Marburg Heart Score (CAD in Primary-Care Chest Pain)

Marburg Heart Score (0–5) ruling coronary artery disease in or out as the cause of chest pain in primary care; ≤ 2 makes CAD unlikely.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Female ≥ 65 or male ≥ 55
Yes
Known vascular disease
Yes
Pain worse with exercise
Yes

Result: Marburg Heart Score 3 — higher risk (≈ 23%), warrants further evaluation.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Bands
0–2 CAD unlikely (≈ 3%; high negative predictive value); ≥ 3 (≈ 23%) warrants further evaluation. A primary-care rule-out aid.

What you enter

  • Female ≥ 65 or male ≥ 55
  • Known vascular disease
  • Pain worse with exercise
  • Pain NOT reproducible by palpation
  • Patient assumes the pain is cardiac
How this is calculated
Criteria
five, each 1 point: female ≥ 65 or male ≥ 55, known vascular disease, pain worse with exercise, pain not reproducible by palpation, patient assumes the pain is cardiac.

Bösner S, Haasenritter J, Becker A, et al. Ruling out coronary artery disease in primary care: development and validation of a simple prediction rule. CMAJ. 2010;182(12):1295-1300. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.