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    • Heart and Chest - Cardiac Risk Index in Noncardiac Surgery (Goldman, et. al.)

    Cardiac Risk Index in Noncardiac Surgery (Goldman, et. al.)

    Select Criteria:
    History
    Age > 70 years (5 points)
    Myocardial infarction within 6 months (10 points)
    Cardiac Exam
    Signs of CHF: ventricular gallop or JVD (11 points)
    Significant aortic stenosis (3 points)
    Electrocardiogram
    Arrhythmia other than sinus or premature atrial contractions (7 points)
    5 or more PVC's per minute (7 points)
    General Medical Conditions
    PO2 < 60; PCO2 > 50; K < 3; HCO3 < 20; BUN > 50; Creat > 3; elevated SGOT; chronic liver disease; bedridden (3 points)
    Operation
    Emergency (4 points)
    Intraperitoneal, intrathoracic or aortic (3 points)
    Results: Total Criteria Point Count:
    Risk Index
    0-5 Points:Class I 1% Complications
    6-12 Points:Class II 7% Complications
    13-25 Points:Class III 14% Complications
    26-53 Points:Class IV 78% Complications
    1. Goldman L, Caldera DL, Nussbaum SR, et. al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N. Engl J Med. 297:845, 1977.
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