HEART

HEART

Principle

Risk stratification of major cardiac events following chest pain in the emergency department.

Scope

Adult version, 2013 validation scoring system. First conventional troponin; no HEART Pathway, serial troponin protocol or automatic transposition to high-sensitivity assays. A score does not delay ACS management, particularly with ST elevation.

Interpretation limits

Stratification using the 2013 variant, without individual probability or discharge/admission decision. The score alone neither confirms nor excludes ACS; no HEART Pathway.

Formula and logic

HEART = H + E + A + R + T; each component scores 0, 1 or 2. Total 0–10.

Interpretation

0–3

Low cardiac event risk

4–6

Intermediate cardiac event risk

7–10

High cardiac event risk

Definition version : 0.3.0

Sources

• Backus BE et al. · International Journal of Cardiology — Validation prospective HEART — table 1, 2013

  2013-10-03 · Selected variant: age ≤ 45 / > 45–< 65 / ≥ 65; troponin ≤ 1× / > 1–< 3× / ≥ 3× normal limit. Classes 0–3 / 4–6 / 7–10.

• Copie de l’article primaire Backus 2013 — Texte et table 1 — barème vérifié

  2013 · Table 1 and methods reread on 5 October 2026. First troponin only; centres did not use high-sensitivity assays.

• Six AJ et al. · Netherlands Heart Journal — Publication initiale HEART — critères détaillés

  2008-06 · Definitions of risk factors and history. This older variant with a troponin threshold of 2× is not the calculated scoring system; versions are not mixed.