❤️ HEART Score for Chest Pain
Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
Clinical takeaway
Low HEART + negative troponin pathway supports early discharge.
Loading calculator…
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
When to use
Disposition decisions in undifferentiated chest pain.
How it works
0–2 points each for History, ECG, Age, Risk factors and Troponin. 0–3 low, 4–6 moderate, 7–10 high MACE risk.
Key points
- Low HEART + negative troponin pathway supports early discharge.
- Combine with serial high-sensitivity troponin.
- Moderate/high scores warrant admission and further testing.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| History | Slightly suspicious (0) |
|---|---|
| ECG | Normal (0) |
| Age | < 45 (0) |
| Risk factors | None (0) |
| Troponin | ≤ normal (0) |
→HEART0/10
- Risk：Low (0–3): ~0.9–1.7% MACE
- Disposition：Often suitable for early discharge with appropriate troponin pathway.
| History | Highly suspicious (2) |
|---|---|
| ECG | Significant ST deviation (2) |
| Age | ≥ 65 (2) |
| Risk factors | ≥ 3 or known atherosclerosis (2) |
| Troponin | > 3× normal (2) |
→HEART10/10
- Risk：High (7–10): ~50–65% MACE
- Disposition：Early invasive strategy consideration.
Frequently asked questions
- What is HEART Score for Chest Pain?
- Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
- How is HEART Score for Chest Pain calculated? What is the core formula?
- 0–2 points each for History, ECG, Age, Risk factors and Troponin. 0–3 low, 4–6 moderate, 7–10 high MACE risk.
- When is HEART Score for Chest Pain used?
- Disposition decisions in undifferentiated chest pain.
- What are the key clinical points for HEART Score for Chest Pain?
- Low HEART + negative troponin pathway supports early discharge. Combine with serial high-sensitivity troponin. Moderate/high scores warrant admission and further testing.
- What are the limits and cautions when using HEART Score for Chest Pain?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- How is HEART Score for Chest Pain calculated in practice? Can you show a worked example?
- Inputs: History Slightly suspicious (0), ECG Normal (0), Age < 45 (0), Risk factors None (0), Troponin ≤ normal (0) → Result: HEART 0 /10（Risk: Low (0–3): ~0.9–1.7% MACE, Disposition: Often suitable for early discharge with appropriate troponin pathway.） Inputs: History Highly suspicious (2), ECG Significant ST deviation (2), Age ≥ 65 (2), Risk factors ≥ 3 or known atherosclerosis (2), Troponin > 3× normal (2) → Result: HEART 10 /10（Risk: High (7–10): ~50–65% MACE, Disposition: Early invasive strategy consideration.）