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 -2
100-129 2.60-3.36 0
130-159 3.37-4.14 0
160-190 4.15-4.92 2
>/=190 >4.92 2

 

Cholesterol
(mg/dl) (mmol/L) Chol Pts
<160 <4.14 [-2]
160-199 4.15-5.17 [0]
200-239 5.18-6.21 [1]
240-279 6.22-7.24 [1]
>/=280 >/=7.25 [3]

Step 3

HDL-C
(mg/dl) (mmol/L) LDL Pts Chol Pts
<35 <0.90 5 [5]
35-44 0.91-1.16 2 [2]
45-49 1.17-1.29 1 [1]
50-59 1.30-1.55 0 [0]
>/=60 >/=1.56 -2 [-3]

Step 4

Blood Pressure
Systolic Diastolic (mmHg)
(mmHg) <80 80-84 85-89 90-99 >/=100
<120 -3 [-3] pts
120-129 0 [0] pts
130-139 0 [0] 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]
Si 4 [4]

Step 6

Smoker
LDL Pts Chol Pts
No 0 [0]
Si 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

 

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]

Created: Feb 06, 2007

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