| name | heart-check |
| description | Rapid cardiac symptom triage for the general public. Step-by-step interactive assessment of chest pain, palpitations, dyspnea, syncope, and other cardiac warning signs. Outputs risk level with clear action guidance: emergency, urgent care, or home observation with safety instructions. Based on standard cardiac triage protocols.
|
| triggers | [{"chest-pain":"chest pain/heart pain/chest discomfort/chest tightness/胸痛/胸口痛/心口痛/胸闷/心脏疼"},{"palpitations":"palpitations/heart racing/heart pounding/irregular heartbeat/skipped beats/心悸/心跳快/心跳乱/心慌"},{"dyspnea":"shortness of breath/can't breathe/breathless/difficulty breathing/呼吸困难/喘不上气/气短/憋气"},{"syncope":"fainting/passed out/blackout/near-fainting/dizziness/晕倒/晕厥/眼前发黑/头晕/差点晕倒"},{"heart-check":"heart check/cardiac check/heart symptom assess/heart self-check/heart triage/心脏自查/心脏评估/心脏筛查/心脏分流"},{"heart-symptoms":"heart symptoms/ cardiac symptoms/心脏症状/心脏不舒服/心脏难受"}] |
| metadata | {"author":"Cardiology Claude Skills","version":"1.0","languages":["en","zh"]} |
Rapid Cardiac Triage · 心脏快速评估分流
⚠️ Read This First · 请先阅读
This tool is for informational triage only. It does NOT diagnose or replace professional medical evaluation.
When in doubt, always err on the side of seeking medical care.
If symptoms are severe or you feel something is seriously wrong, call emergency services immediately.
此工具仅供信息筛查参考，不构成诊断，不能替代专业医疗评估。
如有疑虑，请务必就医。症状严重或自觉情况危急时请立即拨打急救电话。
Triage Protocol · 评估流程
The assessment follows 4 sequential phases. Ask ONE phase at a time. Do not jump ahead.
逐步评估，每次只问一个阶段的问题。
Phase 0: Emergency Red Flags — STOP AND CALL EMERGENCY NOW
阶段0：危急信号 —— 立即停止，呼叫急救
Ask these questions first. If ANY answer is YES → instruct the user to call emergency services immediately (120/911).
按顺序询问以下问题。任何一项回答"是" → 立即告知呼叫急救 (120/911)。
| # | Question · 问题 | Why This Matters |
|---|
| 1 | Are you experiencing crushing/squeezing chest pain lasting >15 minutes, not relieved by rest? 是否正感到压榨性胸痛持续超过15分钟且休息不缓解？ | Possible acute MI · 可能急性心梗 |
| 2 | Is the chest pain radiating to your jaw, left shoulder/arm, or back? 胸痛是否放射到下颌、左肩/左臂或背部？ | Classic ACS presentation · 典型ACS表现 |
| 3 | Are you struggling to breathe at rest, or can you only breathe comfortably sitting upright? 静息下是否呼吸困难，需要坐起来才能呼吸？ | Possible acute heart failure · 可能急性心衰 |
| 4 | Did you lose consciousness (faint/pass out)? 你是否晕倒/失去意识了？ | Possible arrhythmia/arrest · 可能心律失常/猝死风险 |
| 5 | Are you having severe palpitations with dizziness, chest pain, or near-fainting? 是否心慌/心悸同时伴有头晕、胸痛或濒死感？ | Possible VT/SVT with instability · 可能不稳定心律失常 |
| 6 | Are you coughing up pink frothy sputum? 是否在咳粉红色泡沫痰？ | Acute pulmonary edema · 急性肺水肿（心衰） |
| 7 | Is your heart rate extremely fast (>150 bpm at rest) or extremely slow (<40 bpm with symptoms)? 静息心率是否极快（>150次/分）或极慢（<40次/分并伴有不适）？ | Hemodynamic compromise · 血流动力学不稳定 |
If ANY "YES" above:
🚨 DO NOT DELAY. CALL 120/911 NOW.
While waiting for help:
• Stop all activity. Sit or lie down.
• If you have aspirin at home and are NOT allergic, chew 300mg (unless contraindicated).
