TY - CHAP M1 - Book, Section TI - Cardiac Risk Calculators A1 - Cohn, Steven L. A2 - Cohn, Steven L. PY - 2021 T2 - Decision Making in Perioperative Medicine: Clinical Pearls AB - Since Goldman's original cardiac risk index in 1977,1 multiple cardiac risk indices and calculators have been published to facilitate risk stratification for perioperative cardiac complications. The three most widely used and recommended by the ACC/AHA guidelines2 are the Lee Revised Cardiac Risk Index (RCRI),3 and the calculators derived from the NSQIP database – Gupta MI or Cardiac Arrest (MICA) calculator4 and the ACS5 Surgical Risk Calculator (ACS-SRC) (Table 9-1). However, before using any calculator, it is important to understand the setting in which it was derived, the population studied, types of surgery included, definitions of risk factors, and outcomes studied including the timeframe; otherwise, there is potential for misuse and incorrect risk stratification. These calculators should be used in the ACC/AHA algorithm to determine if the patient is at low (<1%) or elevated (≥1%) chance of having a major adverse cardiac outcome (MACE). (See details in Chapter 10 on CAD.) SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1179530736 ER -