Abstract:

Abstract ObjectiveTocompare global registry of acute coronary events(GRACE) score and five factors (history&ECG&age&risks&troponin,HEART) score for predicting adverse  events  in patients  with  acute  coronary syndrome(ACS). Methods：A total of 395  patients with ACS were collected from July 2016 to June 2017 for a retrospective  study.  All  were  examined  with  coronary  angiography  within 12 hours of disease onset.  We recorded patient's general information and laboratory tests. The  GEACE and  HEART score were both used for risk assess-ment and then risk stratification was calculated. Major adverse cardiovascular events (MACE) were followed up by telephone within 30 days and 90 days of the onset.Compare the two  score  system in the prediction of  risks in patients with  ACS. Results The receiver operating curve  (ROC)  analysis  showed that the  area under the  curve (AUC) of GRACE and HEART score for predicting the 30 days risk of MACE were 0.738 and 0.736 respectively. For predicting the 90 days risk of MACE,AUC of GRACE and HEART score were 0.669 and 0.683  respectively. Conclusion：The  GRACE  and  HEART  score  are  consistent  in  identifying  disease  risk  within 30 daysof  acutecoronary  syndrome onset. The HEART score is better than GRACE in predicting high risk and low risk  patients within 90 days of the onset.

Key words: Acute Coronary Syndrome; ,  Risk Assessment；Major Adverse Cardiac Events