HEART Score

Chest pain risk stratification — 14-day MACE prediction

H — History

0 pts

Slightly suspicious0Moderately suspicious1Highly suspicious (pressure, radiation, exertion, diaphoresis, nausea)2

E — ECG

0 pts

Normal0Non-specific repolarization disturbance (LBBB, LVH, early repolarization, paced)1Significant ST deviation (new ST depression/elevation ≥1mm, T-wave inversion)2

A — Age

0 pts

< 45 years045–64 years1≥ 65 years2

R — Risk Factors

0 pts

No known risk factors01–2 risk factors (HTN, hyperlipidemia, DM, obesity BMI>30, smoking, family history)1Known atherosclerotic disease (prior MI, PCI, CABG, stroke, PAD)2

T — Troponin

0 pts

≤ normal limit01–3× normal limit1> 3× normal limit2

0/10Low Risk

0.9–1.7% MACE

Consider early discharge with outpatient follow-up.

In clinical review. This calculator follows the published score, but our clinical review hasn’t signed off on this implementation yet. Verify every result against the primary source before acting on it.

For clinical decision support only. Does not replace provider judgment. Verify all scores before acting on results.

Curriculum

Ordered role-based learning

Readiness

What each role should master

Topic Hubs

Clinical resource library

Clinical Tools

Calculators & workflows

EKG Trainer

Practice bank & rapid-fire games

Quick References

Printable one-page refreshers

Patient Education

Patient-facing handouts

Team Resources

Nurse / MA workflows

Spanish / Communication

Language & interpreter safety

Progress About Privacy Terms

ClearRounds Health is for educational and clinical decision support use only. Not medical advice. It does not replace provider judgment or institutional protocols. No PHI should be entered.

ClearRounds Health · Cardiology — the first of more specialties to come

An independent project · Built by Tomas Myers, PA-C · Amarillo, Texas