HEART Score - Revision history

Danbot: Redirect HEART Score to calculator page per request

2026-03-21T17:01:23Z

Redirect HEART Score to calculator page per request

← Older revision		Revision as of 17:01, 21 March 2026
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	*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><ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref><ref>Stopyra JP, Riley RF, Hiestand BC, et al. The HEART Pathway Randomized Controlled Trial One Year Outcomes. Acad Emerg Med. 2018</ref><ref>Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203.</ref>		#REDIRECT [[Heart score calculator]]

	*'''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~~
	\|-
	~~\| ST deviation not due to LBBB, LVH, or digoxin\|\|+2~~
	\|-
	~~\| No ST deviation but LBBB, LVH, or repolarization changes\|\|+1~~
	\|-
	~~\| Normal\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| Age~~
	\|-
	~~\| ≥ 65\|\|+2~~
	\|-
	~~\| 45-65\|\|+1~~
	\|-
	~~\| ≤ 45\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| Risk Factors (Hypercholesterolemia, Vascular Disease, 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''': 0.9-1.7% risk of adverse cardiac event. Patient's can be discharged with follow-up.
	*'''4-6''': 12-16.6% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[~~troponin]] and provocative testing.~~
	*'''≥7''': 50-65% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology

	~~==References==~~
	~~<references/>~~


	~~[[Category:Cardiology~~]]

Ostermayer at 20:48, 18 July 2019

2019-07-18T20:48:06Z

← Older revision		Revision as of 20:48, 18 July 2019
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	! colspan="2" style="background: #ffdead;"\| ECG		! colspan="2" style="background: #ffdead;"\| ECG
	\|-		\|-
	\| ~~Significant~~ ST~~-depression~~\|\|+2		\| ST deviation not due to LBBB, LVH, or digoxin\|\|+2
	\|-		\|-
	\| ~~Non specific repolarisation disturbance~~\|\|+1		\| No ST deviation but LBBB, LVH, or repolarization changes\|\|+1
	\|-		\|-
	\| Normal\|\|0		\| Normal\|\|0

Ostermayer at 20:45, 18 July 2019

2019-07-18T20:45:47Z

← Older revision		Revision as of 20:45, 18 July 2019
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	\| ≤ 45\|\|0		\| ≤ 45\|\|0
	\|-		\|-
	! colspan="2" style="background: #ffdead;"\| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity)		! colspan="2" style="background: #ffdead;"\| Risk Factors (Hypercholesterolemia, Vascular Disease, Hypertension, Diabetes Mellitus, Smoking,Obesity)
	\|-		\|-
	\| ≥ 3 risk factors or history of atherosclerotic disease\|\|+2		\| ≥ 3 risk factors or history of atherosclerotic disease\|\|+2

Ostermayer at 20:42, 18 July 2019

2019-07-18T20:42:10Z

← Older revision		Revision as of 20:42, 18 July 2019
Line 1:		Line 1:
	*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><ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref>		*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><ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref><ref>Stopyra JP, Riley RF, Hiestand BC, et al. The HEART Pathway Randomized Controlled Trial One Year Outcomes. Acad Emerg Med. 2018</ref><ref>Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203.</ref>

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

Ostermayer at 20:40, 18 July 2019

2019-07-18T20:40:45Z

← Older revision		Revision as of 20:40, 18 July 2019
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	\| ≤ normal limit\|\|0		\| ≤ normal limit\|\|0
	\|}		\|}
	*'''0-3''': 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.		*'''0-3''': 0.9-1.7% 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.		*'''4-6''': 12-16.6% 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		*'''≥7''': 50-65% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology

	==References==		==References==

Rossdonaldson1 at 02:19, 27 February 2019

2019-02-27T02:19:02Z

← Older revision		Revision as of 02:19, 27 February 2019
Line 1:		Line 1:
	*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>		*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><ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref>

	*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''		*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''
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	==References==		==References==
	<references/>		<references/>
	~~<ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref>~~

	[[Category:Cardiology]]		[[Category:Cardiology]]

Streacycr: /* References */

2019-02-26T18:34:29Z

References

← Older revision		Revision as of 18:34, 26 February 2019
Line 53:		Line 53:
	==References==		==References==
	<references/>		<references/>
			<ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref>

	[[Category:Cardiology]]		[[Category:Cardiology]]

Mholtz at 16:26, 25 May 2017

2017-05-25T16:26:17Z

← Older revision		Revision as of 16:26, 25 May 2017
Line 50:		Line 50:
	*'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing.		*'''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		*'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology

			==References==
			<references/>

	[[Category:Cardiology]]		[[Category:Cardiology]]

Ostermayer at 03:30, 26 April 2017

2017-04-26T03:30:12Z

← Older revision		Revision as of 03:30, 26 April 2017
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	#~~REDIRECT~~[[~~ACS - Risk Stratification~~]]		*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

			[[Category:Cardiology]]

Kurtucla05: redirected heart score to acs risk stratification

2015-08-07T18:05:05Z

redirected heart score to acs risk stratification

New page

#REDIRECT[[ACS - Risk Stratification]]