Heartscore Calculator
Calculate heartscore quickly with our cardiovascular system tool. Get results based on evidence-based formulas with clear explanations.
Reviewed by Rahul Singh, Health & Wellness Specialist
Formula
HEART Score = History + ECG + Age + Risk factors + Troponin (each 0-2, max 10)
Each of the five components is scored 0, 1, or 2 based on clinical assessment. Low risk (0-3): MACE ~1.7%, consider discharge. Intermediate (4-6): MACE ~16.6%, further workup. High (7-10): MACE >50%, invasive strategy.
Worked Examples
Example 1: Low-Risk Chest Pain Patient
Problem:A 42-year-old with atypical chest pain, normal ECG, 1 risk factor (hypertension), and normal troponin. Calculate HEART score.
Solution:H - History: 1 (moderately suspicious)\nE - ECG: 0 (normal)\nA - Age 42: 0 (< 45 years)\nR - Risk factors: 1 (1 risk factor)\nT - Troponin: 0 (normal)\nTotal HEART Score = 1 + 0 + 0 + 1 + 0 = 2
Result:HEART Score: 2 | Risk: Low | MACE Risk: 1.7% | Consider early discharge with follow-up
Example 2: High-Risk Chest Pain Patient
Problem:A 68-year-old with classic substernal pressure, ST depression on ECG, diabetes + hypertension + smoking, and troponin 5x normal.
Solution:H - History: 2 (highly suspicious classic ACS)\nE - ECG: 2 (significant ST deviation)\nA - Age 68: 2 (>= 65 years)\nR - Risk factors: 2 (3+ risk factors)\nT - Troponin: 2 (> 3x normal)\nTotal HEART Score = 2 + 2 + 2 + 2 + 2 = 10
Result:HEART Score: 10 | Risk: High | MACE Risk: >50% | Admit, early invasive strategy, cardiology consult
References
Reviewed by Rahul Singh, Health & Wellness Specialist · Editorial policy