Risk Factors:
1. High risk surgical procedure (including intraperitoneal, intrathoracic, supralingual vascular)
2. History of MI or positive exercise test, or chest pain 2/2 cardiac ischemia, current nitrate therapy, or ECG with pathologic Q waves.
3. Hx of CHF, pulmonary edema, paroxysmal nocturnal dyspnea, current b/l rales, S3 gallop, Chest radiography showing pulm vasc redistribution
4. Hx of cerebrovascular dz (includes TIA, stroke)
5. Preoperative tx with insulin
6. Preoperative serum Cr > 2.0 mg/dL
Risk MACE based on RCRI: (give 'em a point for every risk factor above that applies.)
Score/Risk Index Class/Risk of major cardiac complication (%)
0/I/0.4%
1/II/0.9%
2/III/6.6%
3+/IV/11.0%
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