HEART score for chest pain in the emergency department

Current versionCardiac·5 inputs·2 references

Based on Six AJ et al. (2008).

Pogosh offers this calculator when a case matches angina, heart attack, coronary artery disease. It runs only when you press Calculate.

Decision support for clinicians — review before acting.

History

ECG

Ageyears

Risk factors (diabetes, current or recent smoking, hypertension, hypercholesterolaemia, family history of CAD, obesity)

Initial troponin

Runs only when you press Calculate. Values are not stored.

References

Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16:191-196. PMID 18665203; PMC2442661. PubMed 18665203
Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168:2153-2158. PMID 23465250. PubMed 23465250

Implementation notes

Six 2008 prints both "45-65" and "≥65", so age 65 scores 2 here. Six 2008 gives no BMI cut-off for obesity. The paper uses a single troponin at presentation; serial-troponin pathways (e.g. HEART pathway) are not part of this score.

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