Goldman Cardiac Risk Index Calculator

The Goldman Cardiac Risk Index is the 1977 scoring system for cardiac risk in non-cardiac surgery, built on 1,001 consecutive patients at a single hospital. Tick the nine criteria and the result gives the point total out of 53, the class it falls in, and the outcomes recorded for that class in the original cohort, given as counts rather than rounded percentages. Those counts describe patients operated on in the mid-1970s and are not a prediction for anyone today. The Revised Cardiac Risk Index replaced Goldman in 1999 because it discriminated poorly outside its derivation cohort, and current perioperative guidance rests on the RCRI rather than on this.

Tick what applies. The result is the point total, the class it falls in, and what that class actually did in the 1977 cohort the index was built on.

Third heart sound (S3 gallop) or raised jugular venous pressure (11 points)

Myocardial infarction in the previous 6 months (10 points)

Rhythm other than sinus, or premature atrial contractions, on the last preoperative ECG (7 points)

More than 5 premature ventricular contractions per minute, documented at any time before surgery (7 points)

Age over 70 (5 points)

Emergency operation (4 points)

Intraperitoneal, intrathoracic or aortic operation (3 points)

Important valvular aortic stenosis (3 points)

Poor general medical status: PO2 under 60 or PCO2 over 50 mmHg, potassium under 3.0 or bicarbonate under 20 mmol/L, urea over 50 or creatinine over 3.0 mg/dL, abnormal transaminase, chronic liver disease, or bedbound from non-cardiac causes (3 points)

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