❤️ Marburg Heart Score (Chest Pain, CAD)
Estimate the likelihood of CAD in primary-care chest pain with the Marburg Heart Score.
Clinical takeaway
≤ 2 makes CAD unlikely (~2–3%).
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When to use
Rule out coronary disease as the cause of chest pain in outpatients.
How it works
Age/sex threshold, known vascular disease, pain worse on exertion, pain not reproducible by palpation, patient assumes cardiac cause — each 1 (0–5). ≤ 2 low.
Key points
- ≤ 2 makes CAD unlikely (~2–3%).
- Developed for primary care, not the ED.
- Does not replace ACS work-up in acute settings.
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.
| Female ≥ 65 or male ≥ 55 | No |
|---|---|
| Known CAD, cerebrovascular or peripheral artery disease | No |
| Pain worse with exercise | No |
| Pain NOT reproducible by palpation | Reproducible (0) |
| Patient assumes pain is cardiac | No |
→Marburg0/5
- Interpretation：≤ 2 — CAD unlikely (~2–3%)
- Note：Outpatient evaluation usually appropriate.
| Female ≥ 65 or male ≥ 55 | Yes (+1) |
|---|---|
| Known CAD, cerebrovascular or peripheral artery disease | Yes (+1) |
| Pain worse with exercise | Yes (+1) |
| Pain NOT reproducible by palpation | Not reproducible (+1) |
| Patient assumes pain is cardiac | Yes (+1) |
→Marburg5/5
- Interpretation：≥ 3 — higher likelihood of CAD
- Note：Consider further cardiac evaluation/referral.
Frequently asked questions
- What is Marburg Heart Score (Chest Pain, CAD)?
- Estimate the likelihood of CAD in primary-care chest pain with the Marburg Heart Score.
- How is Marburg Heart Score (Chest Pain, CAD) calculated? What is the core formula?
- Age/sex threshold, known vascular disease, pain worse on exertion, pain not reproducible by palpation, patient assumes cardiac cause — each 1 (0–5). ≤ 2 low.
- When is Marburg Heart Score (Chest Pain, CAD) used?
- Rule out coronary disease as the cause of chest pain in outpatients.
- What are the key clinical points for Marburg Heart Score (Chest Pain, CAD)?
- ≤ 2 makes CAD unlikely (~2–3%). Developed for primary care, not the ED. Does not replace ACS work-up in acute settings.
- What are the limits and cautions when using Marburg Heart Score (Chest Pain, CAD)?
- 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 Marburg Heart Score (Chest Pain, CAD) calculated in practice? Can you show a worked example?
- Inputs: Female ≥ 65 or male ≥ 55 No, Known CAD, cerebrovascular or peripheral artery disease No, Pain worse with exercise No, Pain NOT reproducible by palpation Reproducible (0), Patient assumes pain is cardiac No → Result: Marburg 0 /5（Interpretation: ≤ 2 — CAD unlikely (~2–3%), Note: Outpatient evaluation usually appropriate.） Inputs: Female ≥ 65 or male ≥ 55 Yes (+1), Known CAD, cerebrovascular or peripheral artery disease Yes (+1), Pain worse with exercise Yes (+1), Pain NOT reproducible by palpation Not reproducible (+1), Patient assumes pain is cardiac Yes (+1) → Result: Marburg 5 /5（Interpretation: ≥ 3 — higher likelihood of CAD, Note: Consider further cardiac evaluation/referral.）