No-one is sure how to accurately predict the chances of someone having an MI or sudden cardiac death whilst they are having an anaesthetic. We can make an estimation (for example that 56% I mentioned) based on complex scoring systems (Goldman Cardiac Risk Index for example), but can’t say for certain that one person will have problems, whilst another definitely will not.
So how many scoring systems/assessment methods are there? I can’t tell you. Too many. The most common one is the Goldman Cardiac Risk Index, but there are others such as the Detsky system (a calculator may be found here), Lee’s Revised Cardiac Risk Index and more!
And then the AHA/ACC go and publish another document!
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