Chest pain
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📊 HEART Score Calculator [show]
HEART Score
| Criteria | Select One | ||
|---|---|---|---|
| History | Slightly suspicious (0) | Moderately suspicious (+1) | Highly suspicious (+2) |
| EKG | Normal (0) | Non-specific repolarization disturbance (+1) | Significant ST deviation (+2) |
| Age | <45 (0) | 45–64 (+1) | ≥65 (+2) |
| Risk Factors
HTN, hypercholesterolemia, DM, obesity (BMI >30), smoking, family hx CVD, or hx atherosclerotic disease |
No known risk factors (0) | 1–2 risk factors (+1) | ≥3 risk factors or hx atherosclerotic disease (+2) |
| Initial Troponin | ≤normal limit (0) | 1–3× normal limit (+1) | >3× normal limit (+2) |
| HEART Score | / 10 | ||
| 0–3 | Low Risk — 0.9–1.7% risk of MACE. Consider discharge with outpatient follow-up. |
|---|---|
| 4–6 | Moderate Risk — 12–16.6% risk of MACE. Consider admission for observation and further workup. |
| 7–10 | High Risk — 50–65% risk of MACE. Consider early invasive measures (cardiology consult, catheterization). |
| References |
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