The HEART Score

Clinical Question

Can ED patients with nonspecific chest pain concerning for NSTEMI be risk stratified for MACE?

Conclusion

  • Use of the HEART pathway increases early discharge/decreases admission for chest pain by 21% with NPV for MACE >99% versus usual care
  • Use of the HEART pathway decreases further cardiac testing by 12.1% and length of stay by 12 hours
  • Back to those 9750 cases per year at TJUH: adherence to HEART score could save 117,000 hours and $2,106,000