Framingham Risk Score Calculator
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The Framingham risk score estimates the chance of a first cardiovascular event (heart attack, stroke, heart failure or peripheral artery disease) in the next 10 years from age, sex, cholesterol, blood pressure, smoking and diabetes. A 55-year-old non-smoking man with cholesterol 213, HDL 50 and blood pressure 125 has about an 11% risk.
| Your result | |
| 10-year risk of cardiovascular disease | 11% |
| Risk category | intermediate (10% to 20%) |
| Heart age | 57 years (actual age 55) |
| Same age with optimal values | 5.8% |
| What changes the risk most | |
| Systolic BP 120 | 10.2% |
| Total cholesterol 180 | 9.22% |
| HDL 60 | 9.38% |
Show steps
- Model: D'Agostino et al. (2008) general cardiovascular disease equation, men.
- Inputs: age 55, total cholesterol 213 mg/dL, HDL 50 mg/dL, systolic BP 125 (untreated), non-smoker, no diabetes.
- Risk = 1 − S₀^exp(Σβx − mean), with S₀ = 0.88936. Result: 11.02%.
- Heart age: the age at which a person with optimal-normal values (cholesterol 180, HDL 45, SBP 125 untreated, non-smoker, no diabetes) has the same risk: 56.7 years.
How to use the calculator
- Enter sex, age (30 to 74), total and HDL cholesterol, and systolic (top) blood pressure.
- Answer whether you take blood pressure medicine, smoke or have diabetes.
- Press Calculate for your 10-year risk, risk category and heart age, plus how much each change could lower the risk.
Risk categories
| 10-year risk | Category |
|---|---|
| Under 10% | Low |
| 10% to 20% | Intermediate |
| 20% or more | High |
Doctors combine the score with other information (family history, kidney disease, other tests) before deciding on treatment.
The math
The model is a Cox proportional-hazards equation: risk = 1 − S₀^exp(Σβᵢxᵢ − mean), where the xᵢ are logarithms of age, cholesterol and blood pressure plus 0/1 terms for smoking and diabetes. Because of the logarithms, doubling cholesterol does not double the risk.
Framingham Risk Score Calculator quiz: 10 questions
Test yourself with 10 multiple-choice questions. Choose an answer and press Submit to see if you are right and why. Your score appears at the end.
Quiz complete
Frequently asked questions
What is a good Framingham risk score?
Under 10% over 10 years is considered low risk.
Is this the same as the ASCVD risk calculator?
No. ASCVD (pooled cohort equations) predicts heart attack and stroke; this 2008 Framingham model also counts heart failure and peripheral artery disease. Our heart disease risk calculator uses the pooled cohort equations.
Do I need fasting cholesterol?
The model uses total and HDL cholesterol, which change little with fasting.
Why does it stop at age 74?
The study population did not include enough older people to validate it.
Can I lower my score?
Yes. Quitting smoking, lowering blood pressure and improving cholesterol all reduce the estimate; the calculator shows by how much.
Sources
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