❤️ HEART Score for Chest Pain
Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
HEART Score for Chest Pain
History
ECG
Age
Risk factors
Troponin
When to use
Disposition decisions in undifferentiated chest pain.
How it works
0–2 points each for History, ECG, Age, Risk factors and Troponin. 0–3 low, 4–6 moderate, 7–10 high MACE risk.
Key points
- Low HEART + negative troponin pathway supports early discharge.
- Combine with serial high-sensitivity troponin.
- Moderate/high scores warrant admission and further testing.
References
Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.