View source for Template:HEART Score

*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>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.PMID 18665203</ref><ref>Backus BE, Six AJ, Kelder JC, Bosschaert MA. 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 PMID 2346525</ref>

*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''

{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Criteria'''
| align="center" style="background:#f0f0f0;"|'''Point Value'''
|-
! colspan="2" style="background: #ffdead;"| History
|-
| Highly Suspicious||+2
|-
| Moderately Suspicious||+1
|-
| Slightly Suspicious||0
|-
! colspan="2" style="background: #ffdead;"| ECG
|-
| Significant ST-depression||+2
|-
| Non specific repolarisation disturbance||+1
|-
| Normal||0
|-
! colspan="2" style="background: #ffdead;"| Age
|-
| ≥ 65||+2
|-
| 45-65||+1
|-
| ≤ 45||0
|-
! colspan="2" style="background: #ffdead;"| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity)
|-
| ≥ 3 risk factors or history of atherosclerotic disease||+2
|-
| 1-2 risk factors||+1
|-
| No risk factors known||0
|-
! colspan="2" style="background: #ffdead;"| Troponin
|-
| ≥ 3× normal limit||+2
|-
| 1-3× normal limit||+1
|-
| ≤ normal limit||0
|}
*'''0-3''': 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up. 
*'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing.
*'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology