Mark DG, Huang J, Kennedy CJ, et al. - ED chest pain patients who are low risk for near-term major adverse cardiac events (MACE) could be reliably identified through a low (0–3) History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score. Many clinicians use a modified HEART score to optimize the sensitivity by repeating troponin measurements and excluding patients with abnormal troponin values or ischemic electrocardiograms (ECGs). Researchers here examined patients with non-low modified HEART scores for residual 60-day MACE risks via conducting secondary analysis of a retrospective cohort of 22,976 ED patients who presented with chest pain to an integrated healthcare system between 2013 and 2015. Of these patients, 13,521 (59%) had non-low (> 4) modified HEART scores. Per outcomes, there appeared much lower risks of near-term MACE among patients with non-low modified HEART scores (excluding those with abnormal troponin or ischemic ECGs) vs the original HEART score validation studies.