Cardiovascular Medicine Book

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Lee's Revised Cardiac Risk Index

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  1. Criteria
    1. High Risk Surgery: 1 Point
    2. Coronary Artery Disease: 1 Point
    3. Congestive Heart Failure: 1 Point
    4. Cerebrovascular Disease: 1 Point
    5. Diabetes Mellitus on Insulin: 1 Point
    6. Serum Creatinine >2 mg/dl: 1 Point
  2. Interpretation
    1. Scoring
      1. Points 0: Class I Very Low (0.4% complications)
      2. Points 1: Class II Low (0.9% complications)
      3. Points 2: Class III Moderate (6.6% complications)
      4. Points 3: Class IV High (>11% complications)
    2. Complications predicted by above scoring
      1. Myocardial Infarction
      2. Pulmonary Embolism
      3. Ventricular Fibrillation
      4. Cardiac arrest
      5. Complete Heart Block
  3. References
    1. Lee (1999) Circulation 100:1043

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