急性冠脉综合征GRACE风险评分(global registry of acute coronary events risk score)

Killip分级	得分
Ⅰ	0
Ⅱ	20
Ⅲ	39
Ⅳ	59
收缩压（mmHg）	得分
<80	58
80~99	53
100~119	43
120~139	34
140~159	24
160~199	10
≥200	0
心率（次/分）	得分
<50	0
50~69	3
70~89	9
90~109	15
110~149	24
150~199	38
≥200	46
年龄（岁）	得分
<30	0
30~39	8
40~49	25
50~59	41
60~69	58
70~79	75
80~89	91
≥90	100
血肌酐（mg/dl）	得分
0~0.39	1
0.40~0.79	4
0.80~1.19	7
1.20~1.59	10
1.60~1.99	13
2.00~3.99	21
≥4.0	28
危险因素	得分
入院前心脏停搏	39
ST段下移	28
心肌酶升高	14
总分	0 分（您已选择0个必选项，还有5个必选项未选）

结果解读
1、非ST段抬高型ACS：
GRACE评分	危险级别	住院期间死亡风险（%）
1~108	低危	<1
109~140	中危	1~3
141~372	高危	>3
GRACE评分	危险级别	出院后6个月死亡风险（%）
1~88	低危	<3
89~118	中危	3~8
119~263	高危	>8
2、ST段抬高型ACS：
GRACE评分	危险级别	住院期间死亡风险（%）
49~125	低危	<2
126~154	中危	2~5
155~319	高危	>5
GRACE评分	危险级别	出院后6个月死亡风险（%）
27~99	低危	<4.4
100~127	中危	4.5~11
128~263	高危	>11

相关解释	全球急性冠状动脉事件注册GRACE危险评分能够很好地预测急性冠脉综合征ACS院内、出院后主要心血管事件的发生情况，对ACS患者进行危险分层，从而筛选出宜进行介入治疗的患者。
参考来源	1. http://www.outcomes-umassmed.org/GRACE/grace_risk_table.aspx 2. Granger, Christopher B. MD; Goldberg, Robert J. PhD; Dabbous, Omar MD, MPH; Pieper, Karen S. MS; Eagle, Kim A. MD; Cannon, Christopher P. MD; Van de Werf, Frans MD; Avezum, Alvaro MD; Goodman, Shaun G. MD, MSc; Flather, Marcus D. MBBS, FRCP; Fox, Keith A. A. MB, ChB, FRCP; for the Global Registry of Acute Coronary Events Investigators. Predictors of Hospital Mortality in the Global Registry of Acute Coronary Events. Archives of Internal Medicine. 163(19):2345-2353, October 27, 2003 3. Keith A A Fox, Omar H Dabbous, Robert J Goldberg, Karen S Pieper, Kim A Eagle, Frans Van de Werf, Álvaro Avezum, Shaun G Goodman, Marcus D Flather, Frederick A Anderson, Jr, and Christopher B Granger. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ, Nov 2006; 333: 1091. 4. Kim A. Eagle; Michael J. Lim; Omar H. Dabbous; Karen S. Pieper; Robert J. Goldberg; Frans Van de Werf; Shaun G. Goodman; Christopher B. Granger; P. Gabriel Steg; Joel M. Gore; Andrzej Budaj; Álvaro Avezum; Marcus D. Flather; Keith A. A. Fox; for the GRACE Investigators. A Validated Prediction Model for All Forms of Acute Coronary Syndrome: Estimating the Risk of 6-Month Post discharge Death in an International Registry. JAMA, June 9, 2004; 291: 2727 - 2733. 5. 陈志华；邢波；GRACE危险评分对急性冠脉综合征预后判断的研究进展[J]；岭南心血管病杂志；2011年02期.

相关解释

全球急性冠状动脉事件注册GRACE危险评分能够很好地预测急性冠脉综合征ACS院内、出院后主要心血管事件的发生情况，对ACS患者进行危险分层，从而筛选出宜进行介入治疗的患者。

参考来源

1. http://www.outcomes-umassmed.org/GRACE/grace_risk_table.aspx
2. Granger, Christopher B. MD; Goldberg, Robert J. PhD; Dabbous, Omar MD, MPH; Pieper, Karen S. MS; Eagle, Kim A. MD; Cannon, Christopher P. MD; Van de Werf, Frans MD; Avezum, Alvaro MD; Goodman, Shaun G. MD, MSc; Flather, Marcus D. MBBS, FRCP; Fox, Keith A. A. MB, ChB, FRCP; for the Global Registry of Acute Coronary Events Investigators. Predictors of Hospital Mortality in the Global Registry of Acute Coronary Events. Archives of Internal Medicine. 163(19):2345-2353, October 27, 2003
3. Keith A A Fox, Omar H Dabbous, Robert J Goldberg, Karen S Pieper, Kim A Eagle, Frans Van de Werf, Álvaro Avezum, Shaun G Goodman, Marcus D Flather, Frederick A Anderson, Jr, and Christopher B Granger. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ, Nov 2006; 333: 1091.
4. Kim A. Eagle; Michael J. Lim; Omar H. Dabbous; Karen S. Pieper; Robert J. Goldberg; Frans Van de Werf; Shaun G. Goodman; Christopher B. Granger; P. Gabriel Steg; Joel M. Gore; Andrzej Budaj; Álvaro Avezum; Marcus D. Flather; Keith A. A. Fox; for the GRACE Investigators. A Validated Prediction Model for All Forms of Acute Coronary Syndrome: Estimating the Risk of 6-Month Post discharge Death in an International Registry. JAMA, June 9, 2004; 291: 2727 - 2733.
5. 陈志华；邢波；GRACE危险评分对急性冠脉综合征预后判断的研究进展[J]；岭南心血管病杂志；2011年02期.