GRACE Score Calculator (ACS)

GRACE score for in-hospital and 6-month mortality in acute coronary syndrome.

For educational and clinical reference. Not a substitute for medical judgment. See the medical disclaimer.

Age (years)

Heart rate (bpm)

Systolic blood pressure (mmHg)

Serum creatinine (mg/dL)

Killip class

Cardiac arrest at admission

ST-segment deviation

Elevated cardiac enzymes / biomarkers

Score

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Interpretation

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References

Granger CB, Goldberg RJ, Dabbous O, et al. Predictors of hospital mortality in the Global Registry of Acute Coronary Events. Arch Intern Med. 2003;163(19):2345-2353.

How to use

Select the band for age, heart rate, systolic BP, creatinine, and Killip class.
Mark cardiac arrest, ST deviation, and elevated biomarkers if present.
The total GRACE points and mortality-risk band update instantly.

Frequently asked questions

What is the GRACE score?

The Global Registry of Acute Coronary Events score estimates in-hospital and post-discharge mortality across the ACS spectrum (STEMI, NSTEMI, unstable angina).

How is in-hospital risk classified?

Score ≤ 108 low (< 1%), 109–140 intermediate (1–3%), > 140 high (> 3%) in-hospital mortality.

What about 6-month mortality?

Using the same point total, ≤ 88 = low, 89–118 = intermediate, > 118 = high 6-month mortality risk.

How does GRACE guide management?

A high GRACE score in NSTE-ACS supports an early invasive strategy; it also informs prognosis discussions and intensity of monitoring.

Last updated June 28, 2026