🫀 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.
ACS GRACE Risk (framework)
Show required inputs, risk bands and official link
When to use
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 it works
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.
Key points
- 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.
References
- Granger CB, et al. Predictors of hospital mortality in the Global Registry of Acute Coronary Events (GRACE). Arch Intern Med 2003.
- GRACE ACS Risk Calculator (official).
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.