RCRI (Revised Cardiac Risk Index) for preoperative risk

수술 전 심장 위험도 평가

High-risk surgery : No Yes
( Intraperitoneal, intrathoracic, or suprainguinal vascular procedures )

Ischemic heart disease : No Yes
( Patient has history of myocardial infarction, positive exercise test, current complaint of ischemic chest pain or use of nitrate therapy, or ECG with Q waves. Patients with prior CABG surgery or PTCA were included in this definition only if they had current complaints of chest pain that were presumed to be due to ischemia. )

History of Congestive heart failure : No Yes
( History of congestive heart failure, pulmonary edema, or paroxysmal nocturnal dyspnea, physical examination showing bilateral rales or S3 gallop, or chest radiograph showing pulmonary vascular redistribution. )

History of Cerebrovascular disease : No Yes
( Transient ischemic attack, Prior cerebrovascular accident )

Insulin therapy for diabetes : No Yes

Preoperative serum creatinine > 2.0 mg/dL : No Yes

RCRI score : Risk of major cardiac event
0점 : 3.9%
1점 : 6.0%
2점 : 10.1%
3점 이상 : 15%
※ Major cardiac complications :
myocardial infarction, pulmonary edema, ventricular fibrillation or primary cardiac arrest, and complete heart block