GRACE Score (ACS)

yr
bpm
mmHg
mg/dL
Health

Calculate the GRACE 2.0 risk score for in-hospital and 6-month mortality in ACS.

Formula

Simplified GRACE points for age, HR, SBP, creatinine, Killip class, cardiac arrest, ST deviation, enzymes
  • GRACE scores: <109 low risk; 109–140 intermediate; >140 high risk (>3% in-hospital mortality).
  • Use gracelkh.org for the original validated calculator.
  • GRACE 2.0 provides 6-month mortality risk estimates.

65-year-old with NSTEMI

Inputs
  • Age (years): 65 yr
  • Heart Rate (bpm): 80 bpm
  • Systolic BP (mmHg): 130 mmHg
  • Creatinine (mg/dL): 1 mg/dL
  • Killip Class: 1
  • Cardiac Arrest at Admission: 0
  • ST-segment Deviation: 30
  • Elevated Cardiac Enzymes: 15

Score ≈ 58+9+37+8+1+0+30+15 = 158. High risk.

Frequently asked questions

What GRACE score indicates high risk?
GRACE >140 indicates high in-hospital mortality risk (>3%) and high 6-month mortality. These patients benefit most from early invasive strategy within 24 hours.