Marburg Heart Score (MHS)

Rule out coronary artery disease in primary care patients

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Rule out coronary artery disease in primary care patients

Female ≥65 years or male ≥55 years

Known CAD, CVD or PVD

Pain worse with exercise

Pain reproducible with palpation

Patient assumes pain is cardiac

References

Christine Joisten. Sports Preparticipation Evaluation for Healthy Adults: A Consensus-Based German Guideline.. Sports medicine (Auckland, N.Z.), 2025
Martha Gulati. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.. Circulation, 2021
Alexander C Fanaroff. Does This Patient With Chest Pain Have Acute Coronary Syndrome?: The Rational Clinical Examination Systematic Review.. JAMA, 2015