Template:HEART Score Calculator

Interactive HEART Score calculator for major cardiac events in chest pain patients. Requires the calculator gadget.

Usage: {{HEART Score Calculator}}

HEART Score

HEART Score Calculator
Criteria Select One
History Slightly suspicious (0) Moderately suspicious (+1) Highly suspicious (+2)
EKG Normal (0) Non-specific repolarization disturbance (+1) Significant ST deviation (+2)
Age <45 (0) 45–64 (+1) ≥65 (+2)
Risk Factors

HTN, hypercholesterolemia, DM, obesity (BMI >30), smoking, family hx CVD, or hx atherosclerotic disease

No known risk factors (0) 1–2 risk factors (+1) ≥3 risk factors or hx atherosclerotic disease (+2)
Initial Troponin ≤normal limit (0) 1–3× normal limit (+1) >3× normal limit (+2)
HEART Score / 10
Interpretation
0–3 Low Risk — 0.9–1.7% risk of MACE. Consider discharge with outpatient follow-up.
4–6 Moderate Risk — 12–16.6% risk of MACE. Consider admission for observation and further workup.
7–10 High Risk — 50–65% risk of MACE. Consider early invasive measures (cardiology consult, catheterization).
References
  • Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191-196. PMID 18665203.
  • Backus BE, Six AJ, Kelder JC, et al. Prospective validation of the HEART score for chest pain patients. Int J Cardiol. 2013;168(3):2153-2158. PMID 23465250.
  • Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203. PMID 25737484.