• If you have nitroglycerin prescribed, take as directed.
• Unlock your door so paramedics can enter.
• Do NOT drive yourself to the hospital.
• Do NOT eat or drink anything.
• Stay on the phone with emergency services.
🚨 不要拖延，立即拨打120/911。
等待救援期间：
• 停止一切活动，坐下或半卧。
• 如家中有阿司匹林且不过敏，嚼服300mg（除非有禁忌）。
• 如有医生处方的硝酸甘油，按医嘱服用。
• 打开房门以便急救人员进入。
• 不要自行驾车去医院。
• 不要进食或饮水。
• 与急救调度保持通话。
Only proceed to Phase 1 if ALL Phase 0 answers are NO.
只有当阶段0所有问题回答"否"，才继续阶段1。
Phase 1: Identify the Primary Symptom
阶段1：确定主要症状
Ask the user: "Which of the following best describes what you're feeling right now?"
询问用户："以下哪项最能描述你现在的感受？"
| Option | Primary Symptom |
|---|
| A | Chest pain / pressure / tightness / discomfort · 胸痛/胸闷/压迫感/不适 |
| B | Palpitations / heart racing / heart skipping / irregular beat · 心悸/心慌/心跳乱/漏跳 |
| C | Shortness of breath / difficulty breathing · 气短/呼吸困难 |
| D | Dizziness / lightheadedness / near-fainting · 头晕/眼前发黑/差点晕倒 |
| E | Swelling in legs/ankles + fatigue · 下肢水肿+乏力 |
| F | Other / multiple symptoms · 其他/多种症状 |
Based on the choice, go to the corresponding detailed assessment section.
Phase 2: Detailed Assessment (by symptom)
阶段2：详细评估（按症状分类）
PATH A: Chest Pain · 胸痛评估
Ask each question. Tally the risk points.
Part 1: Pain Characteristics · 疼痛特征
| Question | Low Risk (0) | Medium Risk (+1) | High Risk (+2) |
|---|
| Quality · 性质 | Sharp/stabbing (针扎/刀刺样) | Burning/pressure (烧灼/压迫感) | Squeezing/crushing/heaviness (压榨/沉重感) |
| Location · 位置 | Pinpoint, one finger can cover (针尖大小,单指可覆盖) | Diffuse left chest (弥漫性左侧) | Central chest/retrosternal (胸骨后正中) |
| Radiation · 放射 | No radiation (无放射) | Neck/throat only (仅颈部) | Jaw/shoulder/left arm/back (下颌/左肩/左臂/背部) |
| Duration · 持续 | Seconds, fleeting (<30s) (几秒即过) | Minutes, variable (数分钟,反复) | >15 min, constant (持续超过15分钟) |
| Trigger · 诱发 | Only with movement/touch (仅活动或触摸时) | With exertion (劳累时) | At rest / wakes from sleep (静息/夜间痛醒) |
| Relief · 缓解 | Immediate with position change (改变姿势立即缓解) | With rest in <5 min (休息5分钟内缓解) | Not relieved by rest or nitroglycerin (休息或硝酸甘油无效) |
Part 2: Associated Symptoms · 伴随症状 (each +1 if present · 每项+1分)
| Symptom | Check |
|---|
| Nausea / vomiting · 恶心/呕吐 | ☐ |
| Cold sweat / diaphoresis · 出冷汗 | ☐ |
| Shortness of breath · 呼吸困难 | ☐ |
| Palpitations · 心悸/心慌 | ☐ |
| Dizziness / near-fainting · 头晕/濒死感 | ☐ |
| Extreme fatigue (unusual) · 异常极度疲劳 | ☐ |
Part 3: Risk Factors · 危险因素 (each +1 if present · 每项+1分)
| Risk Factor | Check |
|---|
| Age ≥55 (male) or ≥65 (female) · 男≥55或女≥65 | ☐ |
| Known coronary artery disease / prior MI / stent · 已知冠心病/心梗/支架 | ☐ |
| Hypertension · 高血压 | ☐ |
| Diabetes · 糖尿病 | ☐ |
| Current smoker or quit <1 year · 目前吸烟/戒烟不足1年 | ☐ |
| High cholesterol / on statin · 高血脂/服用他汀 | ☐ |
| Family history of early MI (♂<55, ♀<65) · 早发心梗家族史 | ☐ |
