Eagle's Cardiac Risk Assessment

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Eagle's Cardiac Risk Assessment
Aka: Eagle's Cardiac Risk Assessment I. See Also A. Preoperative Cardiovascular Evaluation II. Risk Factors: Major Cardiovascular Risks - Unstable Coronary Syndromes A. Recent Myocardial Infarction (Within 30 days) B. Unstable Angina or severe Angina (Angina Class 3-4) C. Decompensated Congestive Heart Failure D. Severe valvular disease 1. Severe Aortic Stenosis (mean gradient >40 mm Hg, area <1 cm) 2. Symptomatic Mitral Stenosis E. Significant arrhythmia 1. High grade Atrioventricular Block a. Mobitz II Atrioventricular Block b. Third Degree Atrioventricular Block 2. Symptomatic ventricular arrhythmia 3. Uncontrolled rate in supraventricular arrhythmia with Heart Rate >100 III. Risk Factors: Intermediate Cardiovascular Risks A. Mild Angina Pectoris (Angina Class 1-2) B. Prior Myocardial Infarction (by history or EKG) 1. Prior documented Myocardial Infarction 2. Prior positive stress test 3. EKG with pathological Q Waves C. Compensated or prior Congestive Heart Failure D. Renal Insufficiency (Serum Creatinine >2 mg/dl) E. Diabetes Mellitus IV. Risk Factors: Minor Cardiovascular Risks A. Advanced age B. Abnormal Electrocardiogram

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Eagle's Cardiac Risk Assessment

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C. D.

E. F.

1. Left Ventricular Hypertrophy 2. Left Bundle Branch Block 3. ST segment abnormalities 4. T Wave abnormalities Heart rhythm other than sinus rhythm (e.g. Atrial Fib) Low functional capacity (<4 METS) 1. Unable to climb one flight of stairs holding a bag of groceries 2. Unable to walk on level ground at 4 miles per hour (1 mile in 15 minutes) History of Cerebrovascular Accident Uncontrolled Hypertension (diastolic BP >110 mmHg)

V. References A. Eagle (1996) Circulation 93:1278-317

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Eagle Cardiac Risk Assessment

Eagle Cardiac Risk Assessment A tool for preoperative cardiac risk assessment. Eagle (1996) Circulation 93:1278 FP Notebook page Age: History of Diabetes Mellitus: History of Angina: Previous Myocardial Infarction: Previous Congestive Heart Failure: --------------------------------------------Interpretation: score interpretation

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Fleisher-Eagle Algorithm
Fleisher-Eagle Algorithm for Cardiac Risk Assessment A tool for preoperative cardiac risk assessment. Fleisher (2001) N Engl J Med 345:1677 <-- 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 interpretation

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Family Practice Notebook 2013, Family Practice Notebook, LLC Patients should address specific medical concerns with their physicians. Although access to this page is not restricted, the information found here is intended for use by medical providers. This page was written by Scott Moses, MD, last revised on 2/26/2013 and last published on 4/19/2013. This is one of 5875 pages in the Family Practice Notebook Terms, Conditions, Privacy (FPN) Privacy (UBM, external)

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