HEART score for chest pain
Six-week major adverse cardiac event risk in emergency department chest pain.
Inputs
0 of 5History
ECG
Age
Risk factorsHTN, high cholesterol, DM, obesity, smoking, family history
Initial troponin
When to use
- Adults with suspected ACS in the ED, after STEMI is excluded.
Pearls and pitfalls
- Not for patients with ST elevation or hemodynamic instability.
Why use
Every component shown with its points.
| Criterion | Points |
|---|---|
| History: Slightly suspicious | 0 |
| Moderately suspicious | +1 |
| Highly suspicious | +2 |
| ECG: Normal | 0 |
| Nonspecific repolarization | +1 |
| Significant ST deviation | +2 |
| Age: Under 45 | 0 |
| 45 to 64 | +1 |
| 65 or older | +2 |
| Risk factors: None known | 0 |
| 1 or 2 | +1 |
| 3 or more, or known atherosclerosis | +2 |
| Initial troponin: At or below normal limit | 0 |
| 1 to 3 × normal limit | +1 |
| Above 3 × normal limit | +2 |