Age, years |
65 to 74; ≥75 |
Female |
Female sex |
Left ventricle (LV) grade |
1 |
LV ejection fraction (EF) greater than 60% |
2 |
LVEF 40% to 59% |
3 |
LVEF 20% to 39%, |
4 |
LVEF less than 20% |
Urgent priority |
Surgery within 72 h of catheterization, echocardiography or cardiac event |
Emergent priority |
Surgery within 12 h of catheterization, echocardiography or cardiac event |
Myocardial infarction less than one month |
Myocardial infarction within 30 days before operation |
Redo coronary artery bypass graft surgery(CABG) |
Previous CABG surgery |
Triple vessel disease |
Significant (greater than 50%) stenosis of all three major coronary arteries |
Left main disease |
Significant (greater than 50%) stenosis of the left main coronary artery |
Congestive heart failure (CHF) |
CHF or history of chronic CHF at the time of admission |
Renal insufficiency |
Any renal dialysis or serum creatinine greater than 150 μmol/L |
Diabetes |
Any diabetes regardless of method of control/treatment |
Peripheral vascular |
Peripheral vascular disease including carotid or cerebral vascular disease |
Hypertension |
History of hypertension regardless of control |
Chronic obstructive pulmonary disase |
Chronic obstructive lung disease diagnosed by pulmonary function tests |
Cerebral vascular event |
Preoperative cerebral vascular event either stroke or transient ischemic attack |
Atrial fibrillation |
History of atrial fibrillation/flutter preoperatively |
Complex valve |
Surgery on more than one valve, or concomitant CABG or more than one previous valve operation |
Other pathology |
Surgery other than, or in addition to, CABG or valve or complex valve; may include: LV aneurysm resection, ascending aorta, adult congenital, maze procedure, myectomy, ventricular assist devices, septal repair, implantation of ventricular assist devices, transplants, etc |