HEART Score (Chest Pain / Major Adverse Cardiac Events)

Risk stratifies patients with chest pain in the emergency department for major adverse cardiac events (MACE) within 6 weeks. Guides admission and further testing decisions.

0=Nonspecific; 1=Mixed typical/atypical; 2=Typical exertional chest pain with radiation, diaphoresis, nitrate response

0=Normal; 1=LBBB, LVH, nonspecific ST-T without ST deviation; 2=ST elevation/depression not due to LBBB/LVH

Risk factors: hypertension, diabetes, hyperlipidemia, smoking, obesity, family history

Use institutional troponin assay reference range

Enter values and click Calculate to see results