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HEART Score Guide — Chest Pain Risk Stratification

Calculate HEART score for emergency chest pain patients. Components, MACE risk bands, and shared decision-making.

Published June 1, 2025 · 1 min read

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HEART score for chest pain

The HEART score stratifies major adverse cardiac events (MACE) in emergency department patients with chest pain. It supports shared decisions about observation vs early discharge — not a substitute for troponin protocols.

Components

  • History — highly / moderately / slightly suspicious
  • ECG — significant ST deviation, non-specific, normal
  • Age — risk increases with age bands
  • Risk factors — hypertension, diabetes, smoking, etc.
  • Troponin — elevated vs normal at presentation

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Disclaimer: These calculators are educational aids only. They do not diagnose, treat, or replace licensed medical advice. Always follow local clinical protocols.

Sources & references

Primary references used when researching and fact-checking this guide. See our editorial methodology.

  1. — Adobe
    PDF password protection and encryption standards (ISO 32000).
  2. — Artifex Software
    Compression level behavior and PDF output settings.