| Grading of Risk |
Cardiovascular status upon presentation |
ED management recommendations for the primary care
physician |
| Low Risk |
- Controlled hypertension
- Asymptomatic <= 3 risk factors for CAD
- Mild valvular disease
- Mild stable angina
- Post successful revascularisation
|
- Manage within the primary care setting
- Review treatment options with patient and his excluding age and
gender partner (where possible)
|
| Intermediate risk |
- Recent ML or CVA (i.e. within last 6 weeks)
- >=3 risk factors for CAD - excluding age and gender
- LVD/CHF(I,II)
- Murmur of unknown cause
- Moderate stable angina
|
- Specialised evaluation recommended (e.g. exercise test for angina,
Echo for murmur)
- Patient to be placed in high or low risk category, depending upon
outcome of testing.
|
| High risk |
- Unstable or refractory angina
- Uncontrolled hypertension (SBP >l50mmHg)
- CHF (III, IV)
- Recent Ml or CVA (i.e. within last 14 days)
- Arrhythmias / HOCM / Valve disease
|
- Refer for specialised cardiac evaluation and management
- Treatment for ED to be deferred until cardiac condition stabilised
and/or specialist evaluation completed.
|