| Known peripheral or cerebrovascular disease · 外周/脑血管病 | ☐ |
Chest Pain Risk Score:
| Total Score | Risk Level | Action |
|---|
| 0-3 | LOW · 低风险 | See Observation Plan · 见观察方案 |
| 4-7 | MODERATE · 中风险 | See Urgent Care Plan · 见尽快就医方案 |
| ≥8 | HIGH · 高风险 | See Emergency Plan · 见急诊方案 |
PATH B: Palpitations · 心悸评估
| Question | Low Risk (0) | Higher Risk (+1) |
|---|
| Onset · 发作 | Gradual, over minutes (逐渐开始) | Sudden, like flipping a switch (突然发作) |
| Pattern · 节律 | Regular, steady fast beat (规律快速) | Irregular, chaotic, "flip-flop" (杂乱无章) |
| Rate · 心率 (if known) | 60-120 bpm | >120 bpm or <50 bpm |
| Duration · 持续 | <5 minutes | >30 minutes or ongoing |
| Associated · 伴随 | None (无不适) | Chest pain / dyspnea / dizziness / near-fainting / cold sweat (胸痛/气短/头晕/冷汗) |
| History · 病史 | First episode, otherwise healthy (首次发作,平素健康) | Known AF/SVT/VT / structural heart disease / prior ablation (已知房颤/室上速/室速/器质性心脏病/消融史) |
Palpitations Risk Score:
| Total Score | Risk Level | Action |
|---|
| 0-1 | LOW · 低风险 | See Observation Plan · 见观察方案 |
| 2-3 | MODERATE · 中风险 | See Urgent Care Plan · 见尽快就医方案 |
| ≥4 or ANY syncope | HIGH · 高风险 | See Emergency Plan · 见急诊方案 |
PATH C: Shortness of Breath · 呼吸困难评估
| Question | Low Risk (0) | Higher Risk (+1) |
|---|
| Onset · 起病 | Chronic, stable (慢性,稳定) | Acute onset or worsening (<1 week) (急性/近期加重) |
| At rest? · 静息时? | No, only with significant exertion (仅大量活动时) | Yes, even at rest or lying flat (静息/平卧时即出现) |
| Orthopnea · 端坐呼吸 | Can lie flat comfortably (可平卧) | Need pillows / sit up to breathe (需垫高枕头/坐起才能呼吸) |
| PND · 阵发性夜间 | No (无) | Wake up at night gasping (夜间憋醒,需坐起) |
| Edema · 水肿 | No leg swelling (无) | Legs/ankles swelling, weight gain (下肢水肿,体重增加) |
| Sputum · 痰 | Dry cough (干咳) | Pink frothy sputum → IMMEDIATE ER (粉红泡沫痰→急诊) |
| Chest pain · 胸痛 | No (无) | With chest pain → reassess with PATH A (有胸痛→转A评估) |
Dyspnea Risk Score:
| Total Score | Risk Level | Action |
|---|
| 0-1 | LOW · 低风险 | See Observation Plan · 见观察方案 |
| 2-3 | MODERATE · 中风险 | See Urgent Care Plan · 见尽快就医方案 |
| ≥4 or pink sputum or onset <2h | HIGH · 高风险 | See Emergency Plan · 见急诊方案 |
PATH D: Dizziness / Near-Fainting · 头晕/近晕厥
| Question | Low Risk (0) | Higher Risk (+1) |
|---|
| True syncope? · 真正晕厥? | No, just dizziness (无,仅头晕) | Yes, lost consciousness (是,失去意识) → ≥1 episode → HIGH RISK |
| Relation to posture · 与体位关系 | Gradual, when standing up slowly (缓缓站起时) | Sudden, with no warning (毫无预兆突然发生) |
| Palpitations before? · 发作前心悸? | No (无) | Yes, heart racing/pounding before (有心悸/心慌先兆) |
| During exertion? · 运动中发生? | No (否) | Yes, during or right after exercise (运动中/刚结束后) |
| Recovery · 恢复 | Immediate, fully alert (立即清醒) | Confused after, slow recovery (事后迷糊/恢复慢) |
| Injury? · 受伤? | No (无) | Yes, fell and hurt self (摔倒受伤) |
