Symptom status (stable) | No recent deterioration and no unstable angina |
Smoking | Past or present |
Renal problems | • Serum creatinine ⩾200 μmol/l |
| • Acute or chronic renal failure requiring haemodialysis |
GIT problems | • Diagnosed hiatus hernia |
| • Diagnosed peptic ulcer disease |
| • Diagnosed pancreatitis |
| • GIT bleeding |
Respiratory problems | • Chronic obstructive airway disease |
| • Bronchial asthma requiring the use of inhalers |
Peripheral vascular disease | Chronic ischaemia of lower limbs |
Perioperative MI | Presence of at least one of the following: |
| • New Q waves in the ECG |
| • CK-MB >50 with ECG changes |
| • CK-MB >70 without ECG changes |
Cardiogenic shock (iv inotropes) | Up till operating theatre |
CVA or TIA | • TIA when the neurological deficit lasted <24 hours |
| • CVA when the neurological deficit lasted >24 hours |
Low cardiac output | In absence of the previously described perioperative MI criteria, when the systolic arterial blood pressure was persistently <90 mm Hg or the mean arterial blood pressure was persistently below <50 mm Hg despite appropriate fluid management and requiring inotropic or vasoconstrictor treatment |
Infective complications | • Septicaemia |
| • Sternal wound infection |
| • Conduit harvest site infection |
Pulmonary complications | • Adult respiratory distress syndrome |
| • Reintubation/tracheostomy |
| • Pleural effusion |
| • Pneumothorax |
Renal complications | New occurrence of one of the following: |
| • Serum creatinine ⩾200 μmol/l |
| • Renal failure requiring haemodialysis |
GIT complications | Postoperative occurrence of one of following: |
| • Peptic ulceration |
| • Pancreatitis |
| • Mesenteric infarction |
| • GIT bleeding |
| • Perforation |