Interpretation
| Result | Meaning |
|---|---|
| < 16 + no new ischemia + negative 0 h/2 h troponin | Low risk (EDACS-ADP): early discharge |
| ≥ 16, or ischemic ECG, or positive troponin | Not low risk |
Formula
Age: 18–45 = 2, then +2 per 5-year band (46–50 = 4, 51–55 = 6 … 81–85 = 18, ≥86 = 20) · male +6 · age 18–50 with known CAD or ≥3 risk factors +4 · diaphoresis +3 · radiation to arm/shoulder/neck/jaw +5 · pain with inspiration −4 · pain reproduced by palpation −6
Clinical pearls
- Risk factors: treated hypertension, dyslipidemia, diabetes, current smoking, family history of premature CAD. Known CAD = prior ACS, PCI or CABG.
- The score alone is not the rule: low risk needs EDACS < 16 AND a non-ischemic ECG AND negative 0 h and 2 h troponins.
- The CAD/risk-factor item only scores in patients aged 18–50; older patients already get it through age points.
Examples
edacs 52 yo male diaphoretic, pain radiates to left armedacs for 38F, pain reproducible on palpation and worse with breathing inedacs 63 year old woman, no radiation, no sweating
FAQ
What EDACS score is low risk?
Below 16, provided the ECG shows no new ischemia and troponins at 0 and 2 hours are negative.
EDACS or HEART score?
Both identify low-risk chest pain; EDACS-ADP classified about half of patients as low risk with ~99–100% sensitivity for 30-day MACE in its validation.