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Template:HEART Score
From WikEM
- The score has been derived and validated in an ED population and predicts 6 week adverse cardiac events[1][2]
- Low risk patients have a score 0-3 and have a less than 2% risk of MACE at 6 weeks.
| Criteria | Point Value |
| History | |
|---|---|
| Highly Suspicious | +2 |
| Moderately Suspicious | +1 |
| Slightly Suspicious | 0 |
| ECG | |
| Significant ST-depression | +2 |
| Non specific repolarisation disturbance | +1 |
| Normal | 0 |
| Age | |
| ≥ 65 | +2 |
| 45-65 | +1 |
| ≤ 45 | 0 |
| Risk Factors (Hypercholesterolemia, Hypertension, Diabetes Mellitus, Smoking,Obesity) | |
| ≥ 3 risk factors or history of atherosclerotic disease | +2 |
| 1-2 risk factors | +1 |
| No risk factors known | 0 |
| Troponin | |
| ≥ 3× normal limit | +2 |
| 1-3× normal limit | +1 |
| ≤ normal limit | 0 |
- 0-3: 2.5% risk of adverse cardiac event. Patient's can be discharged with follow-up.
- 4-6: 20.3% risk of adverse cardiac event. Patients should be admitted to the hospital for trending of troponin and provocative testing.
- ≥7: 72.7% risk of adverse cardiac event, suggesting early invasive measures with these patients and close coordination with inpatient cardiology
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