Emergency medicine · Chest pain risk
HEART Score
Record the five HEART elements for an adult presenting with undifferentiated chest pain in an appropriate emergency-department pathway.
Patient factors
Select one answer per row
Private by design. Values are calculated on this device and are not saved or sent to analytics.
Result
Complete all factors
The score and its interpretation band will appear here.
Evidence packet
What this tool is based on
This versioned record keeps the citations, equation or decision rule, units, test coverage, intended population, and exclusions attached to the tool.
How evidence review works →Adults presenting to an emergency department with undifferentiated chest pain when the HEART score is embedded in a validated acute-coronary-syndrome pathway.
Five 0–2 point domains: history, ECG, age, atherosclerotic risk factors, and troponin relative to the assay reference limit; total range 0–10.
Age is categorized in years; troponin is categorized as a multiple of the assay upper reference limit; other domains are categorical.
All five domains, age boundaries, troponin multiples, known atherosclerotic disease, 0–10 total, and three published score bands.
Do not skip
Limitations and exclusions
- Does not diagnose or exclude acute coronary syndrome.
- History and ECG categories require clinician assessment.
- Troponin scoring depends on the assay-specific upper reference limit and the validated pathway.
- Do not substitute a one-time score for serial ECGs, serial biomarkers, instability assessment, or immediate treatment of an obvious emergency.
One clearly labeled, contextually relevant sponsor may support this reference area. Sponsorship will never interrupt inputs, obscure results, influence formulas, or imply clinical endorsement.
About this tool
HEART Score Calculator for Chest Pain
Use this HEART score calculator to record the five published elements used in acute chest-pain risk assessment while keeping each selected criterion visible.
The result belongs inside a validated chest-pain pathway with serial ECGs and biomarkers. It does not diagnose or independently exclude acute coronary syndrome.