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# RCRI - Revised Cardiac Risk Index
- URL: https://www.preanaesthesia.com/clinician-reference/rcri-revised-cardiac-risk-index/
- Published: 2026-09-13T04:56:43.000Z
- Updated: 2026-09-13T19:21:12.000Z
- Description: Review the six RCRI factors and the limitations of using a risk score in individual perioperative assessment.
- Author: preetam satish
- Tags: #clinician, #Import 2026-09-12 18:04

The Revised Cardiac Risk Index (RCRI) estimates perioperative cardiac risk in adults undergoing non-cardiac surgery. It is one component of a broader cardiovascular assessment.

- High-risk procedure
- History of ischaemic heart disease
- History of heart failure
- History of cerebrovascular disease
- Diabetes treated with insulin
- Renal dysfunction, using the creatinine definition in the selected validated version

Valid application relies on the original definitions for all six factors; this summary is not an interactive scoring tool. Calibration varies by population and procedure; historical event percentages may not apply to a particular patient today. The 2024 AHA/ACC guideline lists RCRI among several available risk scores and notes limitations of risk models.

## Sources

- [2024 AHA/ACC perioperative cardiovascular guideline](https://professional.heart.org/en/science-news/2024-guideline-for-perioperative-cardiovascular-management-for-noncardiac-surgery)

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