Goldman criteria

The risk of perioperative myocardial infarction or cardiac death is increased by: 1) heart failure, decompensated 2) myocardial infarction within the last 6 months 3) more than 5 ventricular premature contractions (PVC, VPC)/minute 4) frequent atrial premature contractures or more complex atrial arrhythmias 5) age > 70 years 6) illness requiring emergency procedure(s) 7) aortic stenosis, hemodynamically significant 8) poor general medical condition Independent risk factors for perioperative cardiac morbidity include: 1) angina 2) history of heart failure The cardiac risk index (CRI) is a numerical estimate of perioperative cardiac risk using the Goldman criteria.

General

criteria perioperative risk assessment

References

Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie (eds), Little, Brown & Co, Boston, 1995,l pg 21