Cardiology

Revised Cardiac Risk Index (Lee’s RCRI for Perioperative Risk)

Predicts perioperative cardiac complications and mortality in non-cardiac surgery.

Parameters

Revised Cardiac Risk Index (Lee’s RCRI for Perioperative Risk) Result

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FormulaRCRI Score = Sum of 6 risk factors (High-risk surgery + Ischemic heart disease + Heart failure + Cerebrovascular disease + Insulin diabetes + Creatinine > 2.0 mg/dL)

Clinical Pearls

The foundational scoring tool recommended by the ACC/AHA and ESC for preoperative cardiac clearance in elective non-cardiac surgery.

Limitations

Does not account for surgical urgency or emergency status; does not supersede acute unstable coronary syndromes, decompensated heart failure, or severe symptomatic aortic stenosis.