Sabtu, 13 Juli 2013
Goldman Cardiac Risk Index in Non Cardiac Surgery
Criteria
|
Points
|
Goldman Classification Total Points
Class I 0-5 points 1% complications
Class II 6-12 points 7% complications
Class III 13-25 points 14% complications
Class IV >25 points 78% complications
|
History
· Age > 70 y
· Myocardial infarction within 6 months
|
5
10
| |
Physical examination
· S3 gallop or jugular venous distention
· Significant aortic stenosis
|
11
3
| |
Electrocardiogram
· Rhythm other than sinus or
premature atrial contractions
· > 5 PVC’s per minute
|
7
7
| |
Poor general medical status
PO2 < 60 or PCO2 > 50 or K< 3.0 or HCO3 < 20 or BUN >17.8 or
Creatinine > 3, elevated SGOT or
Chronic liver disease or
Bedridden for noncardiac causes
|
3
| |
Operation
· Intraperitoneal, intrathoracic, or aortic procedure
· Emergency surgery
|
3
4
|
References:
1. Goldman L, Caldera DL, Nussbaum SR, et. al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N. Engl J Med. 297:845, 1977
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