HEART Score (chest pain)
HEART Score (chest pain) - a deterministic tool in Sophie Well's Clinical Scoring & Risk group.
Open the HEART Score (chest pain) → Runs in your browser. No signup, no tracking.
What this is
Score the HEART score for undifferentiated chest pain in the emergency department. Sophie Well sums the five items (History, ECG, Age, Risk factors, Troponin) on their 0-2 scales and returns the total (0-10) plus the conventional risk band - low (0-3), moderate (4-6), high (7-10) - that pairs with serial troponin to guide disposition. Source: Six AJ, Backus BE, Kelder JC. Neth Heart J 2008.
When to use it
Use HEART at the bedside in adult ED chest pain to triage between early discharge with outpatient follow-up, observation with serial troponin, and admission for early invasive workup. HEART is one input into MACE risk; institutional pathways (HEART Pathway, ADAPT) layer on serial high-sensitivity troponin and shared decision-making.
References
Six AJ, Backus BE, Kelder JC. HEART score. Neth Heart J. 2008;16(6):191-196.
Worked example: HEART 3 - low-risk band (~1.7% MACE at 6 weeks).
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.