❤️ HEART Score (Chest Pain)
Risk-stratify emergency department chest pain with the HEART score.
HEART Score (Chest Pain)
History
ECG
Age
Risk factors
Troponin
When to use
Identify low-risk chest pain suitable for early discharge.
How it works
History, ECG, Age, Risk factors, Troponin each 0–2. 0–3 low, 4–6 moderate, 7–10 high risk of 6-week MACE.
Key points
- Outperforms TIMI/GRACE for undifferentiated ED chest pain.
- Best used as the HEART Pathway with serial high-sensitivity troponin.
- Low score (0–3) supports early discharge with follow-up.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.