Coronary Heart Disease (CHD) score sheet for women using TC or LDL-C categories. Uses age, TC, HDL-C, blood pressure, diabetes, and smoking. Estimates risk for CHD over a period of 10 years based on Framingham experience in women 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 55 mg/dL in women, 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 |
||
|
|
|
30-34 |
-9 |
[-9] |
35-39 |
-4 |
[-4] |
40-44 |
0 |
[0] |
45-49 |
3 |
[3] |
50-54 |
6 |
[6] |
55-59 |
7 |
[7] |
60-64 |
8 |
[8] |
65-69 |
8 |
[8] |
70-74 |
8 |
[8] |
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
|
|||
|
|
|
|
|
|
|
|
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) |
<80 |
80-84 |
85-89 |
90-99 |
>/=100 |
|
-3 [-3] |
|
|
|
|
|
|
0 [0] pts |
|
|
|
|
|
|
0 [0] pts |
|
|
|
|
|
|
2 [2] 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 |
4 |
[4] |
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 |
|
HDL-C |
|
Blood |
|
Diabetes |
|
Smoker |
|
Point |
|
Step 8
(determine CHD risk from point total)
CHD Risk |
|||
LDL Pts |
10 Yr CHD |
Chol Pts |
10 Yr CHD |
</=-2 |
1% |
[</=-2] |
[1%] |
-1 |
2% |
[-1] |
[2%] |
0 |
2% |
[0] |
[2%] |
1 |
2% |
[1] |
[2%] |
2 |
3% |
[2] |
[3%] |
3 |
3% |
[3] |
[3%] |
4 |
4% |
[4] |
[4%] |
5 |
5% |
[5] |
[4%] |
6 |
6% |
[6] |
[5%] |
7 |
7% |
[7] |
[6%] |
8 |
8% |
[8] |
[7%] |
9 |
8% |
[9] |
[8%] |
10 |
11% |
[10] |
[10%] |
11 |
13% |
[11] |
[11%] |
12 |
15% |
[12] |
[13%] |
13 |
17% |
[13] |
[15%] |
14 |
20% |
[14] |
[18%] |
15 |
24% |
[15] |
[20%] |
16 |
27% |
[16] |
[24%] |
>/=17 |
>/=32% |
[>/=17] |
[>/=27%] |
Step 9
(compare to average person your age)
Comparative Risk |
|||
Age |
Average |
Average |
Low** 10 |
30-34 |
<1% |
<1% |
<1% |
35-39 |
<1% |
<1% |
1% |
40-44 |
2% |
1% |
2% |
45-49 |
5% |
2% |
3% |
50-54 |
8% |
3% |
5% |
55-59 |
12% |
7% |
7% |
60-64 |
12% |
8% |
8% |
65-69 |
13% |
8% |
8% |
70-74 |
14% |
11% |
8% |
* 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 |
Green |
Very low |
White |
Low |
Yellow |
Moderate |
Rose |
High |
Red |
Very high |
References:
-
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