Detsky's Modified Cardiac Risk Index for Preoperative Cardiac Risk Assessment
Age: 70 and lessover 70 years
Prior myocardial infarction: nowithin the last 6 monthsmore than 6 months ago
Unstable angina in the last 6 months: noyes
Angina pectoris: noCanadian Angina Class 3Canadian Angina Class 4
Alveolar pulmonary edema: noin last weekever
Suspected critical aortic stenosis: noyes
Arrhythmia: sinus or sinus with PACsother than sinus or sinus with PACsmore than five premature ventricular beats
Emergency surgery: noyes
General medical status: normalpoor
Score: score(age)+(prior_myocardial_infarction)+(unstable_angina)+(angina_pectoris)+(pulmonary_edema)+(aortic_stenosis)+(arrhythmia)+(emergency)+(medical_status) (score interpretationscore=(age)+(prior_myocardial_infarction)+(unstable_angina)+(angina_pectoris)+(pulmonary_edema)+(aortic_stenosis)+(arrhythmia)+(emergency)+(medical_status); score>30?'High risk':score>15?'Moderate risk':'Low risk')
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reference: #1 Detsky (1986) J Gen Intern Med 1:213

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