epicor epicor

Post-discharge ACS 2-year mortality risk calculator

This new easy-to-use online acute coronary syndrome (ACS) risk score calculator predicts 2-year mortality from hospital discharge after an ACS event and provides physicians with a tool to reliably identify high-risk patients following discharge, and guide tailored secondary prevention measures.

The model underlying risk score calculation is based on combined data from the EPICOR and EPICOR Asia studies in 23 489 patients with an ACS event who were enrolled from 774 hospitals in 28 countries across Europe, Latin America, and Asia (2010 to 2011).

The 2-year risk score calculator provides a more robust risk prediction over longer-term follow up, and with broader geographic coverage, than our 1-year model based on the EPICOR study alone (please note, a link to the 1-year risk score calculator is provided below and at the foot of this page for the associated manuscript). 1

Go to 1-year Risk Calculator
NSTE-ACS
Non-ST-segment elevation myocardial infarction or unstable angina
STEMI
ST-segment elevation myocardial infarction

The EPICOR and EPICOR Asia studies and development of this website were funded by AstraZeneca. Content was developed independently by the EPICOR Executive Committee under the leadership of Dr Stuart J Pocock, London School of Hygiene and Tropical Medicine, UK.

Web design, programming and editorial assistance was from the Prime Global Group, UK.

This risk calculator does not replace the doctor’s clinical judgement or responsibility for the treatment of the patient.



1. Pocock SJ et al. Eur Heart J Acute Cardiovasc Care 2015:4:509-517.

https://www.ncbi.nlm.nih.gov/pubmed/25301783

Based on WHO data, countries were considered either “low-risk” (≤400 deaths per 100,000 population) and as comparable with Northern Europe, and with Hong Kong, Singapore, and South Korea combined, or “high-risk” (>400 deaths per 100,000 population), comparable with Latin America and Eastern Europe

(http://gamapserver.who.int/gho/interactive_charts/ncd/mortality/total/atlas.html)

The 2-year full risk score model uses 17 variables. To aid practical use of the calculator, the simplified risk score excludes 6 variables having a relatively low impact on patient risk.