❤️ Marburg Heart Score (Chest Pain, CAD)
UseRule out coronary disease as the cause of chest pain in outpatients.
SourceBösner S, et al. CMAJ 2010
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.
Methodology · worked example, guidelines & full notes
≤ 2 makes CAD unlikely (~2–3%).
When to use
Rule out coronary disease as the cause of chest pain in outpatients.
How it works
Age/sex threshold, known vascular disease, pain worse on exertion, pain not reproducible by palpation, patient assumes cardiac cause — each 1 (0–5). ≤ 2 low.
Key points
- ≤ 2 makes CAD unlikely (~2–3%).
- Developed for primary care, not the ED.
- Does not replace ACS work-up in acute settings.
References
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.
| Female ≥ 65 or male ≥ 55 | No |
|---|---|
| Known CAD, cerebrovascular or peripheral artery disease | No |
| Pain worse with exercise | No |
| Pain NOT reproducible by palpation | Reproducible (0) |
| Patient assumes pain is cardiac | No |
→Marburg0/5
- Interpretation：≤ 2 — CAD unlikely (~2–3%)
- Note：—
| Female ≥ 65 or male ≥ 55 | Yes (+1) |
|---|---|
| Known CAD, cerebrovascular or peripheral artery disease | Yes (+1) |
| Pain worse with exercise | Yes (+1) |
| Pain NOT reproducible by palpation | Not reproducible (+1) |
| Patient assumes pain is cardiac | Yes (+1) |
→Marburg5/5
- Interpretation：≥ 3 — higher likelihood of CAD
- Note：≤2: CAD unlikely; ≥3: likelihood increased (sensitivity 87.1%, specificity 80.8% in the original study).
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Marburg Heart Score (Chest Pain, CAD)?
- 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 Marburg Heart Score (Chest Pain, CAD) 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 Marburg Heart Score (Chest Pain, CAD) calculated in practice? Can you show a worked example?
- Inputs: Female ≥ 65 or male ≥ 55 No, Known CAD, cerebrovascular or peripheral artery disease No, Pain worse with exercise No, Pain NOT reproducible by palpation Reproducible (0), Patient assumes pain is cardiac No → Result: Marburg 0 /5（Interpretation: ≤ 2 — CAD unlikely (~2–3%), Note: —） Inputs: Female ≥ 65 or male ≥ 55 Yes (+1), Known CAD, cerebrovascular or peripheral artery disease Yes (+1), Pain worse with exercise Yes (+1), Pain NOT reproducible by palpation Not reproducible (+1), Patient assumes pain is cardiac Yes (+1) → Result: Marburg 5 /5（Interpretation: ≥ 3 — higher likelihood of CAD, Note: ≤2: CAD unlikely; ≥3: likelihood increased (sensitivity 87.1%, specificity 80.8% in the original study).）