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

ST segment deviation : 30