HEART Score

[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'"]

[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"]
reference: [link url="https://www.ncbi.nlm.nih.gov/pubmed/23465250" memo="#1"] Backus BE, Six AJ, Kelder JC, Bosschaert MA, Mast EG, Mosterd A, Veldkamp RF, Wardeh AJ, Tio R, Braam R, Monnink SH, van Tooren R, Mast TP, van den Akker F, Cramer MJ, Poldervaart JM, Hoes AW, Doevendans PA. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8.[/conditional]