HEART Score Chest Pain | Medical Algorithm

Are you evaluating an adult in the ED with chest pain?

Yes

Age of the patient

years

Gender of the patient

Male

Female

Initial serum troponin

ng/mL

Cutoff for the troponin assay (0.8 in the original study)

ng/mL

Serum troponin at 2 hours after presentation

ng/mL

Does/Is the patient?

• have a history of coronary artery disease?

Yes

• have diabetes?

Yes

• have hypertension?

Yes

• have dyslipidemia?

Yes

• have a family history of heart disease?

Yes

• obese?

Yes

• smoke cigarettes?

Yes

Select an appropriate answer for each finding

Chest pain

ECG changes

Serial ECG changes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Delta troponin at 2 hours

Weighted HEART score

S3 subscore

Total HEARTS3 score

Incidence of acute myocardial infarction

Incidence of 30 day ACS

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- HEART Score for Evaluating Patient with Chest Pain
- Algorithm for Evaluating a Patient with Chest Pain
Laboratory Tests
- Prognostic Factors of Diderholm et al for a Patient with Unstable Coronary Artery Disease
- Manchester Acute Coronary Syndromes (MACS) Rule of Body et al for a Patient with Acute Chest Pain
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
Differential Diagnosis And Mimics, Red Flags
- Algorithm for Evaluating a Patient with Chest Pain
- Chest Pain Score for Evaluating Patient with Spontaneous Chest Pain

Therapy

Selection

Monitoring

Disease Progression
- Prognostic Scores | Acute Coronary Syndromes (ACS)
Complication Detection
- Algorithm for Evaluating a Patient with Chest Pain
- Prognostic Scores | Acute Coronary Syndromes (ACS)

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10

Modified HEART and HEARTS3 Scores (Erlanger Scores)

Purpose: To evaluate an adult in the Emergency Department with chest pain using the modified HEART and HEARTS3 scores of Fesmire et al.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Therapy

Monitoring

Specialty

Objective

ICD-10