Your heart age is influenced by various risk factors, such as blood pressure and cholesterol. This calculator was created by Alberta cardiologists using the Framingham Risk Score, and is based on the Canadian Cardiovascular Society guidelines. You can use this calculator even if you don’t know your blood pressure or cholesterol numbers. The amount of additional risk (relative increase in risk) conferred from a family member to a patient depends on: (1) how close a relative, (2) age of a relative, (3) number of affected family members. If mother (risk 60% If father (risk 75%.
- Framingham Risk Score Pdf
- Framingham Risk Calculator Pda
- Framingham Risk Score Calculator Cdc
- Framingham Risk Score Canada
- Framingham Cardiac Risk Score Calculator
How does this Framingham risk score calculator work?
This is a health tool designed to estimate heart disease risk in individuals in a period of 10-years, especially that of coronary heart disease, based on a series of factors identified as cardiovascular risk factors in the Framingham Heart Study. It comprises of age, gender and whether the person scored is a smoker or not or under treatment for hypertension; plus three clinical determinations important in assessing cardiovascular function risks: total cholesterol, HDL cholesterol and systolic blood pressure.
The criteria considered in this Framingham risk score calculator is detailed below:
■ Gender - Male/Female, this factor is taken in consideration as the points in the following criteria are segmented by gender.
■ Age – this health calculator permits ages starting from 20 to ensure most individual cases of importance are covered, not only elderly people in which, of course, the heart disease risk is proportional to age.
■ Total cholesterol (mg/dL) – a lower TC than 200 mg/dL is considered low risk while 200 to 239 mg/dL is borderline high and everything above 240 mg/dL is high risk.
■ HDL cholesterol (mg/dL) – contrary to the general belief, not all cholesterol is bad cholesterol. HDL is considered the good one as it consists of high density lipoproteins that don’t stick to the arteries forming plaque and leading to atherosclerosis like LDL. Plus, HDL is also able to remove part of LDL, the bad cholesterol away from the arteries and is said to protect against heart attack and stroke when in levels higher than 60 mg/dL. Everything under 40mg/dL HDL is considered high risk for cardiovascular disease.
■ Under hypertension treatment - Yes/No – people with high blood pressure are at risk of coronary artery disease (atherosclerosis) and hypertension treatment can help lower the risk.
■ Systolic blood pressure (mmHg) - This is the first number in the blood pressure reading with the normal range between 90 and 120 mmHg and corresponds to the force with which the contraction of the heart pushes blood in circulation.
■ Smoker - Yes/No – smoking increases heart disease risk by damaging the arterial lining, leading to atheromas which are buildups narrowing the arteries, leading on the long term to very high risk of angina, heart attack or stroke.
The following tables are presenting the break down of criteria and points in the Framingham scoring model according to gender:
Age | Female pts | Male pts |
20 - 34 | -7 | -9 |
35 - 39 | -3 | -4 |
40 - 44 | 0 | 0 |
45 - 49 | 3 | 3 |
50 - 54 | 6 | 6 |
55 - 59 | 8 | 8 |
60 - 64 | 10 | 10 |
65 - 69 | 12 | 11 |
70 - 74 | 14 | 12 |
>75 | 16 | 13 |
Total cholesterol mg/dL | ||
Value | Female pts | Male pts |
Age interval: 20 - 39 | ||
<160 | 0 | 0 |
160 - 199 | 4 | 4 |
200 - 239 | 8 | 7 |
240 - 279 | 11 | 9 |
>=280 | 13 | 11 |
