modified Goldman cardiac risk index

Introduction

Table

observation	Points
age > 70 years	5
myocardial infarction	-
< 6 months earlier	10
> 5 months earlier	5
angina	-
class III (angina with 1-2 blocks normal walking)	10
class IV (angina with any activity)	20
alveolar pulmonary edema	-
within 1 week	10
ever	5
critical aortic stenosis (suspected)	20
arrhythmias	-
rhythm other than sinus rhythm or sinus + APC*	5
> 5 PVC/min	5
poor medical status - any of the following	-
pO2 < 60 mm Hg, pCO2 > 50 mm Hg	5
serum K+ < 3.0 meq/L, BUN > 50 mg/dL	-
creatinine > 3.0 mg/dL, bedridden	-
emergency surgery	10

* atrial premature contractions (APC)

Scoring:

class	risk
0-15 class 1	(< 5% risk of complications)
20-30 class 2	(27% risk of complications)
> 30 class 3	(60% risk of complications)

class	risk
0-15 class 1	(< 5% risk of complications)
20-30 class 2	(27% risk of complications)
> 30 class 3	(60% risk of complications)