❤️ Marburg Heart Score (Chest Pain, CAD)
Estimate the likelihood of CAD in primary-care chest pain with the Marburg Heart Score.
Marburg Heart Score (Chest Pain, CAD)
Female ≥ 65 or male ≥ 55
Known CAD, cerebrovascular or peripheral artery disease
Pain worse with exercise
Pain NOT reproducible by palpation
Patient assumes pain is cardiac
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.