Global Registry of Acute Coronary Events (GRACE) acute coronary syndrome risk model

Risk factor

Score

Age

The GRACE risk model calculator for the calculation of risk scores is available at www.gracescore.org (risk factors are scored separately at admission and at discharge)

Resting heart rate

Systolic blood pressure

Serum creatinine

Congestive heart failure, Killip class

Cardiac arrest at admission

ST-segment deviation

Elevated enzymes/markers of myocardial ischemia

Inhospital PCIa

Inhospital CABGa

Past history of MIa

Probability of death in hospital according to the score on admission

Score

Risk (%)

Risk group

≤108

<1%

Low

109-140

1%-3%

Intermediate

>140

>3%

High

Probability of death within 6 months according to the score at discharge

≤88

<3%

Low

89-118

3%-8%

Intermediate

>118

>8%

High

a Risk factor assessed at discharge only.

CABG, coronary artery bypass graft; MI, myocardial infarction; PCI, percutaneous coronary intervention.