/HEART Score for MACE

HEART Score for MACE

Predicts 6-week risk of major adverse cardiac event

Total Score

0

Low Risk (0.9-1.7%). Discharge may be considered.

03Low
46Moderate
720+High

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.

Yasal Uyarı: Bu platformdaki klinik skorlamalar ve algoritmalar yalnızca sağlık profesyonellerini bilgilendirme amaçlıdır. Herhangi bir kesin tıbbi teşhis, tedavi veya klinik karar yerine geçemez. Nihai karar ve sorumluluk hastayı yatak başında değerlendiren hekime aittir.

Clinical Overview

The HEART score (History, ECG, Age, Risk factors, Troponin) is a specific scoring system designed to stratify the risk of emergency patients presenting with acute chest pain. Compared to TIMI and GRACE scores, it is specifically tailored for the ED population, allowing safe discharge of low-risk patients.

Clinical Pearl

The 'History' parameter is subjective but the most critical. Be cautious when assigning a low history score to elderly or diabetic patients with atypical presentations (silent ischemia). Never discharge a high-risk history patient based on a single negative troponin.

Pitfalls & Warnings

  • Not for use in patients with acute ST-elevation myocardial infarction (STEMI); they require immediate angiography.
  • Dynamic ECG changes indicate high risk regardless of the total score.

Academic References

Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score. Neth Heart J. 2008;16(6):191-196.

Backus BE, Six AJ, Kelder JC, et al. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013;168(3):2153-2158.

Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.