Podcast #76: HEART Score

e76ddb81-6bf3-4787-80f7-47f48d6704aeRun Time: 12 minutes

Author: Dr. Donald Stader

Educational Pearls:

  • The HEART Score is used to stratify low, medium, and high-risk chest pain patients. The score originated in Holland in 2008.
  • HEART Score is now much more widely accepted than old scores such as TIMI & GRACE.
  • Everything in the HEART Score is scored from 0-2 – not suspicious to highly suspicious.
  • H = history; E = EKG; A = Age ; R = risk factors ;  T = troponin. SEE BELOW!
  • A score of < 3 is low risk, <1.7% chance of a major cardiac event in the next 45 days.
  • A score of 4-6 is medium risk, approx 20% chance of a major cardiac event in the next 45 days.
  • A score of 7-10 is high risk, 50% chance of a major cardiac event in the next 45 days.
  • Interesting physiologic fact: More cardiac events happen in the morning because the body produces a spike in cortisol levels. More respiratory events happen at night because there are lower cortisol levels in the body.

Link to Podcast:  http://medicalminute.madewithopinion.com/heart-score/

References: http://www.heartscore.nl/en/ 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442661/

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