Coronary artery disease
GRACE Score — In-hospital mortality
The Global Registry of Acute Coronary Events admission score predicts in-hospital death across the ACS spectrum. In NSTE-ACS a score > 140 identifies patients who benefit from an early (< 24 h) invasive strategy.
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Age (years)
Heart rate (bpm)
Systolic BP (mmHg)
Creatinine (mg/dL)
1 mg/dL ≈ 88.4 µmol/L
Killip class
Additional criteria
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- Thresholds shown are for NSTE-ACS. For STEMI, the score predicts mortality but timing is dictated by reperfusion pathways.
Total score
0
Low risk
In-hospital mortality < 1%
Decision guide
NSTE-ACS: selective invasive strategy; non-invasive testing if no recurrent ischaemia.
5 sections are still unanswered — counted as 0 points.
Ranges: 0–108 Low risk109–140 Intermediate risk≥141 High risk
References