Makindo Medical Notes"One small step for man, one large step for Makindo" |
|
---|---|
Download all this content in the Apps now Android App and Apple iPhone/Pad App | |
MEDICAL DISCLAIMER: The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis, or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd. |
Related Subjects: |Atherosclerosis |Ischaemic heart disease |Assessing Chest Pain |ACS - General |ACS - STEMI |ACS - NSTEMI |ACS - GRACE Score |ACS - ECG Changes |ACS -Cardiac Troponins |ACS - Post MI arrhythmias |ACS: Right Ventricular Infarction |Assessing Chest Pain |Acute Coronary Syndrome (ACS) General
๐ The GRACE Score is a validated tool used to assess the risk of in-hospital and 6-month mortality in patients with Acute Coronary Syndrome (ACS). It guides decisions on whether patients need early invasive management ๐ or can be managed more conservatively.
Risk Category | Implication |
---|---|
โ Low Risk | Often safe for conservative management (unless other red flags). |
โ ๏ธ Intermediate Risk | Needs closer assessment; consider invasive approach. |
๐จ High Risk | Requires early/urgent invasive strategy (angiography ยฑ PCI). |
๐ Clinical Pearl: GRACE outperforms many other ACS scores because it integrates renal function, haemodynamics, and ECG/troponin data. It is recommended by ESC and NICE as a standardised method of risk stratification in both STEMI and NSTEMI.