I. Criteria

  1. High Risk Surgery (Cardiac Risk >5%): 1 Point
  2. Coronary Artery Disease: 1 Point
    1. Myocardial Infarction history
    2. Positive Exercise Stress Test
    3. Chest Pain secondary to Myocardial Infarction
    4. Current use of nitrates to control Angina
    5. Pathologic Q waves on EKG
  3. Congestive Heart Failure: 1 Point
    1. Pulmonary edema
    2. Paroxysmal nocturnal Dyspnea
    3. Bibasilar rales
    4. S3 Gallup Rhythm
    5. Chest XRay demonstrating pulmonary vascular congestion
  4. Cerebrovascular Disease (TIA or CVA): 1 Point
  5. Diabetes Mellitus on Insulin: 1 Point
  6. Serum Creatinine >2.0 mg/dl: 1 Point

II. 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

Images: Related links to external sites (from Google)

Calculation (SoapNote.org)

Ontology: Goldman cardiac risk index (C0451187)

Concepts Intellectual Product (T170)
SnomedCT 273485008
English Goldman cardiac risk index, Goldman cardiac risk index (assessment scale)
Spanish índice de riesgo cardíaco, de Goldman (escala de evaluación), índice de riesgo cardíaco, de Goldman