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.
Common questions
What does ACS GRACE Risk (framework) do?
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.
How is the result calculated?
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.
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
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.