Cardiac

Question 1

Cardiac Status Eval

Answer 1

H&P - rule out active conditions (angina, decompensated heart failure, severe arrhythmias, severe valvular disease)

Asses risk Major Adverse Cardiac Events (MACE) using Revised Cardiac Risk Index (RCRI)

1. IDDM
2. MI
3. CHF
4. CVA
5. CKD
6. Surgery: suprainguinal vascular, intraperitoneal, or intrathoracic

2+ associated with elevated risk then determine METS
>4 proceed to surgery
<4 or unknown consider cardiac testing