RT Book, Section
A1 Cohn, Steven L.
A2 Cohn, Steven L.
SR Print(0)
ID 1179530736
T1 Cardiac Risk Calculators
T2 Decision Making in Perioperative Medicine: Clinical Pearls
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781260468106
LK accessmedicine.mhmedical.com/content.aspx?aid=1179530736
RD 2024/04/25
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.)