HEART Score
Last Updated / Reviewed: June 2022
Predicts 6-week risk of major adverse cardiac event (MACE).

INSTRUCTIONS

Use in patients ≥ 21 years old presenting with symptoms suggestive of ACS. Do not use if new ST-segment elevation ≥ 1 mm or other new ECG changes, hypotension, life expectancy < 1 year, or noncardiac medical, surgical, or psychiatric illness determined by the provider to require admission.
History
ECG
Age
Risk Factors
(RF for HEART include – Hypercholesterolemia; HTN; Diabetes Mellitus; Cigarette Smoking; Positive Family Hx; Obesity)
Troponin
Related Calculators PERC Rule Altitude Adj. PERC Wells' Criteria for PE

Result:

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Reference

Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.

Backus BE, Six AJ, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8.
DISCLAIMER

This calculation occurs at sea level. Any significant altitude change makes this result unreliable.
All calculations must be confirmed before use. The authors make no claims of the accuracy of the information contained herein; and these suggested doses are not a substitute for clinical judgment. Neither The Sullivan Group (TSG) nor any other party involved in the preparation or publication of this site shall be liable for any special, consequential, or exemplary damages resulting in whole or part from any user's use of or reliance upon this material.
Calculations should not be used alone to guide patient care nor should they substitute for clinical judgment.
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