HEART Score

Assessment & Plan Elements, Cardiovascular
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[comment memo=" HEART score calculation "]

History: [select name="Hx" value="Slightly suspicious 0=0|Moderately suspicious +1=1|Highly suspicious +2=2"]
EKG: [comment memo="1 point: No ST depression but LBBB, LVH, repolarization changes (ex: digoxin); 2 points: ST depression/elevation not due to LBBB, LVH, or digoxin "] [select name="EKG" value="Normal 0=0|Non-specific repolarization disturbance +1=1|Significant ST depression +2=2"]
Age: [select name="Age" value="Less than 45 0=0|45 to 65 +1=1|Greater than 65 +2=2"]
Risk factors: [comment memo=" Risk factors: HTN, hypercholesterolemia, DM, obesity (BMI >30 kg/m2), smoking (current, or smoking cessation ≤3 mo), positive family history (parent or sibling with CVD before age 65); atherosclerotic disease: prior MI, PCI/CABG, CVA/TIA, or peripheral arterial disease "] [select name="Rf" value="No known risk factors 0
=0|1-2 risk factors +1=1|3+risk factors or history of CAD=2"]
Initial troponin: [select name="Trop" value="Normal 0=0|1–2× normal limit +1=1|More than 2× normal limit +2=2"]

Score: [calc value="score=(Hx)+(EKG)+(Age)+(Rf)+(Trop)" memo="score"]

Score Interpretation:


[calc value="score=(Hx)+(EKG)+(Age)+(Rf)+(Trop); score>6?'50-65 percent risk of adverse cardiac event. In the HEART Score, these patients were candidates for early invasive measures':score>3?'12-16.6 percent risk of adverse cardiac event Admission advised':'0.9-1.7 percent risk of adverse cardiac event In the HEART Score these patients were discharged'"]
HEART score calculation

History:
EKG: 1 point: No ST depression but LBBB, LVH, repolarization changes (ex: digoxin); 2 points: ST depression/elevation not due to LBBB, LVH, or digoxin
Age:
Risk factors: Risk factors: HTN, hypercholesterolemia, DM, obesity (BMI >30 kg/m2), smoking (current, or smoking cessation ≤3 mo), positive family history (parent or sibling with CVD before age 65); atherosclerotic disease: prior MI, PCI/CABG, CVA/TIA, or peripheral arterial disease
Initial troponin:

Score: scorescore=(Hx)+(EKG)+(Age)+(Rf)+(Trop)

Score Interpretation:


score=(Hx)+(EKG)+(Age)+(Rf)+(Trop); score>6?'50-65 percent risk of adverse cardiac event. In the HEART Score, these patients were candidates for early invasive measures':score>3?'12-16.6 percent risk of adverse cardiac event Admission advised':'0.9-1.7 percent risk of adverse cardiac event In the HEART Score these patients were discharged'
Result - Copy and paste this output:

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