Calc Function

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    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
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    Gupta Perioperative Risk for Myocardial Infarction or Cardiac Arrest (MICA)

    Predicts risk of MI or cardiac arrest after surgery.
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    years
    Independent
    Partially dependent
    Totally dependent
    1: normal healthy patient
    2: mild systemic disease
    3: severe systemic disease
    4: severe systemic disease that is a constant threat to life
    5: moribund, not expected to survive without surgery
    Normal (≤1.5 mg/dL, 133 µmol/L)
    Elevated (>1.5 mg/dL, 133 µmol/L)
    Unknown
    Choose one

    Result:

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    Formula

    Cardiac risk, % = ex / (1 + ex)

    Where x = −5.25 + sum of the values of the selected variables:

    Variable Options

    Value

    Functional status

    Independent

    0

    Partially dependent

    0.65

    Totally dependent

    1.03

    ASA class

    1: normal healthy patient

    −5.17

    2: mild systemic disease

    −3.29

    3: severe systemic disease

    −1.92

    4: severe systemic disease that is a constant threat to life

    −0.95

    5: moribund, not expected to survive without surgery

    0

    Creatinine

    Normal (≤1.5 mg/dL, 133 µmol/L)

    0

    Elevated (>1.5 mg/dL, 133 µmol/L)

    0.61

    Unknown

    −0.10

    Age per year of increase

     

    Age × 0.02

    Type of surgery

    Anorectal

    −0.16

    Aortic

    1.60

    Bariatric

    −0.25

    Brain

    1.40

    Breast

    −1.61

    Cardiac

    1.01

    ENT*

    0.71

    Foregut or hepatopancreatobiliary**

    1.39

    Gallbladder, appendix, adrenals or spleen

    0.59

    Hernia

    0

    Intestinal

    1.14

    Neck

    0.18

    Obstetric/gynecologic

    0.76

    Orthopedic

    0.80

    Other abdomen

    1.13

    Peripheral vascular***

    0.86

    Skin

    0.54

    Spine

    0.21

    Thoracic

    0.40

    Vein

    −1.09

    Urology

    −0.26

    *ENT and head and neck surgeries except thyroid and parathyroid.

    **Esophagus, stomach, duodenum, pancreas, liver, and biliary tree (except isolated cholecystectomy).

    ***Nonaortic, nonvein vascular surgeries.

    Dr. Prateek K. Gupta

    About the Creator

    Prateek K. Gupta, MD, is a vascular surgeon at Methodist University Hospital in Memphis, Tennessee. He is also an assistant professor of surgery at the University of Tennessee. Dr. Gupta's primary research interest is surgical outcomes.

    To view Dr. Prateek K. Gupta's publications, visit PubMed