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2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic Syndrome

  • Chiadi E. Ndumele
  • , Fatima Rodriguez
  • , Dave L. Dixon
  • , Sadiya S. Khan
  • , Debabrata Mukherjee
  • , Mandeep Bajaj
  • , Sripal Bangalore
  • , Biykem Bozkurt
  • , Khadijah Breathett
  • , Shoa L. Clarke
  • , Ian H. de Boer
  • , David H. Ellison
  • , Lorraine S. Evangelista
  • , Sean P. Heffron
  • , Dhruv S. Kazi
  • , Ambar Kulshreshtha
  • , Ildiko Lingvay
  • , Cecilia C. Low Wang
  • , Claudia A. Mercado
  • , John Magaña Morton
  • Ian J. Neeland, Neha Pagidipati, Tiffany M. Powell-Wiley, Janani Rangaswami, Goutham Rao, Nosheen Reza, Anum Saeed, Wendy St. Peter, J. Bradley Starks, Madeline Sterling, Amy W. Talbot, Andrew H. Tran, Katherine R. Tuttle, Lisa B. VanWagner, Amanda R. Vest, Salim S. Virani

Research output: Contribution to journalReview articlepeer-review

Abstract

Aim: The “2026 AHA/ACC/ADA/ASN Guideline for the Prevention, Detection, Evaluation, and Management of Cardiovascular-Kidney-Metabolic Syndrome” retires, replaces, and expands upon the “2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults.” The primary intended audience for this guideline is clinicians who care for patients across the spectrum of cardiovascular-kidney-metabolic syndrome, an interrelated condition characterized by the interconnections among metabolic risk factors (including obesity and type 2 diabetes), chronic kidney disease, and cardiovascular disease. Methods: A comprehensive literature search was conducted from October 29, 2024, to April 14, 2025, to identify clinical studies, systematic reviews and meta-analyses, and other evidence conducted on human subjects that were published since 2015 in English from MEDLINE (through PubMed), EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline. Structure: The focus of this clinical practice guideline is to create a living, working document that provides current knowledge in the field of cardiovascular-kidney-metabolic syndrome aimed at all practicing cardiologists, endocrinologists, nephrologists, and primary care and specialty clinicians who manage these patients.

Original languageEnglish
Pages (from-to)e1889-e2007
JournalJournal of the American College of Cardiology
Volume87
Issue number22
DOIs
StatePublished - Jun 9 2026

Keywords

  • ACC/AHA clinical practice guideline
  • MASLD
  • atherosclerosis
  • atrial fibrillation
  • blood pressure/hypertension
  • cardiovascular disease
  • cardiovascular-kidney-metabolic
  • coronary disease
  • diabetes
  • diagnosis
  • heart failure
  • kidney disease(s), chronic
  • management, cardiovascular-kidney-metabolic
  • metabolic syndrome
  • overweight/obesity
  • peripheral artery disease
  • renal insufficiency
  • risk factors
  • screenings
  • secondary prevention
  • venous thromboembolism
  • weight loss

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