HEART Pathway (Early Discharge in Chest Pain)
HEART Pathway (Mahler 2015): the HEART score plus 0- and 3-hour troponins; a HEART ≤ 3 with both troponins non-elevated identifies an early-discharge candidate (~0.9–2% 30-day MACE).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- HEART score
- 2
- 0-hour troponin elevated
- No
- 3-hour troponin elevated
- No
Result: Low risk (HEART 2 and both troponins non-elevated): early-discharge candidate (~0.9-2% 30-day MACE).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Low risk
- HEART score 0-3 AND a non-elevated troponin at 0 h and 3 h: early-discharge candidate (~0.9-2% 30-day MACE).
- Not low risk
- HEART score >= 4 or any elevated troponin: further observation / testing. A disposition-support rule, not an admission or discharge order.
What you enter
- HEART score (0–10)
- 0-hour troponin elevated
- 3-hour troponin elevated
How this is calculated
Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circ Cardiovasc Qual Outcomes. 2015;8(2):195-203. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.