Cardiology · Anaesthesiology
Goldman Cardiac Risk Index (Original) calculator
Enter the published formula inputs below to calculate and interpret this score.
Clinical inputs
Result
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0
Goldman class I (0–5)
Band: Goldman class I (0–5)
Interpretation. Goldman class I (0–5)
Suggested management. Interpret only within the cited source population and criteria; use alongside complete clinical assessment.
Goldman Cardiac Risk Index (Original): 0 — Goldman class I (0–5). Interpretation: Goldman class I (0–5) What to do: Interpret only within the cited source population and criteria; use alongside complete clinical assessment. Inputs: Age >70 years (+5): false; MI within 6 months (+10): false; S3 gallop or jugular venous distension (+11): false; Important aortic stenosis (+3): false; Rhythm other than sinus, or PACs on last preoperative ECG (+7): false; >5 PVCs/min anytime before surgery (+7): false; Poor general medical status (+3): false; Intraperitoneal, intrathoracic, or aortic operation (+3): false; Emergency operation (+4): false Source: Goldman L et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med. DOI: 10.1056/NEJM197710202971601. PMID: 904659. Scope: Nine-factor Goldman cardiac risk index (S3/JVD 11, MI≤6 mo 10, PVC>5/min 7, nonsinus/PAC 7, age>70 5, emergency 4, important AS 3, intraperitoneal/intrathoracic/aortic 3, poor general status 3) with classes I 0–5, II 6–12, III 13–25, IV ≥26. (1977)
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Clinical inputs
- Age >70 years (+5)
- MI within 6 months (+10)
- S3 gallop or jugular venous distension (+11)
- Important aortic stenosis (+3)
- Rhythm other than sinus, or PACs on last preoperative ECG (+7)
- >5 PVCs/min anytime before surgery (+7)
- Poor general medical status (+3)
- Intraperitoneal, intrathoracic, or aortic operation (+3)
- Emergency operation (+4)
Primary source
Goldman L et al. Multifactorial index of cardiac risk in noncardiac surgical procedures. N Engl J Med. DOI: 10.1056/NEJM197710202971601. PMID: 904659. Scope: Nine-factor Goldman cardiac risk index (S3/JVD 11, MI≤6 mo 10, PVC>5/min 7, nonsinus/PAC 7, age>70 5, emergency 4, important AS 3, intraperitoneal/intrathoracic/aortic 3, poor general status 3) with classes I 0–5, II 6–12, III 13–25, IV ≥26. (1977)
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