ED chest pain 6-week MACE
History moderately suspicious
History highly suspicious
ECG non-specific repolarisation
ECG significant ST deviation
Age 45–64
Age ≥65
1–2 CV risk factors
≥3 factors or known atherosclerosis
Troponin 1–3× normal
Troponin >3× normal
HEART Score
0
Low (0.9–1.7% MACE) — discharge with follow-up
Clinical Decisions in Seconds