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Table 1 Modified HEART risk score for chest pain patients

From: Performance of the modified HEART score in an Asian population

Components

Rank

Points

History

Highly suspicious

2 points

Moderately suspicious

1 point

Slightly or non-suspicious

0 points

ECG

Significant ST depression

2 points

Nonspecific repolarization

1 point

Normal

0 points

Age

≥ 65 years

2 points

> 45 years and < 65 years

1 point

≤ 45 years

0 points

Risk factors

≥ 3 risk factors* or history of atherosclerotic disease^

2 points

1 or 2 risk factors

1 point

No risk factors

0 points

Troponin

≥ 3 times of normal limit

2 points

> 1 to < 3 times of normal limit

1 point

Within normal limit

0 points

Range

 

0–10 points

  1. *Risk factors: diagnosed hypertension, diagnosed hypercholesterolemia, diagnosed diabetes mellitus, family history of premature coronary artery disease, current smoking (< 1 month), and obesity (body mass index 30 kg/m2)
  2. ^History of atherosclerotic disease includes myocardial infarction, percutaneous intervention, coronary artery bypass graft, ischemic stroke, peripheral arterial disease, or carotid artery disease