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| *The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.PMID 18665203</ref><ref>Backus BE, Six AJ, Kelder JC, Bosschaert MA. et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8 PMID 2346525</ref><ref>Ljung L et al. A rule-out strategy based on high-sensitivity troponin and HEART score reduces hospital admissions. Ann Emerg Med 2019 Jan 17; [e-pub].</ref>
| | #REDIRECT [[Heart score calculator]] |
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| *'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''
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| {| class="wikitable"
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| | align="center" style="background:#f0f0f0;"|'''Criteria'''
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| | align="center" style="background:#f0f0f0;"|'''Point Value'''
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| |-
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| ! colspan="2" style="background: #ffdead;"| History
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| |-
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| | Highly Suspicious||+2
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| |-
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| | Moderately Suspicious||+1
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| |-
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| | Slightly Suspicious||0
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| |-
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| ! colspan="2" style="background: #ffdead;"| ECG
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| |-
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| | Significant ST-depression||+2
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| |-
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| | Non specific repolarisation disturbance||+1
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| |-
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| | Normal||0
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| |-
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| ! colspan="2" style="background: #ffdead;"| Age
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| |-
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| | ≥ 65||+2
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| |-
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| | 45-65||+1
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| |-
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| | ≤ 45||0
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| |-
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| ! colspan="2" style="background: #ffdead;"| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity)
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| |-
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| | ≥ 3 risk factors or history of atherosclerotic disease||+2
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| |-
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| | 1-2 risk factors||+1
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| |-
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| | No risk factors known||0
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| |-
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| ! colspan="2" style="background: #ffdead;"| Troponin
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| |-
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| | ≥ 3× normal limit||+2
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| |-
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| | 1-3× normal limit||+1
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| |-
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| | ≤ normal limit||0
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| |}
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| *'''0-3''': 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.
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| *'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing.
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| *'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology
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| ==References==
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| <references/>
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| [[Category:Cardiology]]
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