STUDY ON CARDIOVASCULAR INDEX–“CVRI” A NEW INDEX FOR PREOPERATIVE CARDIOVASCULAR EVALUATION

*Dr. Aluwala Padmavathi, Dr. Md. Anfas Nusrat Pasha, Dr. Prashant Maruti Phadtare and Dr. Nitin Kabra

ABSTRACT

To identify group of very low risk patients who do not need any further CVS evaluation. To study whether the addition of simple easily available investigation like ECG, chest – x ray have a role in further improving the discriminatory ability of CVRI index. A prospective observational study of 1000 consecutive patients admitted in Gandhi Hospital. A Total of 1000 patients were enrolled in the study with age distribution. Age< 40 years were 15.8 %, 41-60 years of 56.2%, 61-80 years of 27.1 % & >80 years 0.9 %. Mean age of patients in study 53.2 ± 13.4 years. The new index can quickly stratify patients undergoing non cardiac surgery into low, intermediate, and high-risk groups on the basis of 6 easily acquired data elements. The new CVRI model has important implications on the efficient triage and management of patients scheduled for non cardiac surgery. These findings will require further prospective validation in a broad range of surgical sub populations.

Keywords: Cardiovascular Risk Index (CVRI), Electrocardiogram (ECG), Left Ventricular Hypertrophy (LVH), Congestive Heart Failure (CHF), Coronary Artery Disease (CAD), Non ST Elevated Myocardial Infarction (NSTEMI).