Risk stratify patients with chest pain for Major Adverse Cardiac Events (MACE).
HEART Criteria
Risk Stratification
Select the patient's criteria to calculate the HEART score.
About this calculator
Overview
The HEART score is a clinical decision tool used to risk stratify patients presenting to the emergency department with chest pain. It predicts the likelihood of a Major Adverse Cardiac Event (MACE) within six weeks.
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Pro Tips
History is subjective; 'highly suspicious' refers to classic stable angina or acute coronary syndrome symptoms.
Risk factors count as 3 or more if the patient has a known history of coronary artery disease.
Troponin levels should be compared against your local lab's upper limit of normal (ULN).
Always use clinical judgment in conjunction with the HEART score.
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Fun Facts
"MACE stands for Major Adverse Cardiac Event, which includes Myocardial Infarction, PCI, CABG, or death."
"The HEART score was developed in the Netherlands and has been validated in multiple large-scale studies."
"A score of 0-3 is often considered safe for discharge with follow-up, depending on clinical judgment."
"The 'Risk Factors' criteria include hypertension, hypercholesterolemia, diabetes, obesity, smoking, and family history."
Formula: HEART = History + ECG + Age + Risk Factors + Troponin
