The section, European Diploma in Anaesthesia and intensive care ‘EDAIC’ MCQ and answer, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
Question: Identify the correct statements about Goldman cardiac index
- Has 11 predictors
- The maximum score is limited to 50
- Presence of atrial or ventricular ectopics are ranked with equal marks
- Mortality with score less than 6 is 0.4%
- Age more than 70% is an independent risk factor
Answers:
-
- False
- False
- True
- True
- True
Goldman’s cardiac index (1977) was the first cardiac risk score. It was based on 9 predictors, scored as per their potential to influence the post-op outcome.
| Criteria | Points |
| P/O S3 (gallop rhythm) | 11 |
| ↑JVP | 11 |
| ECG – > 5 ventricular ectopics/min | 7 |
| ECG – Atrial ectopics/ rhythm other than sinus | 7 |
| Emergency surgery | 4 |
| Age > 70 | 5 |
| Intra-thoracic/ intra-abdominal/ vascular sx | 3 |
| MI < 6 months | 10 |
| Poor general condition/ bed-ridden patient | 3 |
| Â | 53 (max points) |
Risk of major cardiac adverse event:
- 4% with a score <6 and
- 56% with scores >25
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Cardiovascular physiology module by targetedaic
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‘EDAIC MCQ (Multiple Choice Question) and answer’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.
