Chest pain is a very common cause of complaint in the Emergency Room. The diagnosis of  non-ST-elecation acute coronary syndrome often causes uncertainty in physicians thus the HEART Score we developed to help with risk stratification. HEART is an acronym for History, ECG, Age, Risk factors and Troponin. The goal of our study is to determine if the HEART score is actually effective on admission rates and if it’s helping to save cost.