricuspid disease, MS, aortic regurgitation, and heart team decision-making.
JACC Full Text →
2024 — NEW
ACC/AHA Focused Update — Valvular and Structural Heart Disease
ACC · AHA — Updated TEER, TTVR, TAVR/TMVR recommendations
Key updates: expanded TEER indications, new TTVR data integration (Evoque/TriClip), updated TAVR age/risk thresholds, and transcatheter mitral valve-in-valve guidance.
JACC Full Text →
2023
SCAI/HRS/ACC/AHA Consensus on Transcatheter LAA Occlusion
SCAI · HRS · ACC · AHA — Watchman FLX indications and patient selection
Patient selection criteria for LAA closure, procedural technique standards, post-procedure antithrombotic regimens, and imaging follow-up protocols for Watchman FLX.
JACC Full Text →
2025 — NEW
ACC/AHA/HRS/ISACHD/SCAI Guideline for Adults with Congenital Heart Disease
ACC · AHA · HRS · ISACHD · SCAI
PFO closure indications for cryptogenic stroke, ASD device closure criteria, complex congenital lesion management, and transition of care from pediatric to adult cardiology.
JACC Full Text →
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Vascular Disease, PE & VTE
PE · DVT · Catheter-Directed Therapy · Pulmonary Hypertension · Aortic Disease
2022
ACC/AHA/Multi-Society Guideline for Diagnosis and Management of Aortic Disease
ACC · AHA · ACEP · AATS · ACR · SCAI · STS · Multi-Society
Thoracic and abdominal aortic aneurysm surveillance thresholds, operative indications, acute aortic syndromes, Marfan/connective tissue disorders, and TEVAR/EVAR criteria.
Circulation Full Text →
2019
AHA/ACC Guideline for Management of Pulmonary Hypertension
AHA · ACC · CHEST · PCNA
PH classification (Group 1–5), right heart catheterization criteria, vasodilator testing, combination therapy algorithms, and referral for advanced therapies including transplantation.
Circulation Full Text →
2023
ASH/ISTH/NHF/WFH Guideline for Management of VTE
ASH · ISTH — DVT, PE, DOAC selection, extended anticoagulation
DOAC selection for PE/DVT, risk-stratified treatment for intermediate-high risk PE, catheter-directed thrombolysis indications, cancer-associated VTE, and extended anticoagulation decisions.
Circulation Full Text →
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Echocardiography Guidelines
TTE · TEE · Stress Echo · 3D Echo · Diastology · Valvular Regurgitation · Strain
2025 — NEW
ASE Guidelines for Standardization of Adult Echocardiography Reporting
American Society of Echocardiography
Standardized structured reporting framework, mandatory vs. optional elements, normal reference ranges, and quality metrics for adult transthoracic echocardiography reporting.
JASE Full Text →
Core2016
ASE Recommendations for Evaluation of LV Diastolic Function
ASE · EACVI — The diastology algorithm (Grade I–III)
Four-variable algorithm: e/e' ratio, septal e' velocity, TR Vmax, LA volume index. Grade I–III diastolic dysfunction classification, clinical integration, and stress echo for indeterminate cases.
JASE Full Text →
2022
ASE Guideline: Noninvasive Evaluation of Native Valvular Regurgitation
ASE · EACVI
Grading MR, TR, AR, and PR severity — PISA, vena contracta, quantitative parameters, EROA thresholds, 3D echo integration, and pre-procedural planning for TEER/TTVR.
JASE Full Text →
2019
ASE Guideline: Stress Echocardiography
ASE
Exercise, dobutamine, and vasodilator stress echo protocols — indications, image acquisition standards, interpretation criteria, and reporting for ischemia, viability, and valvular assessment.
JASE Full Text →
2018
ASE Guideline: Echo in Infective Endocarditis
ASE
TTE vs. TEE decision pathway, vegetation characterization, complication detection, surgical timing criteria, and follow-up imaging protocols in native and prosthetic valve endocarditis.
JASE Full Text →
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Nuclear Cardiology
SPECT MPI · PET · Cardiac Amyloid (Tc-PYP) · Radionuclide Ventriculography · Radiation Safety
2024 — NEW
ASNC Quality Metrics for Cardiac Amyloid Radionuclide Imaging (Tc-PYP)
ASNC — Technetium pyrophosphate scanning for ATTR amyloidosis
Tc-PYP scan acquisition, H/CL ratio thresholds, scoring criteria, pitfalls (AL amyloid, blood pool), and integration with clinical assessment for ATTR-CM diagnosis.
ASNC Full Text →
Core2018
ASNC Imaging Guidelines — SPECT Nuclear Cardiology: Stress, Protocols & Tracers
ASNC
Exercise vs. pharmacologic stress protocols, isotope selection (Tc-99m sestamibi vs. thallium), image acquisition, attenuation correction, and radiation dose optimization.
