Revised Goldman Cardiac Risk Index (RCRI) |
|
Patient is at risk if he or she has any one of the following: |
|
1. |
High-risk surgical procedure: thoracic, abdominal, pelvic vascular (i.e. aorta, renal, mesenteric) |
2. |
Ischemic heart disease: history of myocardial infarction, history of or current angina, use of sublingual nitroglycerin, positive exercise test, Q waves on ECG, patients who have undergone PTCA or CABG and who have chest pain presumed to be of ischemic origin |
3. |
Heart failure: left ventricular failure by physical examination, history of paroxysmal nocturnal dyspnea, history of pulmonary edema, S3 or bilateral rales on physical examination, pulmonary edema on chest x-ray |
4. |
Cerebrovascular disease: history of transient ischemic attack or history of cerebrovascular accident |
5. |
Insulin-dependent diabetes mellitus |
6. |
Chronic renal insufficiency with baseline creatinine ³ 2.0 mg/dl |
Goal Immunosuppression Levels |
||
Months after transplant |
Tacrolimus |
Cyclosporine |
0-1 |
10-15 |
250-350 |
2-3 |
8-12 |
200-300 |
>3 |
5-10 |
150-250 |
>6 |
5-10 |
100-200 |
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