Validation of the HEART score in Indian population

Objectives Chest pain is a common presentation to the Emergency department (ED) where an acute coronary syndrome needs to be differentiated from other causes of chest pain. In a busy ED, we need an objective method to risk stratify patients quickly, using minimum resources. There are various scoring methods used for this, but none exclusively for ED patients except the HEART score. HEART score stands for History, ECG, Age, Risk factors, and Troponin I where each component is scored from 0 to 2. The goal of this study was to determine a correlation between clinical judgement, HEART score and outcomes in all patients presenting with chest pain to the ED and validate the accuracy of the HEART score in risk stratifying ED chest pain patients.