cardiology emergency-medicine
HEART Score (Chest Pain Risk)
Rapid risk stratification for chest pain patients in ED. Predicts 30-day MACE (death, MI, revascularisation). Guides safe discharge vs admission.
Used in: Acute Coronary Syndrome & Chest Pain
Score interpretation
Low risk (0-3): MACE < 2%
→ Safe early discharge; no serial troponins needed; outpatient follow-up; no further workup in ED
Moderate risk (4-6): MACE ~12-16%
→ Observe; serial troponins at 3h; stress testing or coronary imaging before discharge
High risk (7-10): MACE > 50%
→ Cardiology admission; invasive coronary angiography; early revascularisation
Interpretation bands for the HEART Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- HEART Score for Major Adverse Cardiac Events · Chest Pain
- EDACS — Emergency Department Assessment of Chest Pain · Chest Pain
- HEAR Score for Acute Chest Pain · Chest Pain
- ACTION ICU Score for Intensive Care in NSTEMI · Chest Pain
- Marburg Heart Score · Chest Pain
- INTERCHEST Clinical Prediction Rule · Chest Pain
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.