Revised Cardiac Risk Index (RCRI)

HealthCare

Revised Cardiac Risk Index (RCRI)

The RCRI covers the Brain, Heart, Kidneys, DM on insulin, and the type of surgery can be calculated using the table below.

RISK FACTOR POINTS
History of cerebrovascular disease (Prior TIA or stroke)

1
History of ischemic heart disease
History of MI; a history of positive exercise test; current chest pain considered due to myocardial ischemia; use of nitrate therapy or ECG with pathological Q waves
 1

History of congestive heart failure
Pulmonary edema, bilateral rales or S3 gallop; paroxysmal nocturnal dyspnea; chest x-ray (CXR) showing pulmonary vascular redistribution

1

Pre-operative Creatinine > 2.0 mg per dL (176.80 μmol per L)

1

Diabetes mellitus requiring insulin.

1

High-risk surgery
Intra-abdominal surgery, intrathoracic surgery, suprainguinal vascular surgery.

1

Total points:

 

RISK OF MAJOR CARDIAC EVENT
POINTS
(Number of Risk Factors)		 RISK % (95% CONFIDENCE INTERVAL) CLASS

0

0.4 % (0.05 to 1.5)

I

1

0.9 %(0.3 to 2.1)

II

2

6.6 %(3.9 to 10.3)

III

≥ 3

≥11% (5.8 to 18.4)

IV

References

Am Fam Physician. 2013 Mar 15;87(6):414-418.

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