Printed on 2/13/2026
For informational purposes only. This is not medical advice.
The HEART Score is a clinical decision tool used in emergency departments to rapidly risk-stratify patients presenting with chest pain. It evaluates five components — History, ECG, Age, Risk factors, and Troponin — each scored 0–2 points. It helps clinicians identify low-risk patients who may be safely discharged versus those requiring further workup.
Formula: HEART = History(0–2) + ECG(0–2) + Age(0–2) + Risk Factors(0–2) + Troponin(0–2)
Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.
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The HEART Score is a clinical prediction rule for risk-stratifying chest pain patients in the emergency department. HEART stands for History, ECG, Age, Risk factors, and Troponin. Each component is scored 0–2 for a maximum score of 10.
Score 0–3: Low risk (MACE rate 0.9–1.7%) — consider early discharge. Score 4–6: Moderate risk (MACE rate 12–16.6%) — observe and consider further testing. Score 7–10: High risk (MACE rate 50–65%) — early invasive strategy recommended.
Risk factors for HEART scoring include: hypertension, hypercholesterolemia, diabetes mellitus, obesity (BMI >30), smoking (current or quit ≤3 months), family history of CAD (first-degree relative <65), and known atherosclerotic disease.
Multiple validation studies show that patients with HEART scores 0–3 have a very low rate of MACE (0.9–1.7%) at 6 weeks. Many institutions use this as a basis for early discharge protocols. However, clinical judgment should always supplement scoring tools.