The Cardiovascular
ToolsCalculators

Framingham Risk Score for Hard Coronary Heart Disease

10-year risk of myocardial infarction or coronary death from traditional risk factors.

Framingham Risk Score for Hard Coronary Heart Disease
Sex
Age
years
Total cholesterol
HDL cholesterol
Systolic blood pressure
mmHg
Currently on antihypertensive treatment
Current smoker
Complete the fields above to see the result.

When to use

  • Estimating 10-year risk of myocardial infarction or coronary death in adults without known cardiovascular disease.
  • Historic basis for the NCEP ATP III risk-category point tables.

Formula

Sex-specific points for age, total cholesterol (age-stratified), smoking (age-stratified), HDL, and treated/untreated systolic BP are summed and mapped to 10-year risk of hard CHD via sex-specific tables (Wilson et al, Circulation 1998).

Pearls and pitfalls

  • Predicts hard CHD (MI + CHD death) only, not stroke or heart failure, unlike the later 2008 general-CVD Framingham score.
  • Was derived in a predominantly white, middle-aged American cohort and may miscalibrate in other populations.

References

  1. Wilson PWF, D'Agostino RB, Levy D, et al. Circulation. 1998;97(18):1837-47.