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HEART Score for Major Cardiac Events
Predicts 6-week risk of major adverse cardiac event.
History
Highly suspicious
+2
Moderately suspicious
+1
Slightly suspicious
0
EKG
Significant ST-depression
+2
Non specific repolarisation disturbance
+1
Normal
0
Age
≥ 65
+2
45-65
+1
≤ 45
0
Risk factors
Risk factors include:
Hypercholesterolemia
Hypertension
Diabetes Mellitus
Cigarette smoking
Positive family history
Obesity
≥ 3 risk factors or history of atherosclerotic disease
+2
1-2 risk factors
+1
No risk factors known
0
Troponin
≥ 3× normal limit
+2
1-3× normal limit
+1
≤ normal limit
+0
Interpretation
Source: Six AJ, Backus BE, Kelder JC. Chest pain in the emergency room: value of the HEART score.
Neth Heart J
. 2008;16(6):191-6.
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