Revised Cardiac Risk Index (Lee)
Risk of major cardiac complications after noncardiac surgery.
Inputs
High-risk surgery (intraperitoneal, intrathoracic, suprainguinal vascular)
Ischemic heart disease
Heart failure
Cerebrovascular disease
Insulin treatment
Creatinine above 2 mg/dL
Worked calculation
Your values are highlighted.
- Points
When to use
- Before noncardiac surgery.
Pearls and pitfalls
- Risk figures shown are the CCS 2017 updated estimates (MI, cardiac arrest, or death at 30 days).
Why use
The most used perioperative cardiac risk index.
| Criterion | Points |
|---|---|
| High-risk surgery (intraperitoneal, intrathoracic, suprainguinal vascular) | +1 |
| Ischemic heart disease | +1 |
| Heart failure | +1 |
| Cerebrovascular disease | +1 |
| Insulin treatment | +1 |
| Creatinine above 2 mg/dL | +1 |