Revised cardiac risk index
From IDWiki
Criteria
- High-risk surgery (vascular surgery, open intraperitoneal surgery, or intrathoracic surgery
- History of ischemic heart disease, including history of MI, positive exercise test, current angina, use of nitrate therapy, ECG with pathological Q waves; does not include prior coronary revascularization procedures in and of themselves
- History of heart failure
- History of cerebrovascular disease
- Diabetes mellitus requiring insulin
- Preoperative creatinine greater than 177
Interpretation
| Points | Risk of cardiac death, non-fatal MI, or non-fatal cardiac arrest | Risk of MI, pulmonary edema, VF, cardiac arrest, and complete heart block |
|---|---|---|
| 0 | 0.4% | 0.5% |
| 1 | 1% | 1.3% |
| 2 | 2.5% | 3.6% |
| 3+ | 5.4% | 9.1% |
