HEART Score for Chest Pain — free guideline decision tool
Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| History | Moderately suspicious (1) |
|---|---|
| ECG | Non-specific repolarisation (1) |
| Age | 45–64 (1) |
| Risk factors | 1–2 (1) |
| Troponin | 1–3× normal (1) |
→HEART5/10
- Risk：[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
- Disposition：Admit/observe with serial troponin.
| History | Slightly suspicious (0) |
|---|---|
| ECG | Normal (0) |
| Age | < 45 (0) |
| Risk factors | None (0) |
| Troponin | ≤ normal (0) |
→HEART0/10
- Risk：[Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
- Disposition：Disposition [Pending update]
Common questions
What is HEART Score for Chest Pain?
Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
How is HEART Score for Chest Pain calculated? What is the core formula?
0–2 points each for History, ECG, Age, Risk factors and Troponin. Same five HEART domains (0–2 each). MACE usually means death, MI or coronary revascularisation within 6 weeks.
When is HEART Score for Chest Pain used?
Disposition decisions in undifferentiated chest pain.
How should HEART Score for Chest Pain results be interpreted?
Moderate/high scores need further evaluation. [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text.
What are the key clinical points for HEART Score for Chest Pain?
Disposition for low HEART [Pending update]. Combine with serial high-sensitivity troponin. Moderate/high scores warrant admission and further testing.
What are the limits and cautions when using HEART Score for Chest Pain?
Serial troponin is required to exclude acute MI. Clinical judgement and dynamic change outweigh a single score. Troponin assay ULN and timing must match the local pathway. For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does HEART Score for Chest Pain upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is HEART Score for Chest Pain calculated in practice? Can you show a worked example?
Inputs: History Moderately suspicious (1), ECG Non-specific repolarisation (1), Age 45–64 (1), Risk factors 1–2 (1), Troponin 1–3× normal (1) → Result: HEART 5 /10（Risk: [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text., Disposition: Admit/observe with serial troponin.） Inputs: History Slightly suspicious (0), ECG Normal (0), Age < 45 (0), Risk factors None (0), Troponin ≤ normal (0) → Result: HEART 0 /10（Risk: [Pending update] Some thresholds, grades and management recommendations on this page that conflict with current guidelines or are unverified are temporarily hidden pending verification against the guideline text., Disposition: Disposition [Pending update]）
Run HEART Score for Chest Pain now
Risk-stratify ED chest pain for major adverse cardiac events with the HEART score.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.