Which scale is utilized to correlate cardiac symptoms with perioperative complications?

The Goldman Index is specifically designed to assess the risk of perioperative complications in patients undergoing non-cardiac surgery, particularly focusing on cardiac risk factors and associated symptoms. It correlates various clinical parameters, including the patient's comorbidities and the severity of cardiac symptoms, to predict perioperative adverse events.

The Goldman Index evaluates factors such as age, history of myocardial infarction, history of congestive heart failure, cardiac arrhythmias, and other clinical signs, allowing for a more targeted approach to patient management and risk stratification before surgical procedures. Its utility lies in its structured assessment of cardiac risk, which directly influences decision-making around surgical intervention and perioperative care.

In contrast, the APACHE II Score is primarily used for assessing the severity of disease and predicting mortality in critically ill patients, and it is not specifically designed for perioperative cardiac risk. The Glasgow Coma Scale measures consciousness levels in patients with neurological issues and does not relate to cardiac symptoms. The NYHA Classification categorizes the functional capacity of patients with heart failure but does not specifically provide a risk assessment for perioperative complications in a surgical context.