Short-term MACE risk in chest pain patients in the emergency department
Overview
The HEART score was developed to identify chest pain patients at low risk for MACE (major adverse cardiac events) who may be safely discharged from the ED without further workup.
LBBB, LVH with strain, non-specific ST/T changes = 1 pt
Risk factors: HTN, hypercholesterolemia, DM, obesity, smoking, family history
Live Score:0/ 10
HEART Score
0
β
β
HEART Score Risk Stratification
Score
Risk
6-Week MACE Risk
Management
0β3
Low
~1.7%
Early discharge, outpatient follow-up
4β6
Moderate
~12%
Observation, serial troponins, possible stress test
7β10
High
~65%
Admission, early invasive strategy
Total = H + E + A + R + T (each 0β2 points) Maximum score = 10
Clinical Notes:
β’ Low HEART (0β3): safe for rapid discharge in many protocols with single negative troponin
β’ Validated for chest pain presentations in the ED
β’ Does not replace physician clinical judgment
β’ HEART Pathway combines HEART score with serial troponins for accelerated discharge
βοΈ For use by qualified healthcare professionals only. Not a substitute for clinical judgment.
