Framingham Cardiac Risk Score

yr
mg/dL
mg/dL
mmHg
Health

Calculate 10-year cardiovascular disease risk using the Framingham Risk Score.

Formula

Framingham equation (Wilson et al. 1998): logistic regression on age, TC, HDL, SBP, BP treatment, smoking, diabetes
  • Validated for adults aged 30–79 without prior CVD.
  • Risk categories: <10% low; 10–20% intermediate; ≥20% high.
  • AHA/ACC guidelines now use the Pooled Cohort Equations; Framingham is still widely used internationally.
  • Does not include family history, CRP, or calcium score.

55-year-old male with dyslipidaemia

Inputs
  • Sex: male
  • Age (years): 55 yr
  • Total Cholesterol (mg/dL): 230 mg/dL
  • HDL Cholesterol (mg/dL): 45 mg/dL
  • Systolic BP (mmHg): 145 mmHg
  • BP Treatment: yes
  • Current Smoker: no
  • Diabetes: no

Apply male equation coefficients with given values → approximately 15–18% 10-year CVD risk.

Frequently asked questions

What should I do if my Framingham score is ≥20%?
A 10-year risk ≥20% is considered high risk. Discuss statin therapy (if not already on one), aggressive BP control, smoking cessation, and lifestyle modifications with your doctor.