GRACE ACS Risk and Mortality Calculator

Your details

Selects the appropriate risk-category thresholds. The GRACE score itself is computed identically for both types.
Patient age in years at the time of presentation.
years
Resting heart rate on admission, in beats per minute.
bpm
Systolic blood pressure on admission.
mmHg
Serum creatinine on admission. Switch units with the selector above.
mg/dL
Killip classification grades the degree of heart failure on admission. Class I is no evidence of CHF; Class IV is cardiogenic shock.
Whether the patient had a cardiac arrest (requiring resuscitation) on initial presentation.
New ST-segment depression or elevation on the presenting ECG (not counting the qualifying STEMI elevation).
Any troponin or CK-MB above the local upper reference limit on admission.
GRACE ScoreLow risk
108

Sum of all 8 variable point contributions

In-hospital mortality riskLow (<1%)
6-month mortality riskIntermediate (3-8%)
Age points58
Heart rate points9
Systolic BP points34
Creatinine points7
Killip class points0
Binary factor points0
108 pts
Low<109Intermediate109-140High140+

GRACE Score 108 - NSTEMI/UA low-risk presentation.

  • In-hospital mortality risk category: Low (<1%).
  • Six-month post-discharge mortality risk category: Intermediate (3-8%).
  • A low score supports a conservative or delayed invasive strategy, though clinical judgment should always guide management.
  • GRACE is a validated prognostic tool, not a substitute for full clinical evaluation. Comorbidities, contraindications, and patient preferences all influence management.

Next stepFor GRACE scores above 140 in NSTEMI/UA, or above 154 in STEMI, current guidelines support urgent referral for coronary angiography within 2-24 hours.

 = Powered by OnlyCalculators