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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; PCO2 > 50; K < 3; HCO3 < 20; BUN > 50; Creat > 3; elevated SGOT; chronic liver disease; bedridden (3 points) Operation Emergency (4 points) Intraperitoneal, intrathoracic or aortic (3 points)   Total Criteria Point Count:             Risk Index     0-5 Points : Class I 1% Complications  6-12 Points : Class II 7% Complications 13-25 Points : Class III 14% Complications   26-53 Points : Class IV 78% Complications   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. Internet Site: ACP Clinical Guideline Resource, http://www.acponline.org/journals/annals/15aug97/ppcad1.htm     Legal Notices and Disclaimer   All information contained in and produced by the MedCalc 3000 system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer.   MedCalc 3000 is Copyright © 1998-2010 Foundation Internet Services, LLC    [Build 240921 v9.1]