Framingham Risk Score Calculator

Health & fitnessFreeNo sign-up

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.

FreeStep by step10-year riskHeart age
Try:
10-year cardiovascular risk
\(\displaystyle 11\%\)
Estimated 10-year risk of a heart attack, stroke or other cardiovascular event: 11% (intermediate). Heart age: about 57.
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%
An estimate from population data for people without known heart disease. It is not a diagnosis. Discuss your numbers with a doctor.
Show steps
  1. Model: D'Agostino et al. (2008) general cardiovascular disease equation, men.
  2. Inputs: age 55, total cholesterol 213 mg/dL, HDL 50 mg/dL, systolic BP 125 (untreated), non-smoker, no diabetes.
  3. Risk = 1 − S₀^exp(Σβx − mean), with S₀ = 0.88936. Result: 11.02%.
  4. 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

  1. Enter sex, age (30 to 74), total and HDL cholesterol, and systolic (top) blood pressure.
  2. Answer whether you take blood pressure medicine, smoke or have diabetes.
  3. 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.

Question 1 of 10
1. The Framingham score estimates risk over…

Found a mistake? Let us know!

2. Which raises risk?

Found a mistake? Let us know!

3. HDL is often called…

Found a mistake? Let us know!

4. A 15% 10-year risk is…

Found a mistake? Let us know!

5. Systolic pressure is the…

Found a mistake? Let us know!

6. Convert 5.5 mmol/L cholesterol to mg/dL (×38.67):

Found a mistake? Let us know!

7. The equation was built for ages…

Found a mistake? Let us know!

8. If risk is 20%, how many of 100 similar people have an event in 10 years?

Found a mistake? Let us know!

9. Heart age means…

Found a mistake? Let us know!

10. Does a low score guarantee no heart attack?

Found a mistake? Let us know!

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

Related calculators

Browse all calculators

More health & fitness calculators

Browse all 457 calculators

Related to This Article

What people say about "Framingham Risk Score Calculator: 10-Year CVD Risk"?

No one replied yet.

Leave a Reply