TABLE 3.
Modified HEART Scores and EDACS Data Components
| HEART Score Components Low risk: 0–3 points; non–low risk: ≥4 points |
EDACS Components Low risk: 0–15 points; non–low risk: ≥16 points |
||
|---|---|---|---|
| History | Age, y | ||
| High suspicion | 2 | 18–45 | 2 |
| Moderate suspicion | 1 | 46–50 | 4 |
| Low suspicion | 0 | 51–55 | 6 |
| Electrocardiogram | 56–60 | 8 | |
| ST-segment deviation | 2 | 61–65 | 10 |
| Paced, LBBB, RBBB, or LVH | 1 | 66–70 | 12 |
| Normal or nonspecific changes | 0 | 71–75 | 14 |
| Age, y | 76–80 | 16 | |
| >65 | 2 | 81–85 | 18 |
| 45–65 | 1 | 86+ | 20 |
| <45 | 0 | Male sex | 6 |
| Cardiac risk factors | Age 18–15 and either ≥3 cardiac | 4 | |
| ≥3 or known CAD | 2 | Diaphoresis | 3 |
| 1–2 | 1 | Pain radiating to arm or shoulder | 5 |
| 0 | 0 | Pain worsened with inspiration | −4 |
| Pain reproduced by palpation | −6 | ||
CAD = coronary artery disease; EDACS = Emergency Department Assessment of Chest Pain; HEART = History, ECG, Age, Risk Factors, and Troponin; LBBB = left bundle branch block; LVH = left ventricular hypertrophy; RBBB = right bundle branch block.