JNC Full Text →
2016
ASNC Imaging Guidelines — PET Nuclear Cardiology
ASNC · SNMMI
Rb-82 and F-18 FDG PET protocols, myocardial viability assessment, coronary flow reserve measurement, and PET vs. SPECT comparative performance for MPI.
JNC Full Text →
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Cardiac CT & Advanced Imaging
CCTA · Calcium Scoring · CT-FFR · Cardiac MRI · Pre-Procedural CT for TAVR/TMVR/LAA
2023
ACC Multimodality AUC — Detection and Risk Assessment of Chronic Coronary Disease
ACC · AHA · ASE · ASNC · ASPC · HFSA · HRS · SCAI · SCCT · SCMR · STS
Appropriate use criteria for CCTA, stress echo, nuclear MPI, CMR, and calcium scoring — symptom-based and risk-based selection pathways for noninvasive testing.
JACC Full Text →
2022
SCCT Guidelines for Performance and Acquisition of Coronary CT Angiography
SCCT
Technical acquisition standards, contrast protocols, heart rate preparation, radiation dose optimization, CT-FFR methodology, and RADS reporting for CCTA.
SCCT Full Text →
Structural Key
SCCT Consensus on CT for Structural Heart Interventions
SCCT — CT planning for TAVR, TMVR, TTVR, LAA occlusion, Watchman
Pre-TAVR CT: annular sizing, coronary heights, calcium distribution, vascular access assessment. Pre-TEER/TTVR: annular anatomy, leaflet morphology, and device sizing protocols.
SCCT Full Text →
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Stress Testing
Exercise ETT · Stress Echo · Nuclear Stress · CMR Stress · Pharmacologic Protocols
Foundation
AHA/ACCF Exercise Standards for Testing and Training
AHA · ACCF
Standard ETT protocols (Bruce, modified Bruce, Naughton), contraindications, endpoint criteria, ST interpretation, chronotropic incompetence, and Duke Treadmill Score application.
Circulation Full Text →
2019
ASE Guideline: Stress Echocardiography — Protocols & Interpretation
ASE
Exercise and pharmacologic (dobutamine, vasodilator) stress echo acquisition standards, wall motion scoring, interpretation criteria, and reporting for ischemia detection and valvular assessment.
JASE Full Text →
2018
ASNC Guidelines — Nuclear Stress: Regadenoson, Adenosine & Dobutamine Protocols
ASNC
Pharmacologic stress agent selection, dosing protocols, contraindications, reversal agents, and radiation dose considerations for nuclear stress testing in special populations.
JNC Full Text →
2023 AUC
ACC Multimodality AUC — Stress Modality Selection
ACC · AHA · ASE · ASNC · SCCT · SCMR · Multi-Society
When to choose exercise ETT vs. stress echo vs. nuclear MPI vs. CMR vs. CCTA — evidence-based appropriate use criteria for stable chest pain evaluation and post-revascularization assessment.
JACC Full Text →
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Pericardial Disease, Cardiac Amyloid & Special Topics
Pericarditis · Amyloid · Cardio-Oncology · Radiation Safety · Radiation Protection in Cath Lab
2023
ACC Expert Consensus Decision Pathway on Cardiac Amyloidosis
ACC
ATTR vs. AL amyloid differentiation, Tc-PYP scan interpretation, tafamidis prescribing criteria, CRISPR/gene silencer emerging therapies, and referral pathways for cardiac amyloidosis.
JACC Full Text →
Core
ESC Guideline for Diagnosis and Management of Pericardial Diseases
ESC
Acute/recurrent pericarditis treatment (colchicine backbone), pericardial effusion management, cardiac tamponade recognition, constrictive pericarditis diagnosis and pericardiectomy criteria.
JACC Full Text →
2022
ACC Cardio-Oncology Guideline on CV Toxicities of Cancer Therapies
ACC · AHA · Multi-Society
Cardiotoxicity monitoring for anthracyclines, HER2-targeted therapies, immune checkpoint inhibitors, VEGF inhibitors, and radiation-induced cardiac disease — baseline and surveillance echo protocols.
JACC Full Text →
Cath Lab
SCAI/HRS/ACR Consensus on Radiation Safety in the Cardiac Catheterization Laboratory
SCAI · HRS · ACR
ALARA principles, operator radiation protection (lead aprons, thyroid shields, zero-gravity suits, radiation glasses), patient dose metrics (DAP, AK), and fluoroscopy time optimization strategies.
SCAI Documents →

Guidelines updated as new ACC/AHA/ESC/SCAI documents publish. Always verify currency with the issuing society.

ACC Guidelines ↗ AHA Guidelines ↗ ESC Guidelines ↗ SCAI Documents ↗