⚕️ For clinical reference only. Not a substitute for professional judgment.

HEART Score Chest Pain

History, ECG, Age, Risk factors, Troponin — predicts 6-week major adverse cardiac event (MACE) risk in chest pain.

—

Complete all 5 components

Score each of the 5 components to calculate 6-week MACE risk.

H — History

E — ECG

A — Age

R — Risk Factors

T — Troponin

6-Week MACE Risk

Score 0–3: Low risk (~2%) → Consider safe early discharge Score 4–6: Moderate risk (~12%) → Observe, serial troponins Score 7–10: High risk (~65%) → Early invasive strategy

When to use

Undifferentiated chest pain in ED — combined with hs-troponin pathway
HEART ≤3: validated for safe early discharge in multiple studies
HEART ≥7: cardiology review and early angiography
Does not replace clinical judgment or troponin kinetics

References

Backus BE et al. A prospective validation of the HEART score. Eur Heart J Acute Cardiovasc Care. 2013.