HEART Score

Predicts 6-week risk of major adverse cardiac events in patients with chest pain.

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Risk Factors
- HTN, hypercholesterolemia, DM, obesity (BMI >30 kg/m²), smoking (current, or smoking cessation ≤3 mo),
- positive family history (parent or sibling with CVD before age 65);
- atherosclerotic disease: prior MI, PCI/CABG, CVA/TIA, or peripheral arterial disease

ECG
- 1 point: No ST deviation but LBBB, LVH, repolarization changes (e.g. digoxin);
- 2 points: ST deviation not due to LBBB, LVH, or digoxin

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