Gupta Perioperative Risk for Myocardial Infarction or Cardiac Arrest (MICA)
Predicts risk of MI or cardiac arrest after surgery.
Use within 30 days of surgery (pre- or postoperatively). May be used in cardiac or noncardiac procedures.
Advice
May help determine which patients require additional post-surgical cardiac monitoring.
Management
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Patients identified as low risk require no further cardiovascular testing, according to ACC/AHA guidelines.
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Patients identified as high risk may require additional cardiovascular evaluation, including cardiology consultation, stress testing, and/or echocardiogram.
Critical Actions
Patients with known or suspected heart disease (cardiovascular disease, significant valvular disease, symptomatic arrhythmias) should undergo routine preoperative cardiac evaluation if indicated for the proposed surgery.