RCRI (Revised Cardiac Risk Index) for preoperative risk

Đánh giá nguy cơ tim mạch trước phẫu thuật

High-risk surgery : No Yes
( Intraperitoneal, intrathoracic, or suprainguinal vascular procedures )

Ischemic heart disease : No Yes
( Patient has history of myocardial infarction, positive exercise test, current complaint of ischemic chest pain or use of nitrate therapy, or ECG with Q waves. Patients with prior CABG surgery or PTCA were included in this definition only if they had current complaints of chest pain that were presumed to be due to ischemia. )

History of Congestive heart failure : No Yes
( History of congestive heart failure, pulmonary edema, or paroxysmal nocturnal dyspnea, physical examination showing bilateral rales or S3 gallop, or chest radiograph showing pulmonary vascular redistribution. )

History of Cerebrovascular disease : No Yes
( Transient ischemic attack, Prior cerebrovascular accident )

Insulin therapy for diabetes : No Yes

Preoperative serum creatinine > 2.0 mg/dL : No Yes

RCRI score : Risk of major cardiac event
0 điểm : 3.9%
1 điểm : 6.0%
2 điểm : 10.1%
Từ 3 điểm trở lên : 15%
※ Major cardiac complications :
myocardial infarction, pulmonary edema, ventricular fibrillation or primary cardiac arrest, and complete heart block

Reference :
Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, Sugarbaker DJ, Donaldson MC, Poss R, Ho KK, Ludwig LE, Pedan A, Goldman L. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999 Sep 7;100(10):1043-9. doi: 10.1161/01.cir.100.10.1043. PMID: 10477528.