Cardiology General Medicine
Marburg Heart Score
Estimates probability of cardiac chest pain in primary care settings.
Score interpretation
Low Probability — Cardiac Unlikely 0–2
MHS 0–2: Low probability of cardiac chest pain (~2.1%). Non-cardiac cause likely.
→ Consider musculoskeletal or other non-cardiac cause. Reassurance and symptomatic treatment.
High Probability — Cardiac Likely 3–5
MHS 3–5: High probability of cardiac chest pain (17.8–82.6%). Further cardiac evaluation warranted.
→ ECG, cardiac biomarkers. Consider stress testing or cardiology referral.
Interpretation bands for the MHS. Apply clinical judgement and local guidance.
References
- Bösner S et al. Chest pain in primary care: clinical features and diagnostic evaluation. BMJ Open. 2012;2(1):e000985.
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
- INTERCHEST Clinical Prediction Rule · Chest Pain
- Subtle Anterior STEMI Calculator (4-Variable) · 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.