The GRACE risk score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

The GRACE Risk Score

Total possible score is 258

Age (years)

  • <40 = 0
  • 40–49 = 8
  • 50–59 = 36
  • 60–69 = 55
  • 70–79 = 73
  • ≥80 = 91

Heart rate (bpm)

  • <70 = 0
  • 170–89 = 7
  • 190–109 = 13
  • 110–149 = 23
  • 150–199 = 36
  • >200 = 46

Systolic BP (mmHg)

  • <80 =63
  • 180–99 = 58
  • 100–119 = 47
  • 120–139 = 37
  • 140–159 = 26
  • 160–199 = 11
  • >200 = 0

Creatinine (mg/dL)

  • 0.0–0.39 = 2
  • 0.4–0.79 = 5
  • 0.8–1.19 = 8
  • 1.2–1.59 = 11
  • 1.6–1.99 = 14
  • 0.2–3.99 = 23
  • >4 = 31

Killip class

  • Class I = 0
  • Class II = 21
  • Class III = 43
  • Class IV = 64

Cardiac arrest at admission : 43

Elevated cardiac markers : 15

ST segment deviation : 30

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References


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