Chest pain in general practice: a systematic review of prediction rules.
Ralf E HarskampSimone C LaevenJelle Cl HimmelreichWim A M LucassenHenk C P M van WeertPublished in: BMJ open (2019)
In general practice, there is currently no clinical decision aid that can safely rule out ACS. For intermittent chest pain, several rules exist, of which the Marburg Heart Score has been most extensively tested and appears to outperform clinical judgement alone.