Cardiovascular
HEART score
Five-component ED chest-pain risk score.
Intended population: Adults evaluated in an ED for possible ACS, after ECG and troponin assessment.
- Not for STEMI or clinical instability. Do not delay urgent care to calculate a score.
- HEART alone is not the HEART Pathway and does not rule out ACS or determine discharge. Apply an assay-specific validated pathway.
Adult ED chest-pain demonstration. Do not use for STEMI or to delay care for instability. HEART alone does not rule out ACS or determine discharge; use the full clinical assessment and an assay-specific validated pathway.
Sources and scoring references
HEART study group scoring reference ↗Original HEART study ↗Implementation references reviewed October 28, 2026. Verify applicability and unusual or treatment-changing results against the linked references and local guidance.