Revised Cardiac Risk Index (RCRI, Lee Index)

A clinical prognostic index used to assess the risk of major cardiac complications after non-cardiac surgery.

Clinical parameters

High-risk surgery (intraperitoneal, intrathoracic, suprainguinal vascular)

No0Yes+1

Required

History of ischemic heart disease

No0Yes+1

Required

History of congestive heart failure

No0Yes+1

Required

History of cerebrovascular disease

No0Yes+1

Required

Pre-operative treatment with insulin

No0Yes+1

Required

Pre-operative creatinine >2 mg/dL / 176.8 µmol/L

No0Yes+1

Required

Score result

0 of 6 score components complete0 / 6

0 / 6

Complete all required parameters to calculate the score.

Still required

High-risk surgery (intraperitoneal, intrathoracic, suprainguinal vascular)
History of ischemic heart disease
History of congestive heart failure
History of cerebrovascular disease
Pre-operative treatment with insulin
Pre-operative creatinine >2 mg/dL / 176.8 µmol/L

Clinical context

Extra information: • For History of ischemic heart disease: - History of myocardial infarction (MI) - History of positive exercise test - Current chest pain considered due to myocardial ischemia - Use of nitrate therapy - ECG with pathological Q waves • For History of congestive heart failure: - Pulmonary edema - Bilateral rales or S3 gallop - Paroxysmal nocturnal dyspnea - Chest x-ray (CXR) showing pulmonary vascular redistribution