Table 5

Risk Assessment: Preoperative Evaluation for Noncardiac Surgery

IndicationAppropriateness Score (1–9)
Low-Risk Surgery
28.
  • Preoperative evaluation for noncardiac surgery risk assessment

  • Minor or intermediate clinical risk predictors

I (1)
Intermediate-Risk Surgery
29.
  • Poor exercise tolerance (less than or equal to 4 METs)

  • Minor or no clinical risk predictors

I (2)
30.
  • Poor exercise tolerance (less than or equal to 4 METs)

  • Intermediate clinical risk predictors

A (7)
High-Risk Nonemergent Surgery
31.
  • Poor exercise tolerance (less than 4 METs)

A (8)
32.
  • Asymptomatic up to 1 year after normal catheterization, noninvasive test, or previous revascularization

I (1)
  • See discussion and appendix for changes in the revised 2007 ACC/AHA Perioperative Guidelines relevant to these indications (10).