EpistemisHEART Score for Chest Pain in the Emergency Room
Stratifies the risk of major adverse cardiac event (MACE) at 6 weeks in patients who arrive at the emergency room with chest pain without diagnostic ST elevation. It is the tool that decides early discharge versus observation.
Required inputs
| Variable | Example value |
|---|---|
| Clinical history (pain history) | — |
| Electrocardiogram | — |
| Age | — |
| Risk factors (HTN, dyslipidemia, DM, obesity, smoking, family history). Known atherosclerosis counts as 2 | — |
| Troponin (relative to the upper limit of normal) | — |
Run the calculation in the app
This page explains the score but does not run it. In Epistemis, the calculator validates units, flags values outside physiological ranges, and provides the interpretation that a number alone cannot convey.
Epistemis is educational review material. It is not a medical device, does not diagnose or prescribe treatment, and does not replace formal medical training, current clinical guidelines, or professional clinical judgment.
- Specialty
- Cardiology
- Area
- Internal Medicine
- Variables
- 5