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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