Marburg Heart Score

At a threshold of at least 2 points, the Marburg Heart Score reduced false positives and improved specificity compared with NTS, but reduced sensitivity. For major events, the Marburg Heart Score showed modest discrimination and did not meaningfully improve telephone triage over the NTS. The Marburg Heart Score was originally developed to help rule out coronary artery disease in daytime primary care. The Marburg Heart Score has five binary elements and a total score range from 0 to 5. At the study threshold, the Marburg Heart Score missed 2 of 13 ACS cases. The Marburg Heart Score was evaluated as a telephone triage decision rule for acute chest pain in out-of-hours primary care.