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cardiac risk index (CRI)
The cardiac risk index (CRI) is a numerical estimate of perioperative cardiac morbidity using Goldman criteria.
Also see Revised Cardiac Risk Index, a simplifed risk score.
observation Points
history -
age > 70 years 5
myocardial infarction within 6 months 10
physical -
S3 gallop or JVD 11
aortic stenosis, hemodynamically significant 3
electrocardiogram (ECG) -
rhythm other than sinus or PAC's on pre-op ECG 7
greater than 5 PVC's/min (any time prior to surgery) 7
poor medical condition 3
pO2 < 60, pCO2 > 50 mm Hg -
K+ < 3.0 meq/L, HCO3- < 20 meq/L -
BUN > 50 mg/dL or creatinine > 3 mg/dL (> 2 mg/dL [2]) -
abnormal serum aspartate transaminase (AST, SGOT) -
chronic liver disease -
bedridden due to non-cardiac disease -
operation -
intraperitoneal, intrathoracic, aortic surgery 3
emergency surgery 4
- -
total points 53
JVD: jugular venous distension
PAC: premature atrial contraction
PVC: premature ventricular contraction
Related
Eagle criteria
Goldman criteria
Specific
modified Goldman cardiac risk index
revised cardiac risk index (RCRI)
General
perioperative risk assessment
References
- Manual of Medical Therapeutics, 28th ed, Ewald &
McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 22
- Geriatric Review Syllabus, 7th edition
Parada JT et al (eds)
American Geriatrics Society, 2010