Goldman criteria

Introduction

The risk of perioperative myocardial infarction or cardiac death is increased by:

• heart failure, decompensated
• myocardial infarction within the last 6 months
• more than 5 ventricular premature contractions (PVC, VPC)/minute
• frequent atrial premature contractures or more complex atrial arrhythmias
• age > 70 years
• illness requiring emergency procedure(s)
• aortic stenosis, hemodynamically significant
• poor general medical condition

Independent risk factors for perioperative cardiac morbidity include:

• angina
• history of heart failure

The cardiac risk index (CRI) is a numerical estimate of perioperative cardiac risk using the Goldman criteria.

More general terms

• criteria
• perioperative risk assessment

Additional terms

• cardiac risk index (CRI)