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revised cardiac risk index (RCRI)

Indications: - predicts postoperative adverse cardiac events after noncardiac surgery - predicts postoperative cardiac complications and death following posterior lumbar decompression [3] Procedure: 1 point each for - history of ischemic heart disease - compensated or prior chronic heart failure - diabetes mellitus, requiring insulin - chronic renal failure (serum creatinine > 2.0 mg/dL) - history of cerebrovascular disease - high risk surgery (intrathoracic, intraperitoneal, suprainguinal vascular surgery) Interpretation: Points Risk [1] 0 0.4% 1 1.0% 2 2.4% 3 5.4%

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cardiac risk index (CRI)

References

  1. Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18. American College of Physicians, Philadelphia 2012, 2015, 2018
  2. Ford MK, Beattie WS, Wijeysundera DN. Systematic review: prediction of perioperative cardiac complications and mortality by the revised cardiac risk index. Ann Intern Med. 2010 Jan 5;152(1):26-35 PMID: 20048269
  3. Bronheim RS, Oermann EK, Bronheim DS, Caridi JM. Revised cardiac risk index as a predictor for myocardial infarction and cardiac arrest following posterior lumbar decompression. Spine (Phila Pa 1976). 2019 Feb 1;44(3):E187-E193. PMID: 30005044 https://insights.ovid.com/crossref?an=00007632-201902010-00020
  4. Lee TH, Marcantonio ER, Mangione CM et al. 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. PMID: 10477528 Free Article
  5. Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019