Fleisher-Eagle Algorithm for Preoperative Cardiac Risk Assessment

Cardiovascular
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Fleisher-Eagle Algorithm for Preoperative Cardiac Risk Assessment
[select value="NO=0|YES=1" name="ischemic"] <-- Ischemic heart disease (angina or prior MI)?
[select value="NO=0|YES=1" name="chf"] <-- Heart failure?
[select value="NO=0|YES=1" name="riskysurg"] <-- High-risk surgery (including intraperitoneal, intrathoracic, and suprainguinal vascular procedures)?
[select value="NO=0|YES=1" name="diabetes"] <-- Diabetes mellitus (especially insulin-requiring)?
[select value="NO=0|YES=1" name="renal"] <-- Renal insufficiency?
[select value="NO=0|YES=1" name="poorfunc"] <-- Poor functional status (defined as the inability to walk four blocks or climb two flights of stairs)?
[conditional field="ischemic|chf|riskysurg|diabetes|renal|poorfunc" condition="(ischemic).is('YES=1')||(chf).is('YES=1')||(riskysurg).is('YES=1')||(diabetes).is('YES=1')||(renal).is('YES=1')||(poorfunc).is('YES=1')"][select value="NO=0|YES=10" name="coronary"] <-- History consistent with coronary heart disease? [/conditional]

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Interpretation: [calc value="score=(ischemic)+(chf)+(riskysurg)+(diabetes)+(renal)+(poorfunc)+(coronary); score>2?'Noninvasive testing should be performed, followed by cardiac catheterization if the results are positive.':score>0?'Perioperative beta blocker therapy may be recommended - see updated 2014 ACC/AHA perioperative guidelines - but no further testing is recommended.':'No further testing or treatment recommended.'" memo="score interpretation"]
[html]<hr>[/html][checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"][html]
reference: <a href="http://www.ncbi.nlm.nih.gov/pubmed/11759647" target="_blank">Fleisher (2001) N Engl J Med 345:1677</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/25085962">Fleisher LA et al. 2014 ACC/AHAguideline on perioperative cardiovascular evaluation and management of patientsundergoing noncardiac surgery: executive summary: a report of the AmericanCollege of Cardiology/American Heart Association Task Force on PracticeGuidelines. Circulation. 2014 Dec 9;130(24):2215-45.</a>[/html][/conditional]
Fleisher-Eagle Algorithm for Preoperative Cardiac Risk Assessment
<-- Ischemic heart disease (angina or prior MI)?
<-- Heart failure?
<-- High-risk surgery (including intraperitoneal, intrathoracic, and suprainguinal vascular procedures)?
<-- Diabetes mellitus (especially insulin-requiring)?
<-- Renal insufficiency?
<-- Poor functional status (defined as the inability to walk four blocks or climb two flights of stairs)?


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Interpretation: score interpretationscore=(ischemic)+(chf)+(riskysurg)+(diabetes)+(renal)+(poorfunc)+(coronary); score>2?'Noninvasive testing should be performed, followed by cardiac catheterization if the results are positive.':score>0?'Perioperative beta blocker therapy may be recommended - see updated 2014 ACC/AHA perioperative guidelines - but no further testing is recommended.':'No further testing or treatment recommended.'

display/hide references
Result - Copy and paste this output:

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