Clinical calculator · Slice 2
HEART score for ACS · 5 criteria · 1 patient encounter per session

HEART score for chest pain.

Score five bedside criteria on a 0–2 scale. Total, risk band, and six-week MACE update live — then copy or print a clean clinical summary alongside the Wells score for a coherent chest-pain workup.

HEART criteria
Choose the score (0, 1, or 2) matching the documentation on this encounter. Total updates live; stratify against the six-week MACE bands.
History

Anginal nature of the symptoms.

Specificity rises with reproducible, exertional, substernal chest discomfort.

ECG

Findings on the initial 12-lead.

ST depression, transient ST elevation, or new T-wave inversion in contiguous leads all qualify.

Age

Years at presentation.

Risk factors

Documented atherosclerotic risk factors or established CAD.

HTN, dyslipidemia, diabetes mellitus, obesity, smoking, or family history of CAD; established CAD includes prior MI, PCI, or CABG.

Initial troponin

First troponin drawn on this encounter.

Use the institutional high-sensitivity assay cutoff if available; the 99th-percentile URL is the standard reference.

Live total0/ 10
HEART score for chest pain
Low risk
Population-level estimate — risk-stratify with imaging and clinical gestalt.
0.0Total

Pre-test probability: ~1.7%

Criteria

  • History0.0 pt
  • ECG0.0 pt
  • Age0.0 pt
  • Risk factors0.0 pt
  • Initial troponin0.0 pt

Notes

6-week MACE
~1.7%
Recommendation
Discharge with outpatient follow-up
Not persisted — refreshing clears the result.

Informational only. Not a substitute for clinical judgement. Not a patient record — HEART scores are not persisted; a refresh clears the result. Population-level six-week MACE estimates; always pair with serial troponins, ECG, and clinical gestalt.