Need for non-cardiac
Emergency Surgery
surgery
Urgent or Elective Low-Risk Surgery
Surgery
Clinical Predictors
RCRI
RCRI RCRI RCRI
3 1-2 0
Functional Functional
Capacity Capacity
METs < 4 METs > 4
High Intermediate
Risk Surgical Risk Surgical
Procedure Procedure
Functional High
Non-Invasive
Capacity & Risk Surgical
Testing
METs < 4 Procedure
Consider
Coronary
Angiography
Operating Room
Subsequent care
dictated by findings
and Tx results