Multifactorial Cardiac Risk Indices (Goldman et al)

RISK FACTORS POINTS YES INTERPRETATION

1/ Age > 70 y/o 5 Class I 0-5 points }Low
risk
2/ MI in previous 6 months 10 Class II 6-12
points }Intermediate risk
3/ S3 gallop or JVE (+) 11 Class III 13-15
points }High risk
4/ Important Aortic Stenosis 3 Class IV >26
points }High risk
5/ Rhythm other than Sinus or PACs on last 7
preoperative ECG
6/ > 5 VPCs/min documented at any time 7
before OP
7/ PaO2 < 60 or PaCO2 > 50 mmHg; K < 3.0 3
or HCO3 < 20 mEq/L; BUN > 50 or Cr > 3.0
mg/dL; Abnormal AST, Signs of chronic liver
disease, or Bed-ridden from Noncardiac
Causes
8/ Intraperitoneal, intrathoracic, or aortic 3
operation
9/ Emergency operation 4

Total Score Class risk

Reference: p 2087, Table 61-2, Braunwald Zipes Libby, Heart Disease, 6th edi. 2001

Multifactorial Cardiac Risk Indices (Goldman et al)

RISK FACTORS POINTS YES INTERPRETATION
1/ Age > 70 y/o 5 Class I 0-5 points }Low
risk
2/ MI in previous 6 months 10 Class II 6-12
points }Intermediate risk
3/ S3 gallop or JVE (+) 11 Class III 13-15
points }High risk
4/ Important Aortic Stenosis 3 Class IV >26
points }High risk
5/ Rhythm other than Sinus or PACs on last 7
preoperative ECG
6/ > 5 VPCs/min documented at any time 7
before OP
7/ PaO2 < 60 or PaCO2 > 50 mmHg; K < 3.0 3
or HCO3 < 20 mEq/L; BUN > 50 or Cr > 3.0
mg/dL; Abnormal AST, Signs of chronic liver
disease, or Bed-ridden from Noncardiac
Causes
8/ Intraperitoneal, intrathoracic, or aortic 3
operation
9/ Emergency operation 4

Total Score Class risk

th
Reference: p 2087, Table 61-2, Braunwald Zipes Libby, Heart Disease, 6 edi. 2001