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A validated 6-variable prediction rule for estimating the risk of major adverse cardiac events (MACE) in patients undergoing non-cardiac surgery. The RCRI (Lee Index) is the most widely used perioperative cardiac risk stratification tool, endorsed by ACC/AHA guidelines. It identifies patients who may benefit from cardiology evaluation, preoperative cardiac testing, or beta-blocker initiation before surgery.
High-Risk Surgery
Ischemic Heart Disease
Congestive Heart Failure
Cerebrovascular Disease
Insulin-Dependent Diabetes Mellitus
Preoperative Creatinine > 2.0 mg/dL (> 177 µmol/L)
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