HEART Score — JoyShine Medical

HEART Score for Chest Pain

Predicts 6-week risk of major adverse cardiac events (MACE) in emergency-department patients with chest pain to support disposition and risk stratification.

History

Slightly suspicious (0) Moderately suspicious (+1) Highly suspicious (+2)

EKG

Normal (0) Non-specific repolarization (+1) Significant ST deviation (+2)

Age

< 45 (0) 45–64 (+1) ≥ 65 (+2)

Risk Factors (HTN, hyperchol, DM, obesity, smoking, family hx, atherosclerotic disease)

None (0) 1–2 (+1) ≥ 3 or atherosclerotic disease (+2)

Initial Troponin

≤ Normal limit (0) 1–3× normal (+1) > 3× normal (+2)