| Known heart disease? | No (无) | Known LV dysfunction / HCM / AS / arrhythmia (已知左室功能障碍/肥厚心/主动脉瓣狭窄/心律失常) |
Dizziness Score:
| Total Score | Risk Level | Action |
|---|
| 0-1 | LOW · 低风险 | See Observation Plan · 见观察方案 |
| 2-3 | MODERATE · 中风险 | See Urgent Care Plan · 见尽快就医方案 |
| ≥4 or true syncope | HIGH · 高风险 | See Emergency Plan · 见急诊方案 |
PATH E: Leg Swelling + Fatigue · 下肢水肿+乏力
| Question | Low Risk (0) | Higher Risk (+1) |
|---|
| Extent · 范围 | Ankles only (仅脚踝) | Up to shins/knees or above (小腿/膝盖以上) |
| Symmetry · 对称性 | Unilateral → consider DVT (单侧→需排查DVT) | Bilateral (双侧) |
| Pitting · 凹陷性 | No (否) | Yes, dent stays after pressing (按压后有凹陷) |
| Orthopnea/PND | No (无) | Yes (有) → assess with PATH C |
| Weight gain · 体重增加 | No (无) | Yes, rapid weight gain >2kg/week (体重迅速增加) |
| Known HF? · 已知心衰? | No (无) | Yes (是) → HIGH RISK if worsening |
PATH F: Multiple / Other Symptoms · 多种症状
If the user reports multiple symptoms, prioritize in this order:
- Syncope / near-syncope → use PATH D
- Chest pain → use PATH A
- Severe dyspnea → use PATH C
- Palpitations → use PATH B
Phase 3: Risk Output & Action Plan
阶段3：风险判定与行动方案
🟢 LOW RISK · 低风险 — Observation Plan · 观察方案
Based on your responses, your symptoms appear to be LOW RISK for a cardiac emergency.
This does NOT rule out a heart problem, but there is no indication for immediate emergency care.
✅ WHAT TO DO · 你可以这样做：
• Monitor your symptoms. If they worsen, seek medical evaluation.
观察症状变化，如加重则就医。
• Schedule a non-urgent doctor visit (within 1-2 weeks) for a baseline evaluation:
— ECG, blood pressure check, basic bloodwork (lipids, glucose).
预约门诊做基础检查：心电图、血压、血脂、血糖。
• Keep a symptom diary: when does it happen, what triggers it, how long it lasts.
记录症状日记：何时发作、诱因、持续时间。
• If you have a home BP monitor, check your BP twice daily.
如家中有血压计，早晚测血压。
❌ WHAT TO AVOID · 避免以下行为：
• Do NOT ignore symptoms that worsen or change character.
不要忽视加重或性质改变的症状。
• Do NOT start intense exercise until evaluated.
未评估前不要开始剧烈运动。
• Do NOT use stimulants (energy drinks, excessive caffeine, recreational drugs).
避免兴奋性物质（能量饮料、过量咖啡因、违禁药物）。
• Do NOT self-medicate with unknown supplements or herbal remedies for "heart health."
不要自行服用未经证实的"护心"保健品。
🔄 RETURN TO ASSESSMENT IF · 如出现以下情况请重新评估：
• Pain becomes squeezing/crushing
• Pain lasts >15 min
• You faint or near-faint
• You develop shortness of breath at rest
• Heart rate becomes very fast (>120) or very slow (<45) with symptoms
🟡 MODERATE RISK · 中风险 — Urgent Care Plan · 尽快就医方案
Based on your responses, your symptoms are MODERATE RISK.
You should seek medical evaluation soon (today or tomorrow, NOT emergent but don't delay).
✅ WHAT TO DO · 你应该：
• Visit an urgent care center, cardiology clinic, or hospital outpatient department TODAY.
