Framingham 10-Year CVD Risk
Input risk factors to calculate the Framingham general cardiovascular disease risk score. Valid for adults aged 20–79 without existing atherosclerotic cardiovascular disease.
How to Use This Calculator
Confirm eligibility
This Framingham algorithm applies to adults aged 20–79 years without established ASCVD or prior MI/stroke.
Enter risk factors
Use recent lipid panel values, blood pressure measurements, and note antihypertensive therapy, smoking, and diabetes status.
Interpret risk and act
Discuss preventive strategies—diet, exercise, statins, antihypertensives—based on total risk and patient preferences.
Formula
Risk is derived from Framingham point-based tables (Circulation 2008;117:743-753) considering age, total cholesterol, HDL, systolic blood pressure (treated/untreated), smoking status, and diabetes.
Full Description
The Framingham general cardiovascular disease risk score predicts 10-year risk of myocardial infarction, coronary death, stroke, heart failure, or peripheral arterial disease. It complements pooled cohort equations and is useful for adults across a wide age range. Incorporate additional risk markers (coronary calcium, hs-CRP, family history) when decisions about statins or aspirin remain uncertain.
Lifestyle interventions (DASH/Mediterranean diet, regular aerobic exercise, weight loss, smoking cessation) can substantially reduce risk and may lower the need for lifelong pharmacotherapy when implemented early.
Frequently Asked Questions
How does this score compare to the pooled cohort equation?
Framingham estimates general CVD events and applies to adults up to age 79. Pooled cohort equations (ACC/AHA) focus on ASCVD (MI or stroke) and are standard for statin decisions in U.S. guidelines.
Is the score valid if the patient already had MI or stroke?
No. Secondary prevention patients already warrant high-intensity therapy; risk scores are not necessary for treatment decisions.
How often should risk be reassessed?
Recalculate every 4–6 years, or sooner if major risk factors change (new diabetes, hypertension, smoking status, or age group shift).
Can I enter SI units (mmol/L)?
Convert total cholesterol and HDL to mg/dL before using this calculator (multiply mmol/L by 38.67). Alternatively, use an SI-specific tool to avoid conversion errors.