HEART Pathway for Early Discharge in Acute Chest Pain
Identifies emergency department patients with acute chest pain for early discharge.
INSTRUCTIONS
Use in patients ≥21 years old presenting with symptoms suggestive of ACS. Do not use if new ST-segment elevation ≥1 mm or other new EKG changes, hypotension, life expectancy less than 1 year, or noncardiac medical/surgical/psychiatric illness determined by the provider to require admission.
When to Use
Pearls/Pitfalls
Why Use
Slightly suspicious
0Moderately suspicious
+1Highly suspicious
+2Normal
0Non-specific repolarization disturbance
+1Significant ST depression
+2<45
045-64
+1≥65
+2No known risk factors
01-2 risk factors
+1≥3 risk factors or history of atherosclerotic disease
+2≤normal limit
01-3x normal limit
+1>3x normal limit
+2Result:
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