EBMcalc Medical Calculator

Cardiac Risk Index in Noncardiac Surgery (Goldman, et. al.)

History Age >70 years (5 points) Myocardial infarction within 6 months (10 points) Cardiac Exam Signs of CHF: ventricular gallop or JVD (11 points) Significant aortic stenosis (3 points) Electrocardiogram Arrhythmia other than sinus or premature atrial contractions (7 points) 5 or more PVC's per minute (7 points) General Medical Conditions PO2 <60 mmHg; PCO2 >50 mmHg; K <3 mEq/L; HCO3 <20 mEq/L; BUN >50 mg/dL; Creatinine >3 mg/dL; elevated SGOT; chronic liver disease; bedridden (3 points) Operation Emergency (4 points) Intraperitoneal, intrathoracic or aortic (3 points)

Important: Inputs must be complete to perform calculation.

Total Criteria Point Count:

Risk Index

0 to 5 Points:

Class I 1% Complications

6 to 12 Points:

Class II 7% Complications

13 to 25 Points:

Class III 14% Complications

26 to 53 Points:

Class IV 78% Complications

Data action

Include literature references: Yes No

References

Goldman L, Caldera DL, Nussbaum SR, et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N. Engl J Med. 297:845, 1977. PubMed ID: 904659
Internet Site: ACP Clinical Guideline Resource, http://www.acponline.org/journals/annals/15aug97/ppcad1.htm

Associated Medical Subject Headings [MeSH]

Age Factors, Aged, Emergencies, Female, Heart Diseases, Humans, Male, Middle Aged, Myocardial Infarction, Operative, Postoperative Complications, Prospective Studies, Pulmonary Embolism, Risk, Surgical Procedures, Tachycardia

Associated ICD10-CM codes

Z01.810

Encounter for preprocedural cardiovascular examination

R09.89

Other specified symptoms and signs involving the circulatory and respiratory systems

R94.31

Abnormal electrocardiogram [ECG] [EKG]

R94.39

Abnormal result of other cardiovascular function study

R94.30

Abnormal result of cardiovascular function study, unspecified

Associated ICD9-CM codes

794.30

Abn cardiovasc study nos

794.39

Abn cardiovasc study nec

794.31

Abnorm electrocardiogram

785.9

Cardiovas sys symp nec

V72.81

Preop cardiovsclr exam

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