This was an observational study with a retrospective cohort. Hasan Sadikin General Hospital Bandung, a tertiary hospital in Indonesia. This study was expected to identify the difference in accuracy between the GRACE score and TIMI score in predicting in-hospital mortality of STEMI in Dr. Other factors beyond GRACE and TIMI score variables, including geographic variations in the risk profile, may influence mortality during treatment in Asia. The mortality rate due to STEMI in Asia varies considerably between 1% to more than 19% and the accuracy of the GRACE score and the TIMI score on mortality also varies in this region. Several validated risk scoring systems have been proposed to predict in-hospital mortality in ACS such as Global Registry of Acute Coronary Events (GRACE) score and Thrombolysis in Myocardial Infarction (TIMI) score. Nevertheless, with the high risk of death among STEMI patients, the European Society of Cardiology (ESC) guideline still recommends risk stratification of STEMI for predicting the short- and long-term prognoses. In contrast, patients with non-ST segment elevation acute cardiac syndrome (NSTEACS) totally rely on risk stratification for the decision whether revascularization is needed or not. Patients with ST-elevation myocardial infarction (STEMI) may have a higher or lower risk however, all of them require reperfusion therapy regardless of the risk stratification result. The variations in clinical features and risks across the ACS spectrum make the assessment of mortality risk important for the selection of both service level and management strategy. Of these, 85% are due to strokes and acute coronary syndrome (ACS), which underlines the fact that coronary artery disease (CAD) is still a challenging global health problem until now. Cardiovascular disease (CVD) is the primary cause of death around the world, with 17.9 million deaths or approximately 31% of the total global annual deaths.
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