🫀 Revised Cardiac Risk Index (RCRI / Lee)
Estimate peri-operative cardiac risk for noncardiac surgery with the Revised Cardiac Risk Index.
Revised Cardiac Risk Index (RCRI / Lee)
High-risk surgery (intraperitoneal/thoracic/suprainguinal vascular)
Ischaemic heart disease
History of congestive heart failure
History of cerebrovascular disease
Insulin-dependent diabetes
Creatinine > 2.0 mg/dL
When to use
Pre-operative cardiac risk assessment.
How it works
1 point each: high-risk surgery, ischaemic heart disease, heart failure, cerebrovascular disease, insulin-dependent diabetes, creatinine > 2.0 mg/dL.
Key points
- More factors → higher major cardiac event risk.
- Newer cohorts give somewhat higher absolute risks.
- Combine with functional capacity and surgery-specific risk.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.