Run Time: 12 minutes
Author: Dr. Donald Stader
- 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/