ACS GRACE Risk (framework) — free guideline decision tool
The GRACE risk score estimates in-hospital and 6-month mortality after an acute coronary syndrome from eight variables via a nonlinear, banded-lookup nomogram. This page frames the inputs and risk bands and links to the official calculator.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Show required inputs, risk bands and official link | Show |
|---|
→GRACEReference framework (use official calculator)
- Nature：The GRACE score converts 8 variables into a mortality probability via a banded look-up / nonlinear regression (nomogram) with numerous band cut-points. To avoid fabricating the look-up, this tool lists the required 8 items and risk bands and provides the official calculator; it does not output fabricated scores/probabilities
- 8 inputs：Age, heart rate, systolic BP, serum creatinine, Killip class, cardiac arrest at admission, ECG ST-segment deviation, elevated cardiac necrosis markers
- In-hospital mortality bands：Low ≤ 108 (< 1%), intermediate 109–140 (1–3%), high > 140 (> 3%)
Common questions
What is ACS GRACE Risk (framework)?
The GRACE risk score estimates in-hospital and 6-month mortality after an acute coronary syndrome from eight variables via a nonlinear, banded-lookup nomogram. This page frames the inputs and risk bands and links to the official calculator.
How is ACS GRACE Risk (framework) calculated? What is the core formula?
Eight variables — age, heart rate, systolic BP, serum creatinine, Killip class, cardiac arrest at admission, ECG ST-segment deviation, elevated cardiac markers — mapped through a nomogram. In-hospital bands: low ≤108, intermediate 109–140, high >140.
When is ACS GRACE Risk (framework) used?
Use for NSTE-ACS risk stratification: a GRACE score > 140 (or intermediate-high risk) supports an early (< 24 h) invasive strategy, interpreted alongside guidelines and the clinical picture.
What are the key clinical points for ACS GRACE Risk (framework)?
The numerous band cut-points make the score unsuitable for on-platform reproduction; this page provides the inputs and risk bands and defers the exact score to the official calculator. (original synthesis · not guideline verbatim) In-hospital mortality bands: ≤108 (<1%), 109–140 (1–3%), >140 (>3%); 6-month: ≤88, 89–118, >118. GRACE is a guideline-endorsed tool for timing the invasive strategy in NSTE-ACS.
What are the limits and cautions when using ACS GRACE Risk (framework)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is ACS GRACE Risk (framework) calculated in practice? Can you show a worked example?
Inputs: Show required inputs, risk bands and official link Show → Result: GRACE Reference framework (use official calculator)（Nature: The GRACE score converts 8 variables into a mortality probability via a banded look-up / nonlinear regression (nomogram) with numerous band cut-points. To avoid fabricating the look-up, this tool lists the required 8 items and risk bands and provides the official calculator; it does not output fabricated scores/probabilities, 8 inputs: Age, heart rate, systolic BP, serum creatinine, Killip class, cardiac arrest at admission, ECG ST-segment deviation, elevated cardiac necrosis markers, In-hospital mortality bands: Low ≤ 108 (< 1%), intermediate 109–140 (1–3%), high > 140 (> 3%)）
Run ACS GRACE Risk (framework) now
The GRACE risk score estimates in-hospital and 6-month mortality after an acute coronary syndrome from eight variables via a nonlinear, banded-lookup nomogram. This page frames the inputs and risk bands and links to the official calculator.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.