今天到急诊科/心内科门诊就诊。
• Get a 12-lead ECG and, if indicated, cardiac enzyme tests (troponin).
做12导联心电图，必要时查心肌酶（肌钙蛋白）。
• If palpitations: request a 24h Holter monitor if episodes are daily, or an event recorder.
如为心悸：要求动态心电图（Holter）或事件记录器。
• If chest pain: consider exercise stress test or coronary CTA per physician assessment.
如为胸痛：根据医生评估考虑运动负荷试验或冠脉CTA。
• Bring a list of all medications you take.
携带所有正在服用的药物清单。
❌ WHAT TO AVOID · 绝对避免：
• Do NOT wait >48 hours to seek care.
不要等待超过48小时才就医。
• Do NOT do strenuous exercise or heavy lifting.
不要进行剧烈运动或重体力劳动。
• Do NOT take aspirin preventively without discussing with a doctor first.
未经医生指导不要自行服用阿司匹林预防。
• Do NOT drive yourself if you feel dizzy or unwell — ask someone to take you.
如感头晕/不适,不要自己开车,请他人陪同。
🔴 RE-EVALUATE IMMEDIATELY if symptoms become constant, severe, or you faint.
如症状变为持续性/加重/出现晕厥，立即重新评估。
🔴 HIGH RISK · 高风险 — Emergency Plan · 急诊方案
⚠️ DO NOT WAIT. GO TO THE EMERGENCY DEPARTMENT NOW. ⚠️
Your responses indicate HIGH RISK for a potentially serious cardiac condition.
You need immediate medical evaluation.
✅ IMMEDIATE ACTIONS · 立即行动：
1. Call 120/911 or have someone drive you to the nearest ER immediately.
拨打120/911或让他人立即送你去最近的急诊科。
2. Stop all activity. Sit or lie down in a comfortable position.
停止一切活动。坐下或半卧位。
3. Tell the ER triage nurse: "I have [chest pain/palpitations/dyspnea/syncope] with HIGH-RISK features."
到急诊后告诉分诊护士你属于高危症状（胸痛/心悸/呼吸困难/晕厥+高危特征）。
📋 BRING WITH YOU:
• List of current medications
• Any previous ECG or cardiac test results
• ID and insurance card
• Phone charger
❌ DO NOT:
• Drive yourself if you have chest pain or feel faint.
• Eat or drink anything (may need procedures).
• Take any new medication without telling the ER doctor.
• Delay hoping symptoms will go away.
⚠️ 不要拖延就医。你的症状存在需紧急评估的心脏风险。
Output Format · 输出格式
After completing all phases, present the result in this format:
╔══════════════════════════════════════╗
║ 🫀 HEART CHECK RESULT · 心脏评估结果 ║
╠══════════════════════════════════════╣
║ Symptom Path: [A/B/C/D/E/F] ║
║ Risk Score: X points ║
║ Risk Level: 🟢 LOW / 🟡 MODERATE / 🔴 HIGH ║
╠══════════════════════════════════════╣
║ [Action plan — output the relevant ║
║ plan from Phase 3 above] ║
╚══════════════════════════════════════╝
🩺 This is a triage tool, not a diagnosis.
Please consult a healthcare professional for definitive evaluation.
此为分流评估工具,非诊断。请务必咨询医生获得确切评估。
Important Notes for the AI · AI 评估注意事项
-
Always start from Phase 0. Never skip the emergency red flags.
必须从阶段0开始，不可跳过危急信号筛查。
-
One question at a time. Ask 3-4 questions per round, then wait for the user to respond.
每次问3-4个问题，等待用户回答后再继续。
-
When in doubt, escalate. If you are uncertain about the risk level, always choose the higher tier.
不确定时，永远选择更高的风险等级。
-
Re-evaluate. If the user reports changing or worsening symptoms, restart from Phase 0.
如用户报告症状变化或加重，从阶段0重新开始。
-
Language. Respond in the language the user uses. Default to Chinese for Chinese-speaking users.
用用户使用的语言回应。中国用户默认使用中文。
-
Tone. Be calm, professional, but convey appropriate urgency for high-risk findings.
保持冷静专业，但对高风险发现传递适当的紧迫感。
