The HEAR score can be used to evaluate a patient with chest pain without use of the serum troponin test. It can help to identify a low risk patient who may not require a complex evaluation.
HEART is an acronym for history, electrocardiogram, age, risk factors and troponin. The HEAR score is the HEART score sans Troponin, along with changes to the remaining parameters.
Parameters:
(1) history
(2) ECG changes at baseline
(3) age in years
(4) number of risk factors (diabetes, hypertension, cigarette smoking, hyperlipidemia, family history) and/or history of atherosclerotic disease
Parameter
Finding
Points
history
high suspicion
0
moderate suspicion
1
low suspicion
2
ECG changes
ST depression >= 0.5 mm
2
LBBB, RBBB, LVH or paced rhythm
1
normal or nonspecific
0
age in years
< 45 years
0
45 to 65 years
1
> 65 years
2
number of risk factors and history CAD
history of atherosclerotic disease
2
>= 3 risk factors
2
1 or 2
1
none of the above
0
HEAR score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• A HEAR score <= 1 indicates a very low risk for AMI.
HEAR Score
AMI, Death or Coronary Revascularization
0
0%
1
0.2%
2
0.3%
3
0.5%
4
1.6%
5
2.5%
6
5.4%
7
8%
8
23%
from Moumneh et al (2021)
To read more or access our algorithms and calculators, please log in or register.
