HEAR Score Calculator
The HEAR Score helps stratify the risk of NSTEMI / acute coronary syndrome
using History, ECG, Age, and Risk factors, without troponin.
Total score ranges from 0 to 8.
HEAR Score: /8
Clinical note: A HEAR score is a screening/risk-stratification aid.
Troponin testing and full ACS workup still depend on symptoms, timing, ECG findings,
clinician judgment, and local protocol.
The scoring choices in the calculator follow the standard HEART component table: History 0–2, ECG 0–2, Age 0–2, and Risk factors 0–2, where the highest risk-factor category is 3 or more risk factors or known atherosclerotic disease.
The most important interpretation threshold is HEAR ≤1, which multiple studies use as the very-low-risk group when asking whether troponin testing can be omitted in selected patients. That said, the decision to skip troponin is not universal and should follow local ED/chest-pain pathway rules.
