Creatinine, ST segment deviation on ECG and elevated cardiac biomarker) with the scoring from 2 to 372. This score has eight variables (Age, Heart Rate, Systolic BP, Killip Class of HF, Cardiac arrest at admission, S. The GRACE score has been derived from Global Registry of Acute Coronary Events (GRACE) registry and it has been published as an online risk calculator ( ). 3 These two scoring systems yield the scores from some clinical parameters obtained from patient’s history, physical examination and investigations during admission. The most popular risk scores are the GRACE and TIMI scores. Several risk scores are developed in predicting the outcomes in patients with acute coronary syndrome. Prognosis in patients with non-ST elevation acute coronary syndrome can be assessed by early risk stratification. 1 The incidence of non-ST elevation acute coronary syndrome to ST elevation myocardial infarction is increasing, probably as a result of demographic changes in the population, including progressively increasing numbers of older persons and higher rates of diabetes mellitus. Coronary artery disease (CAD) alone caused 7 million deaths worldwide in 2010 and it is an increase of 35% since 1990. This figure is expected to grow to 23.6 million by the year 2030. Cardiovascular diseases account for more than 17 million deaths globally each year.
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