Revised Cardiac Risk Index

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The Revised Cardiac Risk Index is a clinical prediction rule for use during preoperative care for prediction major cardiac complications of noncardiac surgery.[1] The original index was published in 1977.[2]

The component of the Index are:

  • high-risk surgery (intraperitoneal, intrathoracic, or vascular surgery above the inguinal ligaments)
  • history of ischemic heart disease
  • history of congestive heart failure
  • history of cerebrovascular disease

The risk of major cardiac complications based on the number of risk factors are:

  • 0 risk factor - 0.4%
  • 1 risk factor - 0.9%
  • 2 risk factor - 7%
  • 3 or more risk factors - 11%

References

  1. Lee TH, Marcantonio ER, Mangione CM, et al (1999). "Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery". Circulation 100 (10): 1043–9. PMID 10477528[e]
  2. Goldman L, Caldera DL, Nussbaum SR, et al (October 1977). "Multifactorial index of cardiac risk in noncardiac surgical procedures". N. Engl. J. Med. 297 (16): 845–50. PMID 904659[e]