ACS Score - Grace
Info
Age (years) <40 40-49 50-59 60-69 70-79 80-89 >89
History of CHF Yes No
History of MI Yes No
Resting Heart Rate (bpm) <50 50-69 70-89 90-109 110-149 150-199 >199
Systolic BP (mmHg) <80 80-99 100-119 120-139 140-159 160-199 >199
ST Segment Depression Yes No
Initial Serum Creatinine (mg/dL) <0.4 0.4-0.7 0.8-1.1 1.2-1.5 1.6-1.9 2.0-3.9 >3.9
Cardiac Enzyme Elevation Yes No
In-hospital PCI Performed Yes No
R e s u l t s
Estimated 6-month mortality (%)
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Show Results
Info
ACS Score - Grace
  • Age (years)
    • <40 = 0 points
    • 40-49 = 18
    • 50-59 = 36
    • 60-69 = 55
    • 70-79 = 73
    • 80-89 = 91
    • >89 = 100 points
  • History of CHF
    • Yes = 24 points
    • No = 0 points
  • History of MI
    • Yes = 12 points
    • No = 0 points
  • Resting Heart Rate (bpm)
    • <50 = 0 points
    • 50-69 = 3
    • 70-89 = 9
    • 90-109 = 14
    • 110-149 = 23
    • 150-199 = 35
    • >199 = 43 points
  • Systolic BP (mmHg)
    • <80 = 24 points
    • 80-99 = 22
    • 100-119 = 18
    • 120-139 = 14
    • 140-159 = 10
    • 160-199 = 4
    • >199 = 0 points
  • ST Segment Depression
    • Yes = 11 points
    • No = 0 points
  • Initial Serum Creatinine (mg/dL)
    • <0.4 = 1 point
    • 0.4-0.7 = 3
    • 0.8-1.1 = 5
    • 1.2-1.5 = 7
    • 1.6-1.9 = 9
    • 2.0-3.9 = 15
    • >3.9 = 20 points
  • Cardiac Enzyme Elevation
    • Yes = 15 points
    • No = 0 points
  • In-hospital PCI Performed
    • Yes = 0 points
    • No = 14 points

"ESIMATED 6-MONTH MORTALITY (%) " as follows:

(0.0000255 * ((score)^3)) - (0.00668 * ((score)^2)) + (0.63204 * (score)) - 19.5446

Reference:
Eagle KA, Lim MJ, Dabbous OH, et al; GRACE Investigators. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA . 2004;291(22):2727-33

http://www.ncbi.nlm.nih.gov/pubmed?term=15187054