RCRI — Revised Cardiac Risk Index

Pre-operative cardiac risk for non-cardiac surgery

Risk Factors (1 pt each)

High-risk surgery (intraperitoneal, intrathoracic, or suprainguinal vascular)History of ischemic heart disease (prior MI, positive stress test, nitrates, ECG Q waves, prior PTCA/CABG)History of congestive heart failure (pulmonary edema, PND, bilateral rales, S3 gallop, CXR pulmonary vascular redistribution)History of cerebrovascular disease (prior stroke or TIA)Diabetes requiring insulinPreoperative creatinine > 2.0 mg/dL

Risk Reference

0Very Low Risk — 0.4% estimated major cardiac complication rate

1Low Risk — 0.9% estimated major cardiac complication rate

2Moderate Risk — 6.6% estimated major cardiac complication rate

≥3High Risk — ≥11% estimated major cardiac complication rate

0/6Very Low Risk

0.4% estimated major cardiac complication rate

RCRI identifies patients who may benefit from further cardiac evaluation, optimization, or intensified monitoring perioperatively. Consult ACC/AHA perioperative guidelines.

For clinical decision support only. Does not replace provider judgment. Verify all scores before acting on results.