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Cardiology · Emergency Medicine

GRACE Discharge Mortality Score calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Age
Initial serum creatinine
Resting heart rate at presentation
Systolic blood pressure at presentation

Result

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Clinical inputs

  • Age
  • History of congestive heart failure (+24)
  • History of myocardial infarction (+12)
  • Initial serum creatinine
  • Cardiac enzymes raised above the upper limit of normal (+15)
  • No percutaneous coronary intervention during the hospital stay (+14)
  • Resting heart rate at presentation
  • Systolic blood pressure at presentation
  • ST-segment depression on the presenting ECG (+11)

Primary source

Eagle KA et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA. DOI: 10.1001/jama.291.22.2727. PMID: 15187054. Scope: GRACE 6-month post-discharge nomogram: age, history of heart failure, history of MI, initial creatinine, raised cardiac enzymes, no in-hospital PCI, resting heart rate, systolic BP, ST-segment depression (points table reproduced in Heart 2007 appendix, PMC1860727; risk groups per ESC GRACE cut-points). (2004)

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