High-risk surgery Intrathoracic, intraperitoneal, or suprainguinal vascular
Ischemic heart disease MI, +stress test, current angina, NTG use, or pathologic Q waves
Heart failure CHF history, pulmonary edema, paroxysmal nocturnal dyspnea, bilateral rales, or S3
Cerebrovascular disease Prior stroke or TIA
Insulin-dependent diabetes Diabetes requiring insulin (any type)
Creatinine > 2 mg/dL (177 µmol/L)
Score
Low risk
Show working · High-risk surgery (intrathoracic, intraperitoneal, suprainguinal vascular) · Ischemic heart disease · Heart failure · Cerebrovascular disease (TIA/stroke) · Insulin-dependent diabetes · Creatinine > 2 mg/dL Score: 0 Estimated 30-day major cardiac event risk: 0.4% (Lee 1999 RCRI classes) Copy result Print Share link
Clinical note: RCRI ≥ 2 → consider cardiac evaluation per ACC/AHA. METs < 4 + intermediate/high RCRI → stress test or further workup may be warranted. Education only.