BMJ  2006;333 (25 November), doi:10.1136/bmj.39042.724907.3A

Editor's Choice

US editor's choice

US Highlights

The first 150 words of the full text of this article appear below.

It's Thanksgiving this week, which means feasting for many in the United States. In an (un)timely reminder between the association of lifestyle and disease, this week's BMJ carries various articles on heart disease.

Predicting the risk of death or myocardial infarction in patients with acute coronary syndrome is challenging because of the diverse clinical presentations. To guide triage and key management decisions, however, risk assessment is essential. Fox and colleagues report a prospective multinational observational study (doi: 10.1136/bmj.38985.646481.55) of 43 810 patients in 94 hospitals in 14 countries in Europe, North and South America, Australia, and New Zealand. They developed a new and widely applicable tool, the global registry of acute coronary events (GRACE) scoring system, using nine readily identifiable variables that independently predict death or myocardial infarction. Junghans and Timmis in the accompanying editorial (doi: 10.1136/bmj.39035.509016.BE) balance the advantages against the disadvantages and come out wondering whether . . . [Full text of this article]

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