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❤️ HEART Pathway (Chest Pain)

UseWhen to use: non-STEMI ED chest pain using HEART plus serial troponins.

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StrataEligible → shared decision early discharge; else observe/admit per HEART band.

LimitsWhen not to use: STEMI, instability, or clear non-ACS emergencies nee… · Pitfall: discharging HEART ≤3 with incomplete serial Tn. · Follow local hs-Tn deltas.

SourceMahler SA et al. HEART Pathway literature

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Scene next step
📋ED chest pain / ACSOpen scene pack →
Related scores
Matching pathway
🧭stemiOpen pathway →
Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

HEART + serial Tn.

When to use

When to use: non-STEMI ED chest pain using HEART plus serial troponins.

How it works

HEART ≤3 AND negative serial troponins → early-discharge eligible.

Key points

  • HEART + serial Tn.
  • ≤3 + neg Tn = early DC cue.
  • Next: HEART score / EDACS / GRACE.

References

  • Mahler SA et al. HEART Pathway literature

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.

HistoryModerately suspicious (1)
ECGNon-specific repolarisation (1)
Age45–64 (1)
Risk factors1–2 (1)
Initial troponin (HEART T component)1–3× normal (1)
Serial troponin pathway (0 & 3 h) both negative / non-rising per local assay?Yes — both negative / acceptable delta

→HEART PathwayNot early-discharge

  • HEART：5 /10
  • Reason：HEART ≥4 — observe / admit / further testing
HistorySlightly suspicious (0)
ECGNormal (0)
Age< 45 (0)
Risk factorsNone (0)
Initial troponin (HEART T component)≤ normal (0)
Serial troponin pathway (0 & 3 h) both negative / non-rising per local assay?Yes — both negative / acceptable delta

→HEART PathwayEarly discharge eligible

  • HEART：0 /10
  • Serial Tn：Negative / acceptable
Verification & sources · governance
FAQ

Frequently asked questions

Does HEART Pathway (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 Pathway (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), Initial troponin (HEART T component) 1–3× normal (1), Serial troponin pathway (0 & 3 h) both negative / non-rising per local assay? Yes — both negative / acceptable delta → Result: HEART Pathway Not early-discharge（HEART: 5 /10, Reason: HEART ≥4 — observe / admit / further testing） Inputs: History Slightly suspicious (0), ECG Normal (0), Age < 45 (0), Risk factors None (0), Initial troponin (HEART T component) ≤ normal (0), Serial troponin pathway (0 & 3 h) both negative / non-rising per local assay? Yes — both negative / acceptable delta → Result: HEART Pathway Early discharge eligible（HEART: 0 /10, Serial Tn: Negative / acceptable）
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