Table 3.
Modified Detsky Index.
| Condition | Score |
|---|---|
| Acute myocardial infarction within last six months | 10 points |
| Previous acute myocardial infarction, more than six months ago | 5 points |
| Angina class III | 10 points |
| Angina class IV | 20 points |
| Unstable angina within last three months | 10 points |
| Pulmonary edema within last seven days | 10 points |
| Previous pulmonary edema, more than seven days ago | 5 points |
| Severe aortic stenosis | 20 points |
| Non-sinusoidal rhythm or atrial extrasystole on preoperative electrocardiogram | 5 points |
| Five ventricular extrasystoles/min on any electrocardiogram before the operation | 5 points |
| Poor general condition (PO2 < 60 or PCO2 > 50, K < 3.0, bic < 20, U > 50, C > 3.0, chronic liver disease) | 5 points |
| Emergency surgery | 10 points |
| Age over 70 years | 5 points |
| Low-risk variables | |
| Age > 70 years | |
| History of chest angina | |
| Diabetes | |
| History of acute myocardial infarct | |
| History of congestive heart failure | |
| Ventricular ectopia | |
| Ischemic abnormalities of the ST segment on resting electrocardiogram | |
| Systemic Arterial hypertension with severe ventricular hypertrophy | |
| Note: Evaluate the number of variables present and apply to the algorithm below | |
| Class I | = 15 points |
| Class II | = 15-30 points |
| Class III | = 30 points or more |