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HEART

Risk stratification for chest pain in the emergency department

Clinical history0Slightly suspicious (atypical)+1Moderately suspicious (typical and atypical mixed)+2Highly suspicious (typical)

ECG0Normal+1Non-specific repolarization disturbance+2Significant ST depression or other ischaemic change

Age0< 45 years+145–64 years+2≥ 65 years

Cardiovascular risk factors0None+11 or 2 factors+2≥ 3 factors or known atherosclerotic disease

Troponin0≤ upper limit of normal+11–3× the upper limit of normal+2> 3× the upper limit of normal

References

Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191-196. PMID:18665203
Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168(3):2153-2158. PMID:23465250

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