cardiology emergency-medicine
GRACE Score (ACS Risk)
Global Registry of Acute Coronary Events (GRACE) score predicts in-hospital and 6-month mortality in ACS. Guides invasive vs conservative strategy.
Used in: Acute Coronary Syndrome & Chest Pain
Score interpretation
Low risk (GRACE < 109): In-hospital mortality < 1%
→ Conservative or early invasive strategy; discharge within 72h with outpatient follow-up
Intermediate risk (109-140): Mortality 1-3%
→ Early invasive strategy preferred; angiography within 72h; DAPT + anticoagulation
High risk (GRACE > 140): Mortality > 3%
→ Urgent invasive strategy; angiography within 24h; CCU admission; optimise medical therapy
Interpretation bands for the GRACE Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Colchicine (Pericarditis / Post-MI Inflammation) · Pericarditis / Coronary Inflammation
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Methoxyflurane · Inhaled Analgesic — Acute Pain
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.