RCRI

CAD CHF
Cr>2 IDDM
CVD High Risk

METs Activity
-Strenuous sports
>10 (swimming, running,
singles tennis, skiing)
-Moderate sports (golf
without cart, bowling,
doubles tennis)
-Heavy housework
(moving furniture,
4-10
scrubbing floors)
-Sprint
-Climb stairs
-Walk quickly
(>4mph)
-Light sports (slow
ballroom dancing,
golf with cart)
-Light housework
<4 (dusting, dishes)
-Walk slowly
(<4mph)
-Walk around the
house
1 Eat, dress, and toilet

Risk Category Surgery Drug Indication and Notes

Vascular BB Continue if chronic [I]
High (>5%) Thoracic Consider if RCRI 3 [IIb]
Intraperitoneal ACE Hold day of and restart if/when BP incd
Intermediate Orthopedic Diuretics Hold on day of surgery
(1-5%) ENT/Urology
Endoscopic
Superficial
Low (<1%)
Breast
Ambulatory ACC/AHA Guidelines. Circulation. 2007;116:1971.
ACC/AHA Guidelines. JACC 2014. Epub ahead of print.