Cardiovascular
Loading Add to Favorites
Share
Tweet
Cite
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]

------------------------------------------------------------
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"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
references:
[link url="//www.ncbi.nlm.nih.gov/pubmed/11759647" memo="#1"] Fleisher (2001) N Engl J Med 345:1677
[link url="//www.ncbi.nlm.nih.gov/pubmed/25085962" memo="#2"] Fleisher LA et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: executive summary: a report of the AmericanCollege of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014 Dec 9;130(24):2215-45. [/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)?


------------------------------------------------------------
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: