Cardiology
ACEF II Risk Score for Cardiac Surgery
Predicts 30-day mortality after elective or emergency cardiac surgery using simple preoperative variables.
Score interpretation
ACEF II Score 0–100
Higher scores mean higher predicted operative mortality. The derivation paper (Ranucci 2018) publishes no risk categories, so none is shown.
→ Use alongside EuroSCORE II or the STS score and the heart team's judgement.
Interpretation bands for the ACEF II. Apply clinical judgement and local guidance.
References
- Ranucci M et al. The ACEF II Risk Score for cardiac surgery: updated but still parsimonious. Eur Heart J. 2018;39(23):2183-2189.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Protamine Sulphate (Heparin Reversal) · Heparin Reversal / Cardiac Surgery
- Aprotinin · Antifibrinolytic — Cardiac Surgery
- Protamine Sulphate · Heparin Antidote — Vascular / Cardiac Surgery
- Lidocaine IV (Cardiac Arrhythmia) · Antiarrhythmic
- Mavacamten · Cardiac myosin inhibitor
- Potassium Iodide / Lugol's Solution · Thyroid Blocking Agent / Pre-operative Thyroid Preparation
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.