Age interval: 40 - 49 | ||
<160 | 0 | 0 |
160 - 199 | 3 | 3 |
200 - 239 | 6 | 5 |
240 - 279 | 8 | 6 |
>=280 | 10 | 8 |
Age interval: 50 - 59 | ||
<160 | 0 | 0 |
160 - 199 | 2 | 2 |
200 - 239 | 4 | 3 |
240 - 279 | 5 | 4 |
>=280 | 7 | 5 |
Age interval: 60 - 69 | ||
<160 | 0 | 0 |
160 - 199 | 1 | 1 |
200 - 239 | 2 | 1 |
240 - 279 | 3 | 2 |
>=280 | 4 | 3 |
Age interval: >70 | ||
<160 | 0 | 0 |
160 - 199 | 1 | 0 |
200 - 239 | 1 | 0 |
240 - 279 | 2 | 1 |
>=280 | 2 | 1 |
HDL cholesterol mg/dL | ||
Value | Female pts | Male pts |
>=60 | -1 | -1 |
50 - 59 | 0 | 0 |
40 - 49 | 1 | 1 |
<40 | 2 | 2 |
SBP mmHg / treated | ||
Value | Female pts | Male pts |
<120 | 0 | 0 |
120 - 129 | 3 | 1 |
130 - 139 | 4 | 2 |
140 -159 | 5 | 2 |
>=160 | 6 | 3 |
SBP mmHg / untreated | ||
Value | Female pts | Male pts |
<120 | 0 | 0 |
120 - 129 | 1 | 0 |
130 - 139 | 2 | 1 |
140 -159 | 3 | 1 |
>=160 | 4 | 2 |
Smoking (if yes) | ||
Age | Female pts | Male pts |
20 - 39 | 9 | 8 |
40 - 49 | 7 | 5 |
50 - 59 | 4 | 3 |
60 - 69 | 2 | 1 |
> 70 | 1 | 1 |
Smoking (if no) 0 pts | ||
Framingham risk score – result interpretation
| Female results | Male results | ||
| Points | Risk percentage | Points | Risk percentage |
| <0 | 0% | <0 | 0% |
| 0 - 8 | <1% | 0 | <1% |
| 9 - 12 | 1% | 1 - 4 | 1% |
| 13 - 14 | 2% | 5 - 6 | 2% |
| 15 | 3% | 7 | 3% |
| 16 | 4% | 8 | 4% |
| 17 | 5% | 9 | 5% |
| 18 | 6% | 10 | 6% |
| 19 | 8% | 11 | 8% |
| 20 | 11% | 12 | 10% |
| 21 | 14% | 13 | 12% |
| 22 | 17% | 14 | 16% |
| 23 | 22% | 15 | 20% |
| 24 | 27% | 16 | 25% |
| >=25 | >30% | >=17 | >30% |
What if the score says I have a high risk of CHD?
The Framingham is a well reputed risk scoring system so these findings should be taken seriously. However, it is important to know that the individual cardiovascular risk is modifiable, meaning it can be decreased through lifestyle changes (quitting smoking, maintaining a healthy diet, exercising regularly) and/ or through preventive treatment (statin, aspirin doses, hypertension medication).
Cardiovascular disease
CVD is a term given to a class of diseases of the heart and blood vessels and includes:
1) Coronary heart disease (CHD)
- Myocardial infarction (MI)
- Heart failure (HF)
- Angina pectoris
- Coronary death
2) Cerebrovascular disease
- Transient ischemic attack (TIA)
- Stroke
3) Aortic disease
- Aortic atherosclerosis
- Thoracic aortic aneurysm
- Abdominal aortic aneurysm
4) Peripheral arterial disease
Other risk factors for heart disease
Along with the factors presented in the scoring above there are other lifestyle elements or health conditions deemed to increase heart disease incidence:
- Unhealthy diet
- Lack of exercise
- Family history
- Diabetes
References
1) D'Agostino RB, Sr. Vasan RS, Pencina M.J, Wolf PA, Cobain M, Massaro JM, Kannel WB. (2008) General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation 117(6): 743–753.
2) Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. (1998) Prediction of coronary heart disease using risk factor categories. Circulation; 97(18):1837-47.
12 Jul, 2015Estimates 10-year risk of heart disease based on specific cardiovascular risk factors.
In the text below the calculator you can read more about the scoring method and result interpretation.
The Framingham risk score calculator is based on a series of known cardiovascular risk factors that can indicate the 10-year risk of a patient to develop heart disease, especially coronary heart disease.
The risk factors have been identified during the Framingham Heart Study and include patient age and gender, hypertensive status, cholesterol determination and systolic pressure.
