This card always bugged me
even the new changes wont help you answer UW questions about RCRI
Yeah I missed a question yesterday where you had to actually calculate their RCRI to know what needed to be done next or something. What changes would you make?
A good change in my opinion would be to add ECG to the question “beside ECG…” and keep stress test and echo as two answer
in the extra section
- If the Revised Cardiac Risk Index (RCRI) is ≤ 1 proceed with surgery without further testing
- if RCRI ≥ 2 further testing is warranted cardiac stress testing (e.g., exercise or pharmacologic)
- echo is indicated if the patient has a history of uncompensated HF or valvular disease"
the above is only a draft
and btw, i believe this is a very HY topic, in my last shelf exam i felt like all the questions were pre and post op qs lol
I agree that this card still needs some more work, but in the mean time we should remove “Cath” from text field.
I think it’s worth discussing making a one-by-one card for the RCRI criteria because I have seen at least 1 question where you needed to know them, probably more questions than that too.
2 in UW step 2
2 in UW step 3
as far as i know
Moved to slack and tagged you
added the new image by @beejumm
I still believe the first two extra notes need some revision.
i am thinking sth like this in the extra section
- No history of cardiac disease or risk factors → No routine preoperative cardiac testing needed
- ECG is indicated for arrhythmia, ASCVD, structural heart disease, or high-risk surgery
- Echocardiogram is indicated for heart failure, unexplained dyspnea, valvular disease, or pulmonary hypertension
- Stress Test is considerd if RCRI ≥ 2 and poor functional capacity (<4 METs)
edits made, this card is incorrect still. changed wording to the text from “should be done” to “may be done”
@Ahmed7 can I merge this?
Cath is very, very wrong and not recommended for pre-op eval. really only done if patient is having an acute MI
most questions the answer is “no further testing indicated” anyways
You can push!
edited echo to echocardiography for completeness
Were any answers “Cath” from Shelf exams or NBME?
