100 QUESTIONS IN CARDIOLOGY

TTaabbllee 110011 .. 11 CClliinniiccaall rriisskk ssccoorriinngg ssyysstteemmss**

GGoollddmmaann PPooiinnttss DDeettsskkyy PPooiinnttss EEaaggllee**** PPooiinnttss

Age >70 5 >70 5 >70 1
MI or Q wave <6 months 10 < 6 months 10 Q wave 1
Angina CCS class 3 10 Angina 1
CCS class 4 20
LV S3 or raised 11 Pulmonary 10
dysfunction JVP oedema
<1 week
Arrhythmia Non sinus 7 Non sinus 5 Ventricular 1
ectopy
Other heart Important 3 Critical aortic 20
disease Aortic Stenosis Stenosis
Other PO2<60 3 PO2<60 5 Diabetes 1
pCO2>50 PCO2>50
K<3 K<3
Urea >50 Urea >50
Creatinine >200 Creatinine >260
Bedridden
Surgery Emergency, 4 Emergency 10
Intrathoracic, 3
Abdominal

*Modified from Mangano DT, Golman L. Preoperative assessment of patients with known
or suspected coronary artery disease. N Engl J Med1995; 333333 : 1750–6.
**Designed for patients undergoing vascular surgery

TTaabbllee 110011 .. 22 PPrroobbaabbiilliittyy ooff ccaarrddiiaacc eevveenntt bbyy rriisskk ssccoorree**

CCllaassss PPooiinnttss PPrroobbaabbiilliittyy ooff ccaarrddiiaacc eevveenntt ((%%))

GGoollddmmaann
Class 1 0–5 1–8
Class 2 6–12 3–30
Class 3 13–25 14–38
Class 4 >25 30–100

DDeettsskkyy
Class 1 0–15 5
Class 2 20–30 27
Class 3 >30 60

EEaaggllee
Class 1 0 0–3
Class 2 1–2 6–16
Class 3 >3 29–50

*Modified from Palda VA, Detsky AS. Perioperative assessment and management
of risk from coronary artery disease.Ann Intern Med1997; 112277 : 313–28.