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Risk Assessment: Revised Cardiac Risk Index (RCRI)


1 point for each of:


  1. CAD/IHD (Hx MI, +exercise test, ischemic CP or nitrate use, ECG w/ pathological Q waves; pts w/ prev CABG or angioplasty meet criteria if they have these findings post-procedure)

  2. CVD (CVA or TIA)

  3. CHF (Hx heart failure, pulm edema, PND, S3 gallop or bilat rales on exam, CXR showing pulm vasc resistance)

  4. Preop Insulin Use

  5. Preop creatinine >177 µmol/L

  6. High risk surgery (intraperitoneal, intrathoracic, suprainguinal vascular)












*Recommend communicating risk to pts on basis of expected event rate among 100 pts or range of risk consistent w/ 95% confidence interval of risk estimate


Adapted from Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Canadian Journal of Cardiology. January 2017, Volume 33, Issue 1, Pages 17–32


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