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Acute coronary syndromes

GRACE score (in-hospital mortality)

In-hospital mortality in ACS

  • Results update as you type
  • For healthcare professionals
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GRACE

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Presentation
years
bpm
mmHg
Killip class

I: no heart failure. II: crackles or S3. III: pulmonary oedema. IV: cardiogenic shock.

About this calculator

Estimates the risk of death in hospital after an acute coronary syndrome, using the original GRACE point score. The probability of in-hospital death is read from the GRACE nomogram, between its published points.

How to read the result

ResultMeaning
NSTE-ACS: 108 or lessLow risk, below 1% in-hospital death
NSTE-ACS: 109 to 140Intermediate risk, 1% to 3%
NSTE-ACS: above 140High risk, above 3%
STEMI: 125 or lessLow risk, below 2%
STEMI: 126 to 154Intermediate risk, 2% to 5%
STEMI: above 154High risk, above 5%

References

  1. Granger CB, et al. Predictors of hospital mortality in the Global Registry of Acute Coronary Events. Arch Intern Med. 2003;163:2345-2353.
  2. Byrne RA, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44:3720-3826.