These are the possible Framingham scores and their associated cardiac risk percentages:
| Female results | Male results | ||
| Points | Risk percentage | Points | Risk percentage |
| <0 | 0% | <0 | 0% |
| 0 - 8 | <1% | 0 | <1% |
| 9 - 12 | 1% | 1 - 4 | 1% |
| 13 - 14 | 2% | 5 - 6 | 2% |
| 15 | 3% | 7 | 3% |
| 16 | 4% | 8 | 4% |
| 17 | 5% | 9 | 5% |
| 18 | 6% | 10 | 6% |
| 19 | 8% | 11 | 8% |
| 20 | 11% | 12 | 10% |
| 21 | 14% | 13 | 12% |
| 22 | 17% | 14 | 16% |
| 23 | 22% | 15 | 20% |
| 24 | 27% | 16 | 25% |
| ≥25 | >30% | ≥17 | >30% |
Jump to:
1. Framingham score calculator
2. Framingham risk score explained
3. Result interpretation
4. About the study
5. High risk of CHD
6. References
Steps on how to print your input & results:
1. Fill in the calculator/tool with your values and/or your answer choices and press Calculate.
2. Then you can click on the Print button to open a PDF in a separate window with the inputs and results. You can further save the PDF or print it.
Please note that once you have closed the PDF you need to click on the Calculate button before you try opening it again, otherwise the input and/or results may not appear in the pdf.
Framingham risk score explained
As a heart disease risk predictor, the Framingham score accounts for readily available patient data, cholesterol determinations and blood pressure, parameters that can offer an insight into the patient’s cardiovascular function.
The criteria are segmented by gender when calculating the final score. The risk predictor can be used for patients starting at 20 years of age, just to cover all risks, despite cardiac risk being proportional with patient age.
Total cholesterol values between 200 and 239 mg/dL are considered to carry borderline high risk whilst all values above 240 mg/dL carry high risk.
HDL cholesterol or the “good cholesterol” consists of high density lipoproteins that don’t stick to the arteries therefore do not form plaque or lead to atherosclerosis like low density lipoproteins (LDL) does.
HDL is also able to decrease part of circulating LDL. HDL values above 60 mg/dL are considered to protect against cardiovascular disease.
Hypertensive patients tend to be at higher risk of coronary artery disease (atherosclerosis). In the model, hypertension treatment is considered to lower this risk.
Systolic blood pressure, with the normal range between 90 and 120 mmHg, accounts for the force of contraction that pushes blood into circulation.
Smokers are at higher risk of angina, heart attack or stroke than non-smokers due to damage of the arterial lining, which leads to atheroma (narrowing arteries).
The answers that are input in the calculator are interpreted according to the range of values they belong to, and weigh differently in the final score.
It is important to note that there are separate values for males and females. The scorings are all explained in the tables below:
| Age | Female pts | Male pts |
| 20 - 34 | -7 | -9 |
| 35 - 39 | -3 | -4 |
| 40 - 44 | 0 | 0 |
| 45 - 49 | 3 | 3 |
| 50 - 54 | 6 | 6 |
| 55 - 59 | 8 | 8 |
| 60 - 64 | 10 | 10 |
| 65 - 69 | 12 | 11 |
| 70 - 74 | 14 | 12 |
| ≥75 | 16 | 13 |
| Total cholesterol mg/dL | ||
| Value | Female pts | Male pts |
| Age interval: 20 - 39 | ||
| <160 | 0 | 0 |
| 160 - 199 | 4 | 4 |
| 200 - 239 | 8 | 7 |
| 240 - 279 | 11 | 9 |
| ≥280 | 13 | 11 |
| Age interval: 40 - 49 | ||
| <160 | 0 | 0 |
| 160 - 199 | 3 | 3 |
| 200 - 239 | 6 | 5 |
| 240 - 279 | 8 | 6 |
| ≥280 | 10 | 8 |
| Age interval: 50 - 59 | ||
| <160 | 0 | 0 |
| 160 - 199 | 2 | 2 |
| 200 - 239 | 4 | 3 |
| 240 - 279 | 5 | 4 |
| ≥280 | 7 | 5 |
| Age interval: 60 - 69 | ||
| <160 | 0 | 0 |
| 160 - 199 | 1 | 1 |
| 200 - 239 | 2 | 1 |
| 240 - 279 | 3 | 2 |
| ≥280 | 4 | 3 |
| Age interval: ≥70 | ||
| <160 | 0 | 0 |
| 160 - 199 | 1 | 0 |
| 200 - 239 | 1 | 0 |
| 240 - 279 | 2 | 1 |
| ≥280 | 2 | 1 |
| HDL cholesterol mg/dL | ||
| Value | Female pts | Male pts |
| ≥60 | -1 | -1 |
| 50 - 59 | 0 | 0 |
| 40 - 49 | 1 | 1 |
| <40 | 2 | 2 |
| SBP mmHg / treated | ||
| Value | Female pts | Male pts |
| <120 | 0 | 0 |
| 120 - 129 | 3 | 1 |
| 130 - 139 | 4 | 2 |
| 140 -159 | 5 | 2 |
| ≥160 | 6 | 3 |
| SBP mmHg / untreated | ||
| Value | Female pts | Male pts |
| <120 | 0 | 0 |
| 120 - 129 | 1 | 0 |
| 130 - 139 | 2 | 1 |
| 140 -159 | 3 | 1 |
| ≥160 | 4 | 2 |
| Smoking (if yes) | ||
| Age | Female pts | Male pts |
| 20 - 39 | 9 | 8 |
| 40 - 49 | 7 | 5 |
| 50 - 59 | 4 | 3 |
| 60 - 69 | 2 | 1 |
| ≥70 | 1 | 1 |
| Smoking (if no) 0 pts | ||
Result interpretation
The Framingham risk predictor result is easy to interpret based on the following table that awards the heart disease risk in percentage, for the whole variety of possible results, for each gender:
| Female results | Male results | ||
| Points | Risk percentage | Points | Risk percentage |
| <0 | 0% | <0 | 0% |
| 0 - 8 | <1% | 0 | <1% |
| 9 - 12 | 1% | 1 - 4 | 1% |
| 13 - 14 | 2% | 5 - 6 | 2% |
| 15 | 3% | 7 | 3% |
| 16 | 4% | 8 | 4% |
| 17 | 5% | 9 | 5% |
| 18 | 6% | 10 | 6% |
| 19 | 8% | 11 | 8% |
| 20 | 11% | 12 | 10% |
| 21 | 14% | 13 | 12% |
| 22 | 17% | 14 | 16% |
| 23 | 22% | 15 | 20% |
| 24 | 27% | 16 | 25% |
| ≥25 | >30% | ≥17 | >30% |
Framingham Risk Score Pdf
About the study
The Framingham risk score was created by Wilson et al. in 1998 following a study that examined the association of Joint National Committee (JNC-V) blood pressure and National Cholesterol Education Program (NCEP) cholesterol categories with CHD risk.
A cohort of 2,489 men and 2,856 women with ages between 30 and 74 took part in the study. The follow up period was of 12 years.
The 383 men and 227 women who developed CHD during the follow up period were associated with high blood pressure and high total cholesterol, amongst other factors.
The score was meant to allow physicians to predict multivariate coronary heart disease risk in patients without overt CHD.
High risk of CHD
Individual cardiac risk can be variable during the patient’s life, meaning that healthy lifestyle choices can decrease it.
Framingham Risk Calculator Pda
For example, quitting smoking, maintaining a healthy diet or regular exercise can decrease cardiac risk.
The opposite of the above healthy choices makes up some of the heart disease risk factors, along diabetes mellitus or family history of CHD.
The following table introduces four types of cardiovascular disease:
| Group of disease | Examples |
| Coronary heart disease (CHD) | Myocardial infarction (MI) Heart failure (HF) Angina pectoris Coronary death |
| Cerebrovascular disease | Transient ischemic attack (TIA) Stroke |
| Aortic disease | Aortic atherosclerosis Thoracic aortic aneurysm Abdominal aortic aneurysm |
| Peripheral arterial disease | Also known as peripheral vascular disease |
Original source
Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation.1998; 97(18):1837-47.
Framingham Risk Score Calculator Cdc
Other references
Framingham Risk Score Canada
1. Vasan RS, Sullivan LM, Wilson PW, Sempos CT, Sundström J, Kannel WB, Levy D, D'Agostino RB. Relative importance of borderline and elevated levels of coronary heart disease risk factors. Ann Intern Med. 2005; 142(6):393-402.
Framingham Cardiac Risk Score Calculator
2. D'Agostino RB, Sr. Vasan RS, Pencina M.J, Wolf PA, Cobain M, Massaro JM, Kannel WB. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008; 117(6): 743–753.