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GRACE ACS Risk Score
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years
bpm
mmHg
mg/dL
GRACE ACS Risk Score
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About
The GRACE (Global Registry of Acute Coronary Events) ACS Risk Score estimates in-hospital and 6-month mortality in patients with acute coronary syndromes (STEMI, NSTEMI, and unstable angina). It is one of the most widely validated ACS risk scores and is recommended by ACC/AHA and ESC guidelines for risk stratification to guide treatment decisions including invasive vs. conservative strategies.
Formula
GRACE Score = Sum of points from: Age, Heart Rate, Systolic BP, Creatinine, Killip Class, Cardiac Arrest, Elevated Markers, ST Deviation
Range: 0 to ~372 points
Interpretation
| GRACE Score | Risk Level | In-Hospital Mortality |
|---|---|---|
| ≤ 108 | Low | < 1% |
| 109 – 140 | Intermediate | 1–3% |
| > 140 | High | > 3% |
References
- Fox KA, et al. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006;333(7578):1091.
- Granger CB, et al. Predictors of hospital mortality in the global registry of acute coronary events. Arch Intern Med. 2003;163(19):2345-2353.
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Disclaimer
For educational and informational purposes only. Not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional.