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Estimate of 10-Year Risk for Coronary Heart Disease for Men (Framingham Point Scores)

Coronary Heart Disease (CHD) score sheet for men using TC or LDL-C categories. Uses age, TC (or LDL-C), HDL-C, blood pressure, diabetes, and smoking. Estimates risk for CHD over a period of 10 years based on Framingham experience in men 30 to 74 years old at baseline. Average risk estimates are based on typical Framingham subjects, and estimates of idealized risk are based on optimal blood pressure, TC 160 to 199 mg/dL (or LDL 100 to 129 mg/dL), HDL-C of 45 mg/dL in men, no diabetes, and no smoking. Use of the LDL-C categories is appropriate when fasting LDL-C measurements are available. Pts indicates points.

Step 1

Age

Years

LDL Pts

Chol Pts

30-34

-1

[-1]

35-39

0

[0]

40-44

1

[1]

45-49

2

[2]

50-54

3

[3]

55-59

4

[4]

60-64

5

[5]

65-69

6

[6]

70-74

7

[7]

Step 2

LDL-C

(mg/dl)

(mmol/L)

LDL Pts

 

<100

<2.59

-3

 

100-129

2.60-3.36

0

 

130-159

3.37-4.14

0

 

160-190

4.15-4.92

1

 

>/=190

>4.92

2

 

 

Cholesterol

(mg/dl)

(mmol/L)

 

Chol Pts

<160

<4.14

 

[-3]

160-199

4.15-5.17

 

[0]

200-239

5.18-6.21

 

[1]

240-279

6.22-7.24

 

[2]

>/=280

>/=7.25

 

[3]

Step 3

HDL-C

(mg/dl)

(mmol/L)

LDL Pts

Chol Pts

<35

<0.90

2

[2]

35-44

0.91-1.16

1

[1]

45-49

1.17-1.29

0

[0]

50-59

1.30-1.55

0

[0]

>/=60

>/=1.56

-1

[-2]

Step 4

Blood Pressure

Systolic (mmHg)

Diastolic (mmHg)

<80

80-84

85-89

90-99

>/=100

<120

0 [0] pts

 

 

 

 

120-129

 

0 [0] pts

 

 

 

130-139

 

 

1 [1] pts

 

 

140-159

 

 

 

2 [2] pts

 

>/=160

 

 

 

 

3 [3] pts

Note: When systolic and diastolic pressures provide different estimates for point scores, use the higher number

Step 5

Diabetes

 

LDL Pts

Chol Pts

No

0

[0]

Yes

2

[2]

Step 6

Smoker

 

LDL Pts

Chol Pts

No

0

[0]

Yes

2

[2]

Step 7 (sum from steps 1-6)

Adding up the points

Age

 

LDL-C or Chol

 

HDL-C

 

Blood Pressure

 

Diabetes

 

Smoker

 

Point total

 

Step 8 (determine CHD risk from point total)

CHD Risk

LDL Pts Total

10 Yr CHD Risk

Chol Pts Total

10 Yr CHD Risk

<-3

1%

 

 

-2

2%

 

 

-1

2%

[<-1]

[2%]

0

3%

[0]

[3%]

1

4%

[1]

[3%]

2

4%

[2]

[4%]

3

6%

[3]

[5%]

4

7%

[4]

[7%]

5

9%

[5]

[8%]

6

11%

[6]

[10%]

7

14%

[7]

[13%]

8

18%

[8]

[16%]

9

22%

[9]

[20%]

10

27%

[10]

[25%]

11

33%

[11]

[31%]

12

40%

[12]

[37%]

13

47%

[13]

[45%]

>/=14

>/=56%

[>/=14]

[>/=53%]

Step 9 (compare to average person your age)

Comparative Risk

Age (Years)

Average 10 Yr CHD Risk

Average 10 Yr Hard* CHD Risk

Low** 10 Yr CHD Risk

30-34

3%

1%

2%

35-39

5%

4%

3%

40-44

7%

4%

4%

45-49

11%

8%

4%

50-54

14%

10%

6%

55-59

16%

13%

7%

60-64

21%

20%

9%

65-69

25%

22%

11%

70-74

30%

25%

14%

* Hard CHD events exclude angina pectoris

** Low risk was calculated for a person the same age, optimal blood pressure, LDL-C 100-129 mg/dl or cholesterol 160-199 mg/dl, HDL-C 45 mg/dl, for men or 55 mg/dl for women, non-smoker, no diabetes.

Risk estimates were derived from the experience of the Framingham Heart Study, a predominantly Caucasian population in Massachusetts, USA

Key

Color

Relative Risk

Green

Very low

White

Low

Yellow

Moderate

Rose

High

Red

Very high

 

Related Criteria

Estimate of 10-Year Risk for Coronary Heart Disease for Women (Framingham Point Scores)

NYHA Functional Classification for Congestive Heart Failure

Framingham Criteria for Congestive Heart Failure

Cardiovascular Major Risk Factors

Duke Criteria for Infective Endocarditis (IE)

Revised Jones Criteria for Acute Rheumatic Fever (ARF)

Wells Clinical Prediction Rule for Pulmonary Embolism and Deep Venous Thrombosis

Braunwald Classification of Unstable Angina (UA)

More...

 

References:

  1. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998 May 12;97(18):1837-47. [Medline]

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Created: Feb 06, 2007
Last Modified: 10/17/2010

 
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