HEART Score
6-week MACE risk in chest pain at presentation
HEART Score
6-week MACE risk in chest pain at presentation
History
ECG
Age
Risk factors
Troponin
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Source: 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.Open
Interpretation
- 0–3 — low — ≈ 1.7 % MACE at 6 weeks; early discharge is usually considered reasonable.
- 4–6 — moderate — ≈ 16.6 % MACE; admission for observation and further testing.
- 7–10 — high — ≈ 50.1 % MACE; early invasive strategy is usually considered.
These tools do not replace clinical judgement. Interpret the result in the context of the whole patient.