Cardiovascular Complications After Surgery - Medical Algorithm

Are you evaluating a patient who is undergoing anesthesia and surgery?

Yes

Age of the patient

years

Does the patient have?

• chronic heart failure?

Yes

• ischemic heart disease?

Yes

• a previous myocardial infarction (AMI) within the past year?

Yes

• a previous myocardial infarction (AMI) a year or more ago?

Yes

Will the patient be undergoing major surgery?

Yes

Preoperative serum creatinine

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Value of X

Probability of a cardiovascular compli-cation following anesthesia and surgery

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Other Testing
- Risk Equation Predicting Adverse Cardiac Outcome in Patients Undergoing Noncardiac Operations
Severity, Prognosis, Stage
Complications
- Cardiac Risk Index (Goldman Risk Index)

Therapy

Selection

Monitoring

Adverse Effects
- Model for Adverse Cardiac Events After Surgery

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Model of Pedersen et al for Cardiovascular Complications After Surgery

Purpose: To evaluate a patient prior to surgery for risk of cardiovascular complications using the model of Pedersen et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10