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Cardiac Risk Levels for Surgery

Cardiac risk stratification classifies noncardiac surgical procedures into three categories based on associated risk of cardiac complications: high risk (over 5% risk) includes emergent or major vascular surgery; intermediate risk (under 5% risk) includes carotid surgery and intraperitoneal/intrathoracic surgery; low risk (under 1% risk) includes endoscopic, superficial, and breast procedures which generally do not require further preoperative testing.

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0% found this document useful (0 votes)
7 views1 page

Cardiac Risk Levels for Surgery

Cardiac risk stratification classifies noncardiac surgical procedures into three categories based on associated risk of cardiac complications: high risk (over 5% risk) includes emergent or major vascular surgery; intermediate risk (under 5% risk) includes carotid surgery and intraperitoneal/intrathoracic surgery; low risk (under 1% risk) includes endoscopic, superficial, and breast procedures which generally do not require further preoperative testing.

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hollyu
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© Attribution Non-Commercial (BY-NC)
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Cardiac Risk* Stratification for Noncardiac Surgical Procedures

High (Reported cardiac risk often greater than 5%)


· Emergent major operations, particularly in the elderly
· Aortic and other major vascular surgery
· Peripheral vascular surgery
· Anticipated prolonged surgical procedures associated with large fluid
shifts and/or blood loss
Intermediate (Reported cardiac risk generally less than 5%)
· Carotid endarterectomy
· Head and neck surgery
· Intraperitoneal and intrathoracic surgery
· Orthopedic surgery
· Prostate surgery
Low† (Reported cardiac risk generally less than 1%)
· Endoscopic procedures · Superficial procedure
· Cataract surgery · Breast surgery
*Combined incidence of cardiac death and nonfatal myocardial infarction.
†Do not generally require further preoperative cardiac testing.

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