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. 2018 Sep 14;35(12):732–738. doi: 10.1136/emermed-2018-207540

Table 1.

The History, ECG, Age, Risk Factors and Troponin (HEART) Score risk stratification tool for chest pain patients

History Not suggestive 0
Moderately suggestive 1
Highly suggestive 2
ECG Normal 0
Non-specific repolarisation disturbance, left bundle branch block, paced rhythm, T-wave inversion with no ST changes 1
Significant ST deviation=1. 0.05 mV in two or more contiguous leads or 2
ST depression of >1 mV
2
Age (years) <45  0
45–65  1
≥65  2
Risk factors No risk factors 0
1–2 risk factors (hypertension, diabetes, obesity, smoker, hypercholesterolaemia, family history) 1
3 risk factors or known atherosclerotic disease 2
Troponin < normal limit 0
1–2 times normal limit 1
>3 times normal limit 2