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

JACC·June 9
Cardiac & Cardiovascular SystemsPractice changingCardiovascular DiseaseCardiovascular-Kidney-Metabolic SyndromeChronic Kidney DiseaseObesityType 2 DiabetesClinical Practice GuidelineAdult

Summary

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What was studied

This 2026 multi-society clinical practice guideline covers the prevention, detection, evaluation, and management of cardiovascular-kidney-metabolic (CKM) syndrome — an integrated condition linking obesity, type 2 diabetes, chronic kidney disease, and cardiovascular disease. It replaces the 2013 AHA/ACC/TOS obesity guideline, drawing on a literature search spanning October 2024 to April 2025.

Key findings

The guideline establishes CKM syndrome as a unified clinical framework and provides updated, evidence-based recommendations for cardiologists, endocrinologists, nephrologists, and primary care clinicians managing this interconnected condition.

Study limitations

The abstract does not detail specific recommendation grades, strength of evidence ratings, or individual clinical outcomes data. As a living document, recommendations are subject to future revision as new evidence emerges.

Clinical implications

Clinicians should adopt the CKM syndrome framework to manage obesity, type 2 diabetes, CKD, and CVD as interrelated conditions rather than in silos. This guideline is a living document — check for updates as evidence evolves.

Related Questions

Explore related topics

What are the 2026 AHA/ACC CKM syndrome staging criteria and how should I apply them in practice?How does the 2026 guideline recommend treating obesity and type 2 diabetes together to reduce cardiovascular and kidney risk?What GLP-1 receptor agonists or SGLT2 inhibitors are recommended in the 2026 CKM syndrome guideline for cardiorenal protection?

Publication Details

Year
2026
Journal
JACC
Source
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