Ostermayer at 06:05, 22 March 2026

2026-03-22T06:05:39Z

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	*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.PMID 18665203</ref><ref>Backus BE, Six AJ, Kelder JC, Bosschaert MA. et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8 PMID 2346525</ref>		*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.PMID 18665203</ref><ref>Backus BE, Six AJ, Kelder JC, Bosschaert MA. et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8 PMID 2346525</ref>

	*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''		{{HEART Score Calculator}}

	{~~\| class="wikitable"~~
	~~\| align="center" style="background:#f0f0f0;"\|'''Criteria'''~~
	~~\| align="center" style="background:#f0f0f0;"\|'''Point Value'''~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| History~~
	\|-
	~~\| Highly Suspicious\|\|+2~~
	\|-
	~~\| Moderately Suspicious\|\|+1~~
	\|-
	~~\| Slightly Suspicious\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| ECG~~
	\|-
	~~\| Significant ST-depression\|\|+2~~
	\|-
	~~\| Non specific repolarisation disturbance\|\|+1~~
	\|-
	~~\| Normal\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| Age~~
	\|-
	~~\| ≥ 65\|\|+2~~
	\|-
	~~\| 45-65\|\|+1~~
	\|-
	~~\| ≤ 45\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity)~~
	\|-
	~~\| ≥ 3 risk factors or history of atherosclerotic disease\|\|+2~~
	\|-
	~~\| 1-2 risk factors\|\|+1~~
	\|-
	~~\| No risk factors known\|\|0~~
	\|-
	~~! colspan="2" style="background: #ffdead;"\| Troponin~~
	\|-
	~~\| ≥ 3× normal limit\|\|+2~~
	\|-
	~~\| 1-3× normal limit\|\|+1~~
	\|-
	~~\| ≤ normal limit\|\|0~~
	\|}
	*'''0-3''': 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.
	*'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing.
	*'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology

Ostermayer: Created page with "*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac eventsSix AJ, Backus BE, Kelder JC. Chest pain in the emergency room: va..."

2017-04-26T03:29:34Z

Created page with "*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: va..."

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*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events<ref>Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008 Jun;16(6):191-6.PMID 18665203</ref><ref>Backus BE, Six AJ, Kelder JC, Bosschaert MA. et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8 PMID 2346525</ref>

*'''Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.'''

{| class="wikitable"
| align="center" style="background:#f0f0f0;"|'''Criteria'''
| align="center" style="background:#f0f0f0;"|'''Point Value'''
|-
! colspan="2" style="background: #ffdead;"| History
|-
| Highly Suspicious||+2
|-
| Moderately Suspicious||+1
|-
| Slightly Suspicious||0
|-
! colspan="2" style="background: #ffdead;"| ECG
|-
| Significant ST-depression||+2
|-
| Non specific repolarisation disturbance||+1
|-
| Normal||0
|-
! colspan="2" style="background: #ffdead;"| Age
|-
| ≥ 65||+2
|-
| 45-65||+1
|-
| ≤ 45||0
|-
! colspan="2" style="background: #ffdead;"| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity)
|-
| ≥ 3 risk factors or history of atherosclerotic disease||+2
|-
| 1-2 risk factors||+1
|-
| No risk factors known||0
|-
! colspan="2" style="background: #ffdead;"| Troponin
|-
| ≥ 3× normal limit||+2
|-
| 1-3× normal limit||+1
|-
| ≤ normal limit||0
|}
*'''0-3''': 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.
*'''4-6''': 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of [[troponin]] and provocative testing.
*'''≥7''': 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology

Template:HEART Score - Revision history

Ostermayer at 06:05, 22 March 2026

Ostermayer: Created page with "*The score has been derived and validated in an ED population and predicts 6 week adverse cardiac eventsSix AJ, Backus BE, Kelder JC. Chest pain in the emergency room: va..."