HEART Score Sponsored Advertising placement HEART Score Clinical Decision Tool Risk-stratifies adults with suspected acute coronary syndrome using history, ECG, age, risk factors and troponin. History i History × Select the clinician-assessed degree of suspicion for acute coronary syndrome. Slightly suspicious 0 Moderately suspicious +1 Highly suspicious +2 Select the clinician-assessed degree of suspicion for acute coronary syndrome. ECG i Ecg × Select the applicable ECG category. Normal 0 Non-specific repolarisation disturbance +1 Significant ST-segment depression +2 Select the applicable ECG category. Age i Age × Enter age in completed years. years Enter age in completed years. Risk Factors i Risk Factors × Recognised factors include hypertension, hypercholesterolaemia, diabetes, obesity, smoking and family history of coronary artery disease. No recognised risk factors 0 One or two recognised risk factors +1 Three or more risk factors, or known atherosclerotic disease +2 Recognised factors include hypertension, hypercholesterolaemia, diabetes, obesity, smoking and family history of coronary artery disease. Troponin Relative to Local Upper Reference Limit i Troponin × Use the assay-specific local upper reference limit. At or below the upper reference limit 0 More than 1 to 3 times the upper reference limit +1 More than 3 times the upper reference limit +2 Use the assay-specific local upper reference limit. Calculate HEART Score Clear Calculator ☆ Log in to save Save this calculator to your MDPDA account. + Add to Toolkit Log in to save incomplete calculator progress and return later. Log in to save progress Clinical Decision Support Only MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress. Read our Clinical Disclaimer Sponsored